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Glossopharyngeal-hypoglossal nerve reflex of the frog in metamorphosis.

In adult frogs, a reflex discharge is elicited from the hypoglossal nerve by mechanical and chemical stimuli to the centre of the tongue surface and electrical stimuli to the glossopharyngeal nerve innervating tongue. However, there has been no report concerning the embryological stage at which this reflex develops. The metamorphosis of a frog is divided into three parts, premetamorphic, metamorphic and climax stage. In the climax stage, the forelimbs are lengthened and the tail gradually shortened. The glossopharyngeal-hypoglossal nerve reflex arose in the early climax stage, during which the tongue appeared on the floor of the mouth. At this stage, the conduction velocities of the first compound action potential of the glossopharyngeal and hypoglossal nerves were about 8.7 and 9.3 m/s, respectively. The latency of the reflex was long, especially the central latency. The response of the glossopharyngeal nerve and the reflex discharge from the hypoglossal nerve upon mechanical stimulation of the tongue were smaller in the tadpole than in the adult frog. As metamorphosis proceeded, the conduction velocity of these nerves increased; the latency shortened, especially the central latency; the reflex response to mechanical stimulus increased. These results suggest that, although the glossopharyngeal-hypoglossal nerve reflex is developed in the early climax stage, it is completed only in the adult frog. Therefore, adult frogs living mainly on land may reject and swallow prey by this reflective tongue movement.

Action Potentials↗

Preoperative visualization of microvascular compression of cranial nerve IX using constructive interference in steady state magnetic resonance imaging in glossopharyngeal neuralgia.

We report a case of successfully treated glossopharyngeal neuralgia, in whom preoperative magnetic resonance imaging (MRI) with a sequence of constructive interference in steady-state (CISS) precisely delineated microvascular compression to the glossopharyngeal nerve at its cisternal portion. A 70-year old female experienced paroxysmal and excruciating pain, starting in the right ear and descending to the tongue and throat. The pain was brief, burning and triggered by swallowing food and drinks. Preoperative CISS-MRI delineated a small vascular loop compressing the glossopharyngeal nerve at its cisternal portion. The patient was diagnosed with glossopharyngeal neuralgia, and then, microvascular decompression surgery was performed. Intraoperative inspection revealed that the glossopharyngeal nerve root was in contact with a small arterial loop at its cisternal portion and was deformed as demonstrated by preoperative CISS-MRI. The glossopharyngeal nerve was displaced using a piece of Teflon felt, freeing it from the arterial loop compression. The patient's neuralgia resolved immediately after surgery. During a period of 2-years follow up, no recurrence of the neuralgia has occurred. The usefulness of CISS-MRI for the diagnosis of glossopharyngeal neuralgia is discussed.

Aged↗

Changes in gustatory sense during pregnancy.

Changes in gustatory sense were investigated in 97 pregnant women and in 30 healthy, non-pregnant women who served as controls. All 97 pregnant women completed a questionnaire regarding taste changes and 32 of them underwent serial tests of gustatory function, including electrogustometry and testing with filter paper disks placed over the areas of the chorda tympani nerve and glossopharyngeal nerve. All gustatory testing was performed by the same person. In addition, serum levels of trace elements were measured in 72 of the pregnant women. Of the 97 pregnant women, 90 (92.8%) reported in the questionnaire that they had experienced some type of change in taste during pregnancy, usually a change in sour taste (59 women; 65.6%). Pregnant women had higher gustatory thresholds than non-pregnant women, with an especially marked decrease in gustatory function being noticed in the first trimester. Although serum zinc levels decreased in pregnant women between the second and third trimesters, zinc levels were in the normal range in the early stage of pregnancy. Thus, it is difficult to explain dysgeusia in the early stage of pregnancy as being associated with a deficiency of zinc. The decrease in gustatory function during the first trimester is considered to be due to the notable changes in secretion of hormones that occur during this stage.

Adolescent↗

[A study of changes in gustatory sense during pregnancy].

