Non-Functional Jaw Muscular Activity in Patients with Disorders of Consciousness Revealed by A Long-Lasting Polygraphy

The presence of involuntary, non-functional jaw muscle activity (NFJMA) has not yet been assessed in patients with disorders of consciousness (DOC), although the presence of bruxism and other forms of movement disorders involving facial muscles is probably more frequent than believed. In this work, we evaluated twenty-two prolonged or chronic DOC patients with a long-lasting polygraphic recording to verify NFJMA occurrence and assess its neurophysiological patterns in this group of patients. A total of 5 out of 22 patients showed the presence of significant NFJMA with electromyographic patterns similar to what can be observed in non-DOC patients with bruxism, thus suggesting a disinhibition of masticatory motor nuclei from the cortical control. On the other hand, in two DOC patients, electromyographic patterns advised for the presence of myorhythmia, thus suggesting a brainstem/diencephalic involvement. Functional, non-invasive tools such as long-lasting polygraphic recordings should be extended to a larger sample of patients, since they are increasingly important in revealing disorders potentially severe and impacting the quality of life of DOC patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Diagnostics (Basel, Switzerland) - 13(2023), 6 vom: 10. März

Sprache:

Englisch

Beteiligte Personen:

Cacciatore, Martina [VerfasserIn]
Magnani, Francesca Giulia [VerfasserIn]
Ippoliti, Camilla [VerfasserIn]
Barbadoro, Filippo [VerfasserIn]
Anversa, Paola [VerfasserIn]
Portincaso, Lara [VerfasserIn]
Visani, Elisa [VerfasserIn]
Navarro, Jorge [VerfasserIn]
Devalle, Guya [VerfasserIn]
Lanfranchi, Maurizio [VerfasserIn]
Pingue, Valeria [VerfasserIn]
Marelli, Sara [VerfasserIn]
Ferini Strambi, Luigi [VerfasserIn]
Lunardini, Francesca [VerfasserIn]
Ferrante, Simona [VerfasserIn]
Tremolati, Marco [VerfasserIn]
Leonardi, Matilde [VerfasserIn]
Rossi Sebastiano, Davide [VerfasserIn]
Sattin, Davide [VerfasserIn]

Links:

Volltext

Themen:

Bruxism
Disorder of consciousness
Journal Article
Minimally conscious state
Myorhythmia
Unresponsive wakefulness syndrome
Vegetative state

Anmerkungen:

Date Revised 31.03.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/diagnostics13061053

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM354853244