scholarly journals Principal Sensory Nucleus of the Trigeminal Nerve

2020 ◽  
Author(s):  
Keyword(s):  
Trigeminal Nerve ◽  
Sensory Nucleus

Lingual Mechanoreceptive Information II

1982 ◽  
Vol 25 (3) ◽  
pp. 357-363
Author(s):  
James P. Bowman
Keyword(s):  
Trigeminal Nerve ◽  
Somatosensory System ◽  
Single Pulse ◽  
Lingual Nerve ◽  
Medial Lemniscus ◽  
Trigeminal Nuclei ◽  
Sensorimotor Activity ◽  
Contralateral Projection ◽  
Sensory Nucleus ◽  
Ipsilateral Projection

The extent to which the known trigeminothalamic projections are related to afferents from specific peripheral branches of the trigeminal nerve is not clearly revealed by degeneration studies involving lesions of the various trigeminal nuclei. This study examines the ascending projections related to the lingual branch of the trigeminal nerve using the evoked-potential technique in pentobarbital anesthetized rhesus monkeys. The distribution of potentials within the medulla, pons, and midbrain was determined by recording with macroelectrodes following single-pulse stimulation of the lingual nerve. Results show that two pathways from the main sensory nucleus convey lingual nerve information to the thalamic ventral posteromedial nucleus: an ipsilateral projection which in position corresponds to the dorsal trigeminal tract, and a larger contralateral projection which in position corresponds to the crossed ventral trigeminal tract, or trigeminal lemniscus. Additionally, the spinal trigeminal nucleus contributes fibers of lingual nerve origin to the contralateral medial lemniscus. The role of low-threshold mechanoreceptive information in lingual sensorimotor activity is discussed in relation to current concepts of somatosensory system function.

scholarly journals Severe Headache with Eye Involvement from Herpes Zoster Ophthalmicus, Trigeminal Tract, and Brainstem Nuclei

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Sasitorn Siritho ◽  
Wadchara Pumpradit ◽  
Wiboon Suriyajakryuththana ◽  
Krit Pongpirul
Keyword(s):  
Trigeminal Nerve ◽  
Maculopapular Rash ◽  
Cervical Cord ◽  
Gasserian Ganglion ◽  
Herpes Zoster Ophthalmicus ◽  
Trigeminal Nuclei ◽  
Upper Cervical ◽  
Sensory Nucleus ◽  
The Right ◽  
Orbital Imaging

A 43-year-old female presented with severe sharp stabbing right-sided periorbital and retroorbital area headache, dull-aching unilateral jaw pain, eyelid swelling, ptosis, and tearing of the right eye but no rash. The pain episodes lasted five minutes to one hour and occurred 10–15 times per day with unremitting milder pain between the attacks. She later developed an erythematous maculopapular rash over the right forehead and therefore was treated with antivirals. MRI performed one month after the onset revealed small hypersignal-T2 in the right dorsolateral mid-pons and from the right dorsolateral aspect of the pontomedullary region to the right dorsolateral aspect of the upper cervical cord, along the course of the principal sensory nucleus and spinal nucleus of the right trigeminal nerve. No definite contrast enhancement of the right brain stem/upper cervical cord was seen. Orbital imaging showed no abnormality of bilateral optic nerves/chiasm, extraocular muscles, and globes. Slight enhancement of the right V1, V2, and the cisterna right trigeminal nerve was detected. Our findings support the hypothesis of direct involvement by virus theory, reflecting rostral viral transmission along the gasserian ganglion to the trigeminal nuclei at brainstem and caudal spreading along the descending tract of CN V.

scholarly journals P.118 Trigemino-cardiac reflex: a case report of intra-operative asystole in response to manipulation of the temporalis muscle

2018 ◽  
Vol 45 (s2) ◽  
pp. S47-S47
Author(s):  
H Shakil ◽  
A Wang ◽  
K Reddy
Keyword(s):  
Trigeminal Nerve ◽  
Cranial Nerves ◽  
Vital Signs ◽  
Sudden Onset ◽  
Motor Nucleus ◽  
Skull Base Tumor ◽  
Temporalis Muscle ◽  
Medline Search ◽  
Sensory Nucleus ◽  
History Of

Background: The trigemino-cardiac reflex (TCR) is a sudden onset of bradycardia, hypotension, apnea or gastric hypermotility during stimulation of the trigeminal nerve. Methods: We conducted a MEDLINE search for surgical cases of TCR and herein describe a case seen recently at our institution. Results: A 60 year-old female underwent a left orbitozygomatic craniotomy for resection of a skull-base tumor. Pre-operative anesthesia evaluation was unremarkable and negative for a history of cardiovascular disease. Intra-operatively, retraction with moderate force of the temporalis muscle consistently produced asystole. Cessation of retraction resulted in immediate return of sinus rhythm. Otherwise, intra-operative heart rate was 60-90 BPM. Post-operatively, vital signs and clinical course were unremarkable. The patient experienced a similar phenomenon during an operation 6 years earlier, when manipulation of tumor near cranial nerves IX/X resulted in bradycardia. TCR is the result of a polysynaptic brainstem network involving the afferent trigeminal sensory nucleus, the reticular formation, and the efferent vagal motor nucleus. Conclusions: This is a case of exaggerated vagal response following manipulation of the temporalis muscle. Our report emphasizes the importance for neurosurgeons and anesthesiologists alike to be wary of TCR in order to avoid deleterious consequences when operating on structures associated with the trigeminal nerve.

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