A change in gustatory function is generally well known as one of the manifestations in the early stage of pregnancy. However, there have been comparatively few studies of the changes in taste and gustatory function resulting from pregnancy. In particular, so far there have been no reports of investigations of two or more pregnant women in which gustatory sense in the same pregnant woman was examined serially over time. In this study, gustatory tests were performed over time on pregnant women having a normal course, so as to examine in detail the changes in gustatory function resulting from pregnancy. Selected for this study were 97 healthy pregnant women (ranging in age from 21 to 36 years, with an average of 27.9 +/- 3.2 years). Gustatory tests were performed by electrogustometry and the filter-paper disk method over the areas of the chorda tympani nerve and glossopharyngeal nerve. Of the 97 subjects, gustatory tests could be performed serially with time throughout the duration of pregnancy in 32 subjects (from 21 to 34 years old, with an average age of 28.3 +/- 2.9 years), and changes in gustatory sense with progress in pregnancy were analyzed statistically. In addition, serum trace elements were measured in 72 of the subjects. Thirty non-pregnant healthy women (from 18 to 34 years old, with an average age of 24.8 +/- 4.3 years) were used as control. The gustatory test was performed by the same person in all cases. An increase in gustatory threshold was observed in pregnant women as compared with that of non-pregnant women. Especially, a tendency of a marked decrease was noted in gustatory function in the first trimester. A marked change in secretion of hormones in the early stage of pregnancy is considered to be the underlying cause of such a decrease in gustatory function. The serum zinc level was in the normal range in the early stage of pregnancy, but it tended to decrease over the period from the midtrimester to the third trimester. Therefore, it is difficult to explain dysgeusia in the early stage of pregnancy as being associated with a deficiency of zinc.

Adult↗

Pharyngeal branch of the vagus nerve carries intraepithelial afferent fibers in the cat pharynx: an elucidation of the origin and central and peripheral distribution of these components.

The presence of a sensory component in the pharyngeal branch of the vagus nerve (PhB), including its peripheral distribution and central projection, was studied by denervation and tracer experiments in the cat. The distribution of nerve fibers immunoreactive to protein gene product 9.5, a sensitive neuronal marker; calcitonin gene-related peptide; and substance P in the pharyngeal epithelium was analyzed in both intact animals and animals subjected to partial denervation by means of sectioning two of the three nerve trunks, the glossopharyngeal nerve, the superior laryngeal nerve, and the PhB, while leaving one intact. The results of this study show that the glossopharyngeal nerve and superior laryngeal nerve carry nerve fibers to the pharyngeal epithelium rostral and caudal to the middle level of the epiglottis, respectively, whereas the PhB carries nerve fibers to the mesopharyngeal epithelium. Tracer experiments, by applying wheat germ agglutinin-horseradish peroxidase to the PhB, demonstrated retrogradely labeled primary sensory neurons in the jugular ganglion and transganglionic labeling of terminals in the interstitial subnucleus of the nucleus of the tractus solitarius. These results indicate that the PhB contains a sensory component that originates from the jugular ganglion, innervates the mesopharyngeal epithelium, and projects to the nucleus of the tractus solitarius.

Afferent Pathways↗

Effect of 5-hydroxytryptamine on glossopharyngeal afferent nerve activity in anesthetized rats.

Excitatory responses to 5-hydroxytryptamine (5-HT) were recorded from the whole glossopharyngeal afferent nerve in anesthetized rats, using an electrophysiological technique. Bolus intravenous injection of 5-HT (6.25-50 micrograms/kg) evoked a dose-dependent excitation of glossopharyngeal afferent nerve activity with a rapid onset and lasting a few seconds. This response was blocked by a selective 5-HT3 receptor antagonist, YM060 (10 micrograms/kg i.v.). A 5-HT3 receptor agonist, 2-methyl-5-HT (6.25-50 micrograms/kg), also produced a rapid and dose-dependent excitation of this nerve activity, and YM060 (10 micrograms/kg i.v.) caused an inhibition of this effect. In contrast, efferent glossopharyngeal nerve activity was not altered by 5-HT even at a high dose (50 micrograms/kg). These results suggest that exogenous 5-HT may elicit excitation of the glossopharyngeal afferent nerve, and that this effect might be mediated via the 5-HT3 receptors on the nerve endings.

Animals↗

A strong nerve dependence of sonic hedgehog expression in basal cells in mouse taste bud and an autonomous transcriptional control of genes in differentiated taste cells.

