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April 1972

Electronic Evaluation of Electromyograms in Facial Nerve Paralysis

Author Affiliations

Würzburg, West Germany; Erlangen, West Germany; Würzburg, West Germany
From the Department of Otorhinolaryngology, University of Würzburg, Würzburg, West Germany (Drs. Wigand and Bumm and Mr. Mederer) and the Department of Physiology, University of Erlangen, Erlangen, West Germany (Dr. Spreng).

Arch Otolaryngol. 1972;95(4):324-330. doi:10.1001/archotol.1972.00770080518006

Recent literature indicates that electromyography (EMG) is of little value in the early determination of facial nerve degeneration. Since fibrillation may be absent in the recording, especially during the first ten days of the paresis, and since many neurons may be involved in an uncertain process of deterioration or recovery, electronic processing of the EMG and analysis of different features of many thousands of data are required. Our presentation of preliminary experience includes duration histogram, interspike interval histogram, amplitude histogram, and spike rate analysis. From these characteristics a synoptic classification may be introduced to the description of facial nerve diseases. Interlead interval histograms are demonstrated additionally for cases of facial spasm. Their result has reinforced our assumption that this disease shows features in the EMG that are different from peripheral facial nerve impairment.

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