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Analysis of Mlc-lacZ Met mutants highlights the essential function of Met for migratory precursors of hypaxial muscles and reveals a role for Met in the development of hyoid arch-derived facial muscles.

The Pax3 and c-met genes are necessary for the development of tongue, diaphragm, and limb muscles. These hypaxial muscles derive from precursors that migrate out of the ventrolateral lip of the somites at occipital, cervical, and limb levels. In this work, we re-examined primary myogenesis in c-met signaling mutants using a skeletal muscle-specific lacZ transgene (Mlc3f-nlacZ-2E). This strategy allowed us to identify precisely the shoulder, limb, tongue, and dermal muscles that need Met for development and to confirm that the morphological structure of epaxial and body wall muscles was normal, even in the most severe c-met mutant. Surprisingly, however, X-gal staining showed that, in this mutant, hyoid arch-derived facial muscles were either reduced or absent, thus revealing that Met also contributes to the development of muscles in the head.

Animals↗

Repetitive nerve stimulation of facial muscles in MuSK antibody-positive myasthenia gravis.

To better define electrophysiological abnormalities in myasthenia gravis (MG) patients with muscle-specific tyrosine kinase (MuSK) antibodies (Ab), we compared electrophysiological features of 14 MuSK Ab-positive, 73 acetylcholine receptor antibody (AChR Ab)-positive, and 22 MuSK and AChR Ab-negative (seronegative) patients with generalized disease. Repetitive nerve stimulation (RNS) abnormalities were observed in 86% of MuSK Ab-positive and 82% of AChR Ab-positive patients but in only 55% of seronegative patients. RNS decrements in the orbicularis oculi were more common and severe in the MuSK Ab-positive patients than the other two groups. Single-fiber electromyography (SFEMG) of the extensor digitorum communis was abnormal in 90% of MuSK Ab-positive patients. The high frequency of RNS abnormalities in facial muscles in the MuSK Ab-positive population reflects the propensity for facial muscle involvement in this form of MG and emphasizes the importance of including facial muscles in RNS protocols when evaluating these patients.

Action Potentials↗

Models-of-self and models-of-others as related to facial muscle reactions at different levels of cognitive control.

The hypotheses of this investigation were based on attachment theory and Bowlby's conception of "internal working models", supposed to consist of one mainly emotional (model-of-self) and one more conscious cognitive structure (model-of-others), which are assumed to operate at different temporal stages of information processing. Facial muscle reactions in individuals with positive versus negative internal working models were compared at different stages of information processing. The Relationship Scale Questionnaire (RSQ) was used to categorize subjects into positive or negative model-of-self and model-of-others and the State-Trait Anxiety Inventory was used to measure trait anxiety (STAI-T). Pictures of happy and angry faces followed by backward masking stimuli were exposed to 61 subjects at three different exposure times (17 ms, 56 ms, 2,350 ms) in order to elicit reactions first at an automatic level and then consecutively at more cognitively elaborated levels. Facial muscle reactions were recorded by electromyography (EMG), a higher corrugator activity representing more negative emotions and a higher zygomaticus activity more positive emotions. In line with the hypothesis, subjects with a negative model-of-self scored significantly higher on STAI-T than subjects with a positive model-of-self. They also showed an overall stronger corrugator than zygomatic activity, giving further evidence of a negative tonic affective state. At the longest exposure time (2,350 ms), representing emotionally regulated responses, negative model-of-self subjects showed a significantly stronger corrugator response and reported more negative feelings than subjects with a positive model-of-self. These results supported the hypothesis that subjects with a negative model-of-self would show difficulties in self-regulation of negative affect. In line with expectations, model-of-others, assumed to represent mainly knowledge structures, did not interact with the physiological emotional measures employed, facial muscle reactions or tonic affective state.

Adult↗

Facial muscle activity and EEG recordings: redundancy analysis.

The present study explored the use of redundancy analysis, a multivariate technique for assessment of interset association, to examine facial muscle contamination of EEG recordings in studies involving covert levels of emotional expression. Redundancy analyses were performed on simultaneously recorded EEG and facial EMG data obtained in an emotion induction paradigm. Redundancy indices obtained suggest that (1) the amount of variance in EEG activity that can be explained by facial muscle activity under such conditions is minimal, and (2) the EEG alpha band may be at least as or even more susceptible to muscle contamination as the beta band.

Adult↗

Recording nasal muscle F waves and electromyographic activity of the facial muscles: a comparison of two methods used for intraoperative monitoring of facial nerve function.

