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Corneal Reflex in Hemisphere Disease II

Published online by Cambridge University Press:  18 September 2015

R. T. Ross*
Affiliation:
Department of Medicine, the University of Manitoba and the Winnipeg General Hospital
J. A. Johnston
Affiliation:
Department of Medicine, the University of Manitoba and the Winnipeg General Hospital
*
1516-233 Kennedy Street, Winnipeg R3C 3J5, Canada.
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Summary

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In man, contralateral cerebral decortication or removal of a hemisphere does not permanently abolish the corneal reflex. Destruction of the contralateral thalamus or contralateral mesencephalic trigeminal tract does abolish the corneal reflex.

In the cat however, the corneal reflex remains intact after contralateral decortication, he mi sphere ctomy and total ablation of the thalamus. Some of these procedures diminished the corneal reflex or increased the threshold, but neither of these changes were seen for more than a few days post-operativ ely. In this animal however, the second reflex response, evoked by supra orbital nerve stimulation, is abolished by certain thalamic lesions and by contralateral hemi-transection of the brain stem at various levels.

Type
Research Article
Copyright
Copyright © Canadian Neurological Sciences Federation 1974

References

Berry, C. M., Anderson, F. D., and Books, D. C. (1956). Ascending pathways of the trigeminal nerve in the cat. Journal of Neurophysiology, 19, 144151.Google Scholar
Dandy, W. E. (1933). Physiological Studies following extirpation of the right cerebral hemisphere in man. Bulletin of the Johns Hopkins Hospital, 53, 3141.Google Scholar
Gardner, W. J. (1933). Removal of the right cerebral hemisphere for infiltration glioma. Journal of the American Medical Association, 101, 823826.CrossRefGoogle Scholar
Grinker, R. F. (1937). Neurology. Charles E. Thomas; Springfield.Google Scholar
Kimura, Jun., Powers, J. MiChael., Van Allen Maurice, W. (1969). Reflex response of orbicularis oculi muscle to supraorbital nerve stimulation. Archives of Neurology, 21, 193199.CrossRefGoogle ScholarPubMed
Kimura, Jun., Rodnitsky, Robert L., Van Allen, Maurice W. (1970). Electrodiagnostic study of trigeminal nerve. Neurology, 20, 574583.Google ScholarPubMed
Kimura, Jun. (1970). Alterations of the orbicularis oculi reflex by pontine lesions. Archives of Neurology, 22. 156161.Google ScholarPubMed
Kugelberg, E. (1952). Facial Reflexes. Brain, 75, 385396.Google ScholarPubMed
Mckinley, W. A., Magoun, H. W. (1942). The bulbar projection of the trigeminal nerve. American Journal of Physiology, 137, 217226.CrossRefGoogle Scholar
Monrad-Krohn, G. H. (1964). Clinical Examination of the nervous system. P. 207, Lewis; London.Google Scholar
Oliver, L. C. (1952). The supranuclear arc of the corneal reflex. Acta Psychiatrica Scandinavica, 27, 329333.CrossRefGoogle ScholarPubMed
Ross, R. T. (1972). Corneal Reflex in Hemisphere Disease. Journal of Neurology, Neurosurgery and Psychiatry, 35, 877880.Google ScholarPubMed
Rushworth, Geoffrey (1962). Observations On Blink Reflexes. Journal Of Neurology, Neurosurgery And Psychiatry, 25, 93107.CrossRefGoogle ScholarPubMed
Snider, Ray S., Niemer, William T. (1961). A stereotaxic atlas of the cat brain.University of Chicago Press; Chicago.Google Scholar
Thatcher, D. B., and Van Allen, M. W. (1971). Corneal reflex latency. Neurology, 21, 735737.CrossRefGoogle ScholarPubMed
Tokunaga, A., Oka, M., Murao, H., Yokoi, T., Okumura, T., Hirata, T., Miyashita, Y., Yoshitatsu, S. (1958). An experimental study on facial reflex by evoked electromyography. Medical Journal of Osaka University, 9, 397411.Google Scholar
Troost, B. Todd., Webber, Ronald B., Daroff, Robert B. (1972). Hemispheric control of eye movements. Archives of Neurology, 27, 441448. (Information on corneal reflexes was not included in the paper but provided courtesy of Dr. Daroff as a personal communication.)CrossRefGoogle ScholarPubMed
Walker, A. E., and Fulton, J. F. (1938). Hemidecortication in chimpanzee, baboon, macaque, potto, cat and coati. Journal of Nervous and Mental Diseases, 87, 677689.CrossRefGoogle Scholar
Walker, A. E. (1940). The cerebral arc of the corneal reflex. Journal of Nervous and Mental Diseases, 92, 569578.CrossRefGoogle Scholar
Walker, A. E. (1942). A method for the relief of unilateral intractable pain. Archives of Surgery, 44, 953962.CrossRefGoogle Scholar
Zollinger, R. (1935). Removal of the left cerebral hemisphere. Archives of Neurology and Psychiatry, 34, 10551066.CrossRefGoogle Scholar