Lischewski R, Lisson G
Arch Psychiatr Nervenkr (1970). 1980;228(4):287-98. doi: 10.1007/BF00343611.
Reflex, instinct and voluntary movements of the face and the upper limbs, especially those between hand and mouth show a widespread interrelationship. Little is known of the neurophysiological pathways involved. One of these interrelated reflexes which is easily elicited clinically, is the palmomental reflex (PMR). This reflex has proved to be of use as a screening test for cerebral lesions damage: a lateralized, increased, or inexhaustable PMR indicates the presence of a contralateral lesion of the pyramidal or extra-pyramidal system. The aim of the following study was to find a practicable method of stimulation and detection in order to examine and define the normal reflex response. Our investigation shows that one can define the neurographic parameters of the normal reflex response. Hence it should be possible to compare these results with findings in patients with lesions of the nervous system. Our methods are described and the results discussed as are the indications for palmomental electrography (PMEG).
面部和上肢的反射、本能及随意运动,尤其是手与嘴之间的运动,呈现出广泛的相互关系。对于其中涉及的神经生理通路,人们了解甚少。临床上容易引出的这些相互关联的反射之一是掌颏反射(PMR)。事实证明,该反射可作为脑部病变损伤的筛查测试:一侧化、增强或持续存在的掌颏反射表明锥体或锥体外系对侧存在病变。以下研究的目的是找到一种可行的刺激和检测方法,以便检查和界定正常的反射反应。我们的研究表明,可以界定正常反射反应的神经电图参数。因此,应该能够将这些结果与神经系统病变患者的检查结果进行比较。我们描述了我们的方法,并讨论了结果以及掌颏电图(PMEG)的适应证。