OBJECT: A comparison of two electrophysiological methods used to assess facial nerve function intraoperatively was conducted in 33 patients with tumors of the cerebellopontine angle. METHODS: All 33 patients had presented with normal facial nerve function preoperatively. After general anesthesia had been induced by a mixture of midazolam and fentanyl, continual online EMG recordings from the orbicularis oculi and oris muscles were alternated with nasal muscle F-wave recordings. Facial nerve outcomes, assessed using a modified House-Brackmann scale, varied among good (48%), moderate (18%), and poor (33%). Analysis of electromyographic (EMG) data resulted in a significant correlation between the finding of only transient manipulation-evoked activity and a good outcome, whereas in cases in which there was poor outcome, an increase in the amplitude or duration of ongoing activity was detected. A permanent loss of nasal muscle F waves specifically appeared to indicate a severe dysfunction of the facial nerve that was linked to a poor outcome. All patients with latency and/or amplitude changes or even a transient loss of the F wave achieved good or moderate facial nerve outcomes. A transient loss of the F wave, however, was detected significantly more frequently in patients with moderate outcomes. None of these patients exhibited normal facial function (House-Brackmann Grade I) postoperatively. CONCLUSIONS: Online EMG monitoring can provide some information on imminent or even present damage to the facial nerve intraoperatively. The diagnostic sensitivity, specificity, and positive predictive values of a permanent F-wave loss, however, are much higher than those of EMG monitoring. Additionally, this loss of the F wave is supposed to be transient if the surgical procedure is stopped until the F wave recovers. Therefore, F-wave monitoring serves to alert the surgeon that the facial nerve is about to receive a lesion.

Electromyography↗

Experimentally induced emotions, facial muscle activity, and respiratory resistance in asthmatic and non-asthmatic individuals.

We studied the effects of emotion induction on total respiratory resistance, and their relationship with cardiac vagal activity and facial muscle activity in asthma. Groups of 20 asthmatic and 20 non-asthmatic participants were exposed to series of happy and depressing pictures or self-referent Velten statements. Facial electromyographic activity over corrugator supercilii, orbicularis oculi, and zygomaticus major regions was recorded during periods of presentation and imagery of each stimulus. Following each stimulus series, mood, respiratory resistance, ventilation, and cardiac activity including respiratory sinus arrhythmia (RSA) were recorded. Significant increases of respiratory resistance were observed in asthmatic patients following depressing stimulation. Resistance increases were positively correlated with RSA and heart period. No substantial group differences were found in facial response to emotional stimuli. Changes in facial target muscle sites during positive stimulation were inversely correlated with RSA following stimulation. We conclude that respiratory resistance increases in asthmatics following depressing stimulation are dependent on vagal activity. Greater facial muscle activation during emotional stimulation can reduce vagal activation, which is consistent with claims in the clinical literature of the benefits of emotional expression in asthma.

Adult↗

Induction of facial muscle neurotization by temporalis muscle transposition: literature review and animal model evaluation using horseradish peroxidase uptake.

OBJECTIVE: To study the concept of facial muscle reinnervation from the trigeminal pathway following facial nerve paralysis. DESIGN AND METHODS: We studied this phenomenon in an animal model using the neuronal marker, horseradish peroxidase (HRP). The temporalis transposition procedure was performed at varying intervals post facial nerve transection. To evaluate the trigeminal-facial reinnervation process and its timing, the zygomaticus major muscle was injected with HRP at varied periods after temporalis transposition, and histologic sections of the brainstem nuclei were examined for the final location of the HRP. RESULTS: The presence of HRP in the trigeminal nucleus provided evidence of trigeminal-facial neurotization in those animals that underwent temporalis transposition up to 2 months following facial denervation and in which the HRP injection was performed 4 months after temporalis transposition. CONCLUSIONS: The findings of our pilot study are strongly supportive of the trigeminal-facial neurotization hypothesis in those animals that underwent temporalis transposition up to 2 months post facial denervation and in which 4 months were allowed thereafter for adequate neurite ingrowth and neurotization to occur. This suggests that the neurotrophic signals are greatest up to 2 months post denervation and denotes the optimal time for performance of reconstructive procedures. Future studies with a larger number of animals in each group will be necessary to ensure more potent statistical significance and to augment our experimental evidence that trigeminal-facial crossover does occur and can be used as an adjunctive concept to maximize early rehabilitation of the paralyzed face.

Animals↗

Uncrossed cortico-muscular projections in humans are abundant to facial muscles of the upper and lower face, but may differ between sexes.

