We thank Grisold and Nussgruber for their comments on our review of neurological aspects of taste disorders. A neurological review is limited to 3000 words and a maximum of 50 references. For this reason, not all available information could be thoroughly debated.
It is correct that "fat receptors" have been discussed,1 but so far they have limited clinical relevance. A detailed investigation of the olfactory system is necessary to complete the diagnostic procedures in patients with complaints of taste dysfunction.2 The additional information on taste disorder due to radiation and to lesions of the lingual, trigeminal, and facial nerves is also of interest. The dissection of cervical arteries in association with cranial nerve palsy mostly affects the carotid artery, although the vertebral artery can be affected too.
Heckmann JG, Heckmann SM, Lang CJG, Hummel T. Comments on Neurological Aspects of Taste Disorders—Reply. Arch Neurol. 2004;61(2):298. doi:10.1001/archneur.61.2.298
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