The nerve-dependency of gene expression in mouse taste bud was examined through an analysis of changes in gene expression in and around the taste buds in circumvallate papillae after surgery of cranial nerve IXth (glossopharyngeal nerve). The number of cells expressing T1r3, gustducin, Mash1 and Nkx2.2 gradually decreased after denervation. However, the expression intensity of these genes was barely influenced by denervation, and strong expression was observed at 6 days after denervation. In contrast, the basal cell-specific Sonic hedgehog (Shh) expression in the taste buds was decreased markedly at 6 h after denervation. In the regeneration process of taste buds, Shh expression was observed during a very early phase before taste bud formation. These results indicate the autonomous transcriptional control of genes in differentiated taste cells and the strong nerve-dependency of Shh expression in basal cells. Furthermore, in order to reveal the mitotic activity of Shh-expressing cells in taste buds, the BrdU-labeling experiments were performed using a combination of BrdU-immunohistochemistry and in situ hybridization. BrdU-signal was very rarely observed in Shh-expressing cells immediately after BrdU injection, and the signals were noted mainly in Ptc-expressing cells. BrdU signals rapidly increased in Shh-expressing cells in following 12 h and began to decrease after 2 days post-injection. These results suggest that most Shh-expressing cells are not mitotically active, but that Shh-expressing cells may be in the early transient developmental state of taste cells in taste buds.

Animals↗

Reduction of common carotid resistance upon stimulation of an area dorsal to the facial nucleus of cats.

In chloralose-urethane-anesthetized cats, electrical stimulation and glutamate injection on a small reticular area just dorsal to the facial nucleus (DFA) elicited an ipsilateral reduction in the common carotid resistance (CCR-reduction) with no or minimal change in other cardiovascular parameters. CCR-reduction was mediated via facial and glossopharyngeal nerves, involving partially muscarinic and partially non-muscarinic mechanisms.

Animals↗

Segmental and neuronal architecture of the hindbrain of Krox-20 mouse mutants.

The vertebrate hindbrain is transiently segmented during its early development with the formation of reiterated bulges, the rhombomeres (r). The Krox-20 gene, which encodes a zinc finger transcription factor, has been shown previously to be implicated in the maintenance of r3 and r5 (Schneider-Maunoury, S., Topilko, P., Seitanidou, T., Levi, G., Cohen-Tannoudji, M., Pournin, S., Babinet, C. and Charnay, P. (1993) Cell 75, 1199-1214; Swiatek, P. J. and Gridley, T. (1993) Genes Dev. 7, 2071-2084. However, it was not clear from these analyses how extensive the deletion of r3 and r5 was and whether the overall segmentation and internal architecture of the hindbrain was affected. We have now reinvestigated these issues by analysis of rhombomere boundaries, using both morphological and molecular markers, and of the fate of specific motor neuron populations, using retrograde and anterograde carbocyanine dye tracing. We conclude that r3 and r5 and their derivatives are completely eliminated in Krox-20(-/-) embryos while overall hindbrain segmentation is maintained. In addition, we show that the disappearance of these territories has important consequences for even-numbered rhombomeres as well, in particular on axonal navigation: (i) a population of r6 motoneurons, presumably normally fated to join the glossopharyngeal nerve, has its axons misrouted toward the facial exit point in r4; (ii) the trigeminal motor axons are also misrouted, presumably because of the proximity of the trigeminal and facial exit points. They fasciculate with facial axons outside the neural tube and enter the second branchial arch instead of the first arch. This navigational error could explain the disappearance, at around 17.5 dpc, of the trigeminal motor nucleus in Krox-20(-/-) embryos by inadequate supply of essential, possibly arch-specific survival factors.

Animals↗

Gustatory stimulating technique for glossopharyngeal neurophysiological recordings.

A new stimulating technique for studying the gustatory sensitivity of the glossopharyngeal nerve is presented. Among its other functions the glossopharyngeal nerve relays multisensory information from the posterior tongue region. Study of the gustatory function of this nerve is therefore complicated by concomitant tactile and thermal components. Additionally taste buds innervated by the glossopharyngeal nerve are located in trenches within the foliate and circumvallate papillae which results in slow delivery and removal of tastant solutions. By delivering the stimulus or adapting solution through an infusion pump connected to a double-barrelled pipette placed into the trench of the circumvallate papilla, quick delivery and removal of the stimulus is possible. Moreover the continuous flow of solution, switched from adapting solution to stimulus and back, allows tactile components to completely adapt. Due to both the proximity of the stimulus to the receptors and the continuous flow of the solution this technique produces gustatory responses with large phasic components, as is commonly observed in other gustatory nerves. The temporal characteristics of the gustatory portion of the glossopharyngeal nerve can therefore now be more readily studied.

Action Potentials↗

Afferent and efferent projections of the glossopharyngeal-vagal nerve in the hagfish.

