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Klinische Neurophysiologie 2003; 34(1): 15-20
DOI: 10.1055/s-2003-37747
Originalia
© Georg Thieme Verlag Stuttgart · New York

Die elektrophysiologische Untersuchung des Masseterreflexes

Ableittechnik, klinischer Einsatz und topodiagnostische BedeutungElectrophysiological Examination of the Masseter ReflexTechnique, Clinical Application and Topodiagnostic SignificanceF.  Thömke1
  • 1Klinik und Poliklinik für Neurologie der Johannes Gutenberg-Universität Mainz(Direktorin: Frau Prof. Dr. med. M. Dieterich)
Für Herrn Prof. Dr. H. C. Hopf, der mir (neben vielen anderen Dingen) auch den Masseterreflex gezeigt hat
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Publikationsverlauf

Publikationsdatum:
10. März 2003 (online)

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Zusammenfassung

Der Masseterreflex ist ein monosynaptischer Muskeldehnungsreflex, dessen zentraler Reflexbogenanteil im Hirnstamm zwischen dem Niveau des Okulomotoriuskerns und der Nerveneintrittszone des N. trigeminus im mittleren Pons verläuft. Hier ergeben sich enge anatomische Beziehungen zu Abschnitten der intramesenzephalen Nn. oculomotorius und trochlearis, der intrapontinen Nn. abducens, facialis und vestibularis sowie zum Fasciculus longitudinalis medialis. Die vorliegende Arbeit beschreibt die Technik der elektrophysiologischen Untersuchung des Masseterreflexes, die klinischen Anwendungsbereiche und die topodiagnostische Bedeutung.

Abstract

The myotactic masseter reflex is monosynaptically transmitted. The central reflex loop closely follows the entire length of the trigeminal mesencephalic tract and nucleus between the 3rd nerve nucleus and the 5th nerve motor nucleus levels. It is adjacent to the proximal segment of the intramesencephalic 3rd nerve, the intramesencephalic 4th nerve, the proximal intrapontine segment of the 6th nerve, the intrapontine segment of the 7th nerve near the 6th nerve nucleus, the intrapontine segment of the vestibular nerve in the vicinity of the vestibular nuclei, and the medial longitudinal fasciculus. The present paper reviews the technique of electrophysiological masseter reflex testing, its clinical applications and its topodiagnostic significance.

Key words

Masseter reflex - brainstem infarction - multiple sclerosis brainstem lesion - MRI

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Prof. Dr. med. Frank Thömke

Klinik und Poliklinik für Neurologie der Johannes Gutenberg-Universität Mainz

Langenbeckstraße 1

55101 Mainz

eMail: thoemke@neurologie.klinik.uni-mainz.de