It is a popular concept in clinical neurology that muscles of the lower face receive predominantly crossed cortico-bulbar motor input, whereas muscles of the upper face receive additional ipsilateral, uncrossed input. To test this notion, we used focal transcranial magnetic brain stimulation to quantify crossed and uncrossed cortico-muscular projections to 6 different facial muscles (right and left Mm. frontalis, nasalis, and orbicularis oris) in 36 healthy right-handed volunteers (15 men, 21 women, mean age 25 years). Uncrossed input was present in 78% to 92% of the 6 examined muscles. The mean uncrossed: crossed response amplitude ratios were 0.74/0.65 in right/left frontalis, 0.73/0.59 in nasalis, and 0.54/0.71 in orbicularis oris; ANOVA p>0.05). Judged by the sizes of motor evoked potentials, the cortical representation of the 3 muscles was similar. The amount of uncrossed projections was different between men and women, since men had stronger left-to-left projections and women stronger right-to-right projections. We conclude that the amount of uncrossed pyramidal projections is not different for muscles of the upper from those of the lower face. The clinical observation that frontal muscles are often spared in central facial palsies must, therefore, be explained differently. Moreover, gender specific lateralization phenomena may not only be present for higher level behavioural functions, but may also affect simple systems on a lower level of motor hierarchy.

Adult↗

[Posterior auricular muscle reflex in the study of the facial muscle function].

To date the study of facial nerve function is based on just two tests: electroneurography (ENGH) and electromyography (EMG). Nevertheless neither of these tests gives reliable results until 8-10 days after onset of the paralysis. The authors have used an evoked auditory potential--more specifically the posterior auricular muscle reflex (PAMr) which is directly activated by the VII cranial nerve in the brainstem after acoustical stimulation. They first tested this method in normal subjects and later in patients with Bell's Palsy and the Ramsey Hunt Syndrome. The authors assert the predictive capacity of this test, in particular, underlining the clear-cut relationship between the time required for the paralysis to heal and the difference in side-to-side PAMr latency. While the sensitivity of the ENGH and PAMr tests are similar, PAMr makes staging of the evolution possible on the 2nd day after onset.

Electromyography↗

Expression profile of stress proteins, intermediate filaments, and adhesion molecules in experimentally denervated and reinnervated rat facial muscle.

The immunohistochemical profiles of ubiquitin, heat shock protein 70, alpha-B-crystallin, desmin, vimentin, neural cell adhesion molecule (N-CAM), and tenascin in rat facial muscle were studied after permanent denervation by transection of the facial plexus on one side and compared with findings after immediate reinnervation by hypoglossal-facial nerve anastomosis subsequent to transection on the contralateral side. Levator labii muscle samples were collected sequentially at 2, 6, 7, 10, 20, and 24 weeks after surgery. Normal levator labii muscle fibers showed physiological expression of desmin and alpha-B-crystallin. Denervated rat facial muscle displayed distinct up-regulation of ubiquitin, alpha-B-crystallin, N-CAM, and tenascin. While alpha-B-crystallin and N-CAM decreased in long-standing denervation, tenascin had completely disappeared at 6 weeks. Like-wise, reinnervated muscles displayed enhanced expression of ubiquitin, alpha-B-crystallin, N-CAM, tenascin, and, additionally, desmin. Strong expression of desmin and ubiquitin was found up to the 10th week as well as of alpha-B-crystallin, N-CAM, and tenascin up to the 7th week of reinnervation. Afterward, expression of stress proteins, intermediate filaments, and adhesion molecules returned to expression profiles of normal controls, indicating that enhancement of these proteins was restricted to the "atrophic and regenerative" states with a decline to physiological levels after successful reinnervation and restoration of muscle fibers. Furthermore part of regeneration from damage seems to resemble reactivated developmental mechanisms by reappearance of developmentally expressed proteins like desmin, N-CAM, and tenascin.

Anastomosis, Surgical↗

Experimentally induced emotions, facial muscle activity, and respiratory resistance in asthmatic and non-asthmatic individuals.

