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NEUROLOGY 1987;37:631
© 1987 American Academy of Neurology

Neurophysiologic assessment of trigeminal function after surgery for trigeminal neuralgia

G. Cruccu, M. Inghilleri, B. Fraioli, B. Guidetti and M. Manfredi

V Neurological Clinic (Drs. Cruccu, Inghilleri, and Manfredi), and the I Neurosurgical Division (Drs. Fraioli and Guidetti), Department of Neurosciences, University of Rome "La Sapienza," Rome, Italy.

To assess the function of the three trigeminal divisions, we studied corneal reflex, early and late blink reflexes, early and late masseter silent periods, and jaw jerk in normal subjects and in 35 patients submitted to surgery for trigeminal neuralgia. The corneal reflex was most sensitive to thermocoagulation and the jaw jerk to microcompression; the other reflexes showed an intermediate behavior, depending on afferent fiber size. Trigeminal function was less impaired after microcompression and recovered earlier than after thermocoagulation.

Address correspondence and reprint requests to Dr. Cruccu, Dipartimento Scienze Neurologiche, Viale Universita 30, 00185 Rome, Italy.

Received April 7, 1986. Accepted for publication in final form August 5, 1986.




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