TY - JOUR PY - 2015// TI - Corneomandibular reflex: anatomical basis JO - Journal of neurosciences in rural practice A1 - Pistacchi, Michele A1 - Gioulis, Manuela A1 - Mazzon, Davide A1 - Marsala, Sandro Zambito SP - 591 EP - 593 VL - 6 IS - 4 N2 - Corneomandibular reflex is a pathological phenomenon evident in cases of severe brainstem damage. It is considered to be a pathological exteroceptive reflex, associated with precentro bulbar tract lesions. The sign is useful in distinguishing central neurological injuries to metabolic disorders in acutely comatose patients, localizing lesions to the upper brainstem area, determining the depth of coma and its evolution, providing evidence of uncal or transtentorial herniation in acute cerebral hemisphere lesions, and it is a marker of supraspinal level impairment in amyotrophic lateral sclerosis and multiple sclerosis. This sign was evident in a patient with severe brain damage. We discuss the literature findings and its relevance in prognosis establishment.
Language: en
LA - en SN - 0976-3147 UR - http://dx.doi.org/10.4103/0976-3147.165428 ID - ref1 ER -