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Difference between revisions of "1° Clinical case: Hemimasticatory spasm"
1° Clinical case: Hemimasticatory spasm (view source)
Revision as of 15:56, 14 November 2022
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==== Coherence marker<math>\tau</math>==== | ==== Coherence marker <math>\tau</math>==== | ||
The <math>\tau</math> is a representative clinical specific weight, complex to research and fine-tune because it varies from discipline to discipline and for pathologies, essential in order not to make logical assertions collide <math>\Im_o</math> and <math>\Im_n</math> in the diagnostic procedures and essential to initialize the decryption of the logic communication code. Basically it allows you to confirm the consistency of a union <math>\Im\cup\{\delta_1,\delta_2.....\delta_n\}</math> with respect to another <math>\Im\cup\{\gamma_1,\gamma_2.....\gamma_n\}</math> and vice versa, giving greater weight to the severity of the statements and the report in the appropriate context. | The <math>\tau</math> is a representative clinical specific weight, complex to research and fine-tune because it varies from discipline to discipline and for pathologies, essential in order not to make logical assertions collide <math>\Im_o</math> and <math>\Im_n</math> in the diagnostic procedures and essential to initialize the decryption of the logic communication code. Basically it allows you to confirm the consistency of a union <math>\Im\cup\{\delta_1,\delta_2.....\delta_n\}</math> with respect to another <math>\Im\cup\{\gamma_1,\gamma_2.....\gamma_n\}</math> and vice versa, giving greater weight to the severity of the statements and the report in the appropriate context. | ||
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In this clinical iter that we have presented, the choice of the clinician to follow the electrophysiological trigeminal roadmap from which the positivity of the <math>\bar{\gamma_n}=1</math> assertions have already been derived, therefore, having already defined a picture of serious anomaly of absence of the jaw jerk and of the silent period masseterino on the right side of the patient will have to understand if the damage is intracranial or extracranial. | In this clinical iter that we have presented, the choice of the clinician to follow the electrophysiological trigeminal roadmap from which the positivity of the <math>\bar{\gamma_n}=1</math> assertions have already been derived, therefore, having already defined a picture of serious anomaly of absence of the jaw jerk and of the silent period masseterino on the right side of the patient will have to understand if the damage is intracranial or extracranial. | ||
To do this, the clinician uses an electrical stimulation test of the masseter nerve in infratemporal fossa called <math>M-wave</math> on the masseter muscle with simultaneous recording of the heteronymous <math>H-wave</math> on the temporal muscle<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2278464/#__ffn_sectitle</ref> and a bilateral transcranial electrical stimulation of the trigeminal motor roots called, precisely, <math>_bRoot-MEPs</math><ref name=":2">G '''Frisardi.''' [https://www.sciencedirect.com/science/article/pii/002239139290345B The use of transcranial stimulation in the fabrication of an occlusal splint]. The Journal of prosthetic dentistry, 1992 - Elsevier</ref> | To do this, the clinician uses an electrical stimulation test of the masseter nerve in infratemporal fossa called <math>M-wave</math> on the masseter muscle with simultaneous recording of the heteronymous <math>H-wave</math> on the temporal muscle<ref>G Cruccu, A Truini, and A Priori. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2278464/#__ffn_sectitle Excitability of the human trigeminal motoneuronal pool and interactions with other brainstem reflex pathways.] J Physiol. 2001 Mar 1; 531(Pt 2): 559–571. doi:10.1111/j.1469-7793.2001.0559i.x PMCID: PMC2278464 PMID: 11230527 | ||
</ref> and a bilateral transcranial electrical stimulation of the trigeminal motor roots called, precisely, <math>_bRoot-MEPs</math><ref name=":2">G '''Frisardi.''' [https://www.sciencedirect.com/science/article/pii/002239139290345B The use of transcranial stimulation in the fabrication of an occlusal splint]. The Journal of prosthetic dentistry, 1992 - Elsevier</ref> | |||
====M-wave ==== | ====M-wave ==== | ||