title: [Electromyographic differential diagnosis in cases of abducens nerve paresis with nuclear or distal neurogenic sive myogenic origine (author's transl)].
abstract: Abducens nerve paresis may be of nuclear, of peripheral distal neurogenic origine, or is simulated by a myogenic weakness of abduction. Polygraphic emg analysis of the oculoauricularphenomenon (oap) permits a differentiation. In the emg, the oap proved to be a physiologic and constant automatic and always bilateral interaction between the hemolateral abducens nerve and both Nn. faciales with corresponding and obligatory coinnervation of the Mm. retroauricularis of the external ear. In case of medullary, nuclear or internuclear lesions, the oap is disturbed, instable, diminished or abolished, whereas in distal neurogenic or myogenic paresis, even in complete paralysis the oap is bilaterally well preserved.
mesh_terms: D000010:Abducens Nerve; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D009135:Muscular Diseases / Q000175:diagnosis; D009886:Ophthalmoplegia / Q000175:diagnosis; D010243:Paralysis / Q000175:diagnosis*
vernacular_title: Elektromyographische Differentialdiagnose bei Abduzensparesen nukleärer oder distal-neurogener bzw. myogener Genese.