We studied the effects of emotion induction on total respiratory resistance, and their relationship with cardiac vagal activity and facial muscle activity in asthma. Groups of 20 asthmatic and 20 non-asthmatic participants were exposed to series of happy and depressing pictures or self-referent Velten statements. Facial electromyographic activity over corrugator supercilii, orbicularis oculi, and zygomaticus major regions was recorded during periods of presentation and imagery of each stimulus. Following each stimulus series, mood, respiratory resistance, ventilation, and cardiac activity including respiratory sinus arrhythmia (RSA) were recorded. Significant increases of respiratory resistance were observed in asthmatic patients following depressing stimulation. Resistance increases were positively correlated with RSA and heart period. No substantial group differences were found in facial response to emotional stimuli. Changes in facial target muscle sites during positive stimulation were inversely correlated with RSA following stimulation. We conclude that respiratory resistance increases in asthmatics following depressing stimulation are dependent on vagal activity. Greater facial muscle activation during emotional stimulation can reduce vagal activation, which is consistent with claims in the clinical literature of the benefits of emotional expression in asthma.

Journal Article↗

[Ipsilateral motor responses of the facial muscles to intracortical microstimulation in the white mouse].

Motor responses (MRs) of facial muscles to intracortical microstimulation (ICMS) of lightly anaesthetized outbred white mice were observed visually and recorded by means of photodiodes. ICMS rostral to bregma, within cortical band along sagittal suture (area 6) evoked mostly ipsilateral MRs of vibrissae and upper lip, more often from the left hemisphere. MRs of the lower jaw, tongue and larynx were induced by ICMS in symmetrical zones of both hemispheres. The lowest thresholds of ICMS, 2-20 mcA, were revealed at the depth from 0.8-1.1 mm up to 1.3-1.7 mm, i. e. in layers III and V. Short-latency (from 10 to 25 ms) MRs of the vibrissae, lip and jaw were evoked by high-frequency volleys of 2 to 5 pulses. The participation of some oligosynaptic components in cortico-facial descending projections in the white mouse is supposed.

Animals↗

Electrophysiological investigation of hemifacial spasm: F-waves of the facial muscles.

In patients with hemifacial spasm (HFS), the spasm is due to cross-compression of the facial nerve by a blood vessel. There are currently two hypotheses for the mechanism of HFS: 1) the spasm is caused by ephaptic transmission and an increase in excitability at the site of compression; and 2) the spasm is caused by hyperexcitability in the facial nerve nucleus. In peripheral nerves, F-waves, which result from the backfiring of antidromically activated anterior horn cells, have been proposed as indices of proximal motoneuron conduction and anterior horn cell excitability. Enhancement of the F-waves indicates increased anterior horn cell excitability. We have therefore measured F-waves in the facial muscle of HFS patients in order to investigate the excitability of the facial nerve nucleus. The authors obtained facial nerve evoked responses from 20 HFS patients before microvascular decompression (MVD), 10 HFS patients after MVD and 10 healthy controls. The F-waves, obtained with surface electrodes from the mentalis muscle, were the second response after the M-wave. On the patient's spasm side, the F-wave duration, F/M amplitude ratio and frequency of F-wave appearance significantly increased compared with those of the normal side or healthy controls; minimum latency and chronodispersion did not significantly differ between these groups. In patients whose spasm disappeared completely following MVD, the abnormal muscle response (lateral spread), which is a characteristic sign of HFS, and the enhancement of the F-wave eventually also disappeared. Because of the correlation between HFS and F-waves, the authors' study supports the hypothesis that the cause of HFS is hyperexcitability of the facial motonucleus.

Adult↗

Neural networks in recognition of electrical signals recorded from two facial muscle sites.

The present aim was to develop signal analysis methods to recognize muscle action potentials recorded with electromyography (EMG) from two facial muscle sites, corrugator supercilii (the muscle activated in frowning) and zygomaticus major (the muscle activated in smiling). Fourteen subjects produced volitional activations on both muscle sites, first, on a single muscle site activation basis and finally combinatory activations of both muscle sites. Wavelets and neural networks were used to analyse these voluntarily produced bursts of electric signals. Our results showed well over 90% recognition rates for all signal types. It is possible to utilize these communicative signals, for example, for multimodal human-computer interaction.

Action Potentials↗

Inducing emotion by unilateral contraction of facial muscles: a new look at hemispheric specialization and the experience of emotion.

Subjects who maintained voluntary contractions of the left facial muscles experienced sadness. Right facial contractions resulted in a more positive but difficult to characterize experience. These contractions had similar effects on the affective tone of stories told about an ambiguous picture. These findings indicate that emotions can be aroused by unilateral muscle contractions without intervening cognitions. They provide a new methodology for studying the roles of the cerebral hemispheres in emotional experience. Finally, they support the conclusion that the right hemisphere is involved with negative emotional experiences and indicate that the left hemisphere is involved with experiences that are more positive but not readily characterized.

Adult↗