Anterograde and retrograde transport of horseradish peroxidase was used to examine the afferent and efferent projections of the glossopharyngeal-vagal nerve in the hagfish Eptatretus burgeri. Anterogradely labeled ganglion cells are scattered in the glossopharyngeal-vagal nerve trunk, in the saccular ganglion, and in the brainstem. Afferent fibers of the glossopharyngeal-vagal nerve terminate in both the vagal lobe and the fasciculus communis. Close observation showed no morphological differentiation between these two structures, indicating that they are not separate entities, but a single, continuous structure that is homologous with the nucleus and tractus solitarius of other vertebrates. The median part of this structure (the commissura infima) is displaced more rostrally than the same part of the solitary nucleus in many other vertebrates. Some of the afferent fibers invade the ventral portion of the trigeminal sensory nucleus, which receives the maxillo-mandibular nerve fibers, and terminate there. Our study showed that the hagfish has only one nucleus in the vagal motor system, i.e., the vagal motor nucleus, which contains both parasympathetic and branchiomotor neurons. The dendrites of the vagal motor neurons in the hagfish are more highly developed than those in other vertebrates. This suggests that the motor reflex arc of the glossopharyngeal-vagal nerve in hagfishes may be simpler than in other vertebrates.

Afferent Pathways↗

Effects of gustatory nerve transection and regeneration on quinine-stimulated Fos-like immunoreactivity in the parabrachial nucleus of the rat.

The distribution of quinine-stimulated Fos-like immunoreactivity (FLI) in several subdivisions of the parabrachial nucleus (PBN) known to be responsive to gustatory stimulation was examined in rats in which the chorda tympani nerve (CT) and/or glossopharyngeal nerve (GL) was transected (Experiment 1) and in rats in which the GL was transected with regeneration promoted or prevented (Experiment 2). We confirmed previous findings in the literature by demonstrating that rats intraorally infused with 3 mM quinine showed a robust population of FLI in the waist area and the external lateral (EL) and external medial (EM) subdivisions of the PBN (Yamamoto et al. [1994] Physiol Behav 56:1197-1202; Travers et al., [ 1999] Am J Physiol 277:R384-R394). In the waist area, only GL transection significantly decreased the number of FLI-neurons elicited by intraoral infusion of quinine compared with water-stimulated controls. In the external subdivisions neither neurotomy affected the number of FLI-neurons. The effect of GL transection in the waist area was enduring for rats in which the GL did not regenerate (up to 94 days), but regeneration of the GL after 52 days restored quinine-stimulated FLI to control values. In these same GL-transected animals, there were parallel decreases in the number of gapes elicited by intraoral quinine stimulation that recovered, but only subsequent to regeneration of the GL. These data provide support for the role of the waist area in the brainstem processing that underlies oromotor rejection behaviors and also help substantiate the hypothesis that the CT and GL are relatively specialized with regard to function. Moreover, when the quinine-induced pattern of neural activity in the second central gustatory relay, as assessed by FLI, is substantially altered by the loss of peripheral gustatory input from the GL, it can be restored upon regeneration of the nerve.

Animals↗

[Long-term follow-up results of microsurgical treatment for glossopharyngeal neuralgia].

OBJECTIVE: To discuss effective surgical methods for the treatment of glossopharyngeal neuralgia. METHODS: During 1986 - 1998, 21 patients with glossopharyngeal neuralgia were treated microsurgically. Of whom, 5 patients were treated by microvascular decompression (MVD), 4 by MVD combined with rhizotomy of glossopharyngeal nerve root and upper 1st to 2nd rootlets of vagus nerve root, and 12 by rhizotomy of glossopharyngeal nerve root and upper 1st to 2nd rootlets of vagus nerve root. RESULTS: Neuralgia disappeared in all patients postoperatively. In 3 patients, occasional coughing episodes occurred postoperatively. One of the 3 patients also suffered from mild hoarseness and swallowing difficulty. All patients were followed up on average 7.2 years with no recurrence. CONCLUSIONS: MVD, rhizotomy of glossopharyngeal nerve root and upper 1st to 2nd rootlets of vagus nerve and their combination are effective for the treatment of glossopharyngeal neuralgia. Operative methods should be chosen according to the following two points: compression of nerve roots by affected vessels or not; and the condition of compression.

Adult↗

Afferent connections of nervus facialis and nervus glossopharyngeus in the pigeon (Columba livia) and their role in feeding behavior.

The afferent connections of the facial nerve and glossopharyngeal nerve in the pigeon have been studied with the Fink-Heimer I method after ganglion lesions. The nucleus ventrolateralis anterior of the solitary complex and an indistinct cell group S VII medial to the nucleus interpolaris of the descending trigeminal tract are the terminal fields for facial afferents. The n. ventrolateralis anterior also receives an important projection from the distal glossopharyngeal ganglion. Other projection areas of this ganglion are the n. presulcalis , n. centralis anterior, n. intermedius anterior and the parasolitary nucleus. Both ganglia have only ipsilateral projections. A lesion in the jugular ganglion complex causes degeneration throughout the ipsilateral solitary complex, in the contralateral n. commissuralis and n. centralis posterior and in the n. cuneatus externus. The lack of a substantial contribution to the trigeminal system is ascribed to the absence of mechanoreceptors in the tongue. The implications for the organization of neuronal pathways related to the feeding behavior are discussed.

Afferent Pathways↗

[The pathogeny and treatment of glossopharyngeal neuralgia].

OBJECTIVE: To investigate the etiopathogensis of glossopharyngeal neuralgia, and to research the curative effect of medicine and operation on it. METHOD: The microsurgical relationships between glossopharyngeal nerve and the posterior inferior cerebellar artery were examined in 30 adults cadavers. Twenty patients with glossopharyngeal neuralgia were treated by operation in which the glossopharyngeal nerves were observed and sectioned. RESULT: 10 out of the glossopharyngeal nerves in 30 adults cadavers were observed contacting with the posterior inferior arteries which represented 16.67 percent of all the cases. 8 of 20 patients were observed that their glossopharyngeal nerve were compressed and distorted by the posterior inferior cerebellar arteries. They were cured by operations. CONCLUSION: Vascular compression may be one of the causes of glossopharyngeal neuralgia, but not the only one. The curative effect of section of glossopharyngeal nerve is sure. This paper pointed out that this kind of operation should be a choice.

Adult↗

Effects of stylopharyngeus muscle dysfunction on the nasopharynx in exercising horses.

REASONS FOR PERFORMING STUDY: Nasopharyngeal collapse has been observed in horses as a potential cause of exercise intolerance and upper respiratory noise. No treatment is currently available and affected horses are often retired from performance. OBJECTIVE: To determine the effect of bilateral glossopharyngeal nerve block and stylopharyngeus muscle dysfunction on nasopharyngeal function and airway pressures in exercising horses. METHODS: Endoscopic examinations were performed on horses at rest and while running on a treadmill at speeds corresponding to HRmax50, HRmax75 and HRmax, with upper airway pressures measured with and without bilateral glossopharyngeal nerve block. RESULTS: Bilateral glossopharyngeal nerve block caused stylopharyngeus muscle dysfunction and dorsal nasopharyngeal collapse in all horses. Peak inspiratory upper airway pressure was significantly (P = 0.0069) more negative at all speeds and respiratory frequency was lower (P = 0.017) in horses with bilateral glossopharyngeal nerve block and stylopharyngeus muscle dysfunction compared to control values. CONCLUSIONS: Bilateral glossopharyngeal nerve anaesthesia produced stylopharyngeus muscle dysfunction, dorsal pharyngeal collapse and airway obstruction in all horses. POTENTIAL RELEVANCE: The stylopharyngeus muscle is probably an important nasopharyngeal dilating muscle in horses and dysfunction of this muscle may be implicated in clinical cases of dorsal nasopharyngeal collapse. Before this information can be clinically useful, further research on the possible aetiology of stylopharyngeus dysfunction and dysfunction of other muscles that dilate the dorsal and lateral walls of the nasopharynx in horses is needed.

Airway Obstruction↗

[Posterior sigmoid sinus approach glossopharyngcal neurotomy in the surgical treatment of glossopharyngeal neuralgia].

OBJECTIVE: To appraise the diagnotic criteria and surgical indications of glossopharyngeal neuralgia. METHODS: Under 2% lidocaine local infiltration anesthesia, retrosigmoid sinus approach was adopted to find the cerebellopontine angle. The possible focus causing glossopharyngeal neuralgia was searched carefully under the microscope and the glossopharyngeal nerve cut. RESULTS: Only 2 cases had artery compression on the surface of glossopharyngeal nerve during the operations. Besides, all of them had arachnoid synechia around the glossopharyngeal nerve. The symptoms of glossopharyngeal neuralgia disappeared thoroughly after operations. Three cases having histories of bradycardia, arrhythmia or hypotension recovered from their diseases postoperatively. Recurrent symptoms were not found in the follow-up survey which lasted 8 months to 6 years, with an average of 3.7 years. CONCLUSION: Glossopharyngeal neurotomy via retrosigmoid sinus approach has positive therapeutic effect as long as the diagnosis is correct.

Adult↗