T.I. KHAYBULLIN^1,2, E.V. GRANATOV², S.R. SHAKIRZYANOVA²

¹Kazan State Medical Academy  — branch campus of the FSBEI FPE RMACPE MOH Russia, 11 Mushtary Str., 420012 Kazan, Russian Federation

²Republic Clinical Neurology Center, 13 Vatutin Str., 420021 Kazan, Russian Federation

Khaybullin T.I. — Cand. Med. Sc., Associate Professor of the Department of Neurology and Manual Therapy, neurologist, tel. (843) 278-88-29, e-mail: timuur@gmail.com

Granatov E.V. — Cand. Med. Sc., neurologist, tel. (843) 278-88-29, e-mail: rkdcdz@rkbvl.ru

Shakirzyanova S.R. — neurologist, tel. (843) 278-88-29, e-mail: rkdcdz@rkbvl.ru

The review shows current data about the registration procedure and interpretation of indicators of short and long latency reflexes caused by electrical stimulation of the median nerve. The main pathological changes in reflexes are described, depending on the causes and degree of the nervous system damage. A wider introduction of neurophysiological examination in routine neurological practice is suggested.

Key words: short latency reflexes, long latency reflexes, transcortical pathway, pathological deviations.

REFERENCES

1. Nikolaev S.G. Atlas po elektromiografii [The Atlas of Electromyography]. Ivanovo: IPK “PresSto”, 2010. 468 p.
2. Naumann M., Reiners K. Long-latency reflexes of hand muscles in idiopathic focal dystonia and their modification by botulinum toxin. Brain, 1997, vol. 120, pp. 409-416.
3. Hoffmann P. Uber die Beziehungen der Sehnenreflexe zur willkurlichen Bewegung und zum Tonus. Z. Biol, 1918, vol. 68, pp. 351–370.
4. Upton A.R.M., Mccomas A.J., Sica R.E.P. Potentiation of ‘late’ responses evoked in muscles during effort. J. Neurol. Neurosurg. Psychiat, 1971, vol. 34, pp. 699-711.
5. Jamal G.A., Ballantyne J.P. The localization of the lesion in patients with acute ophthalmoplegia, ataxia and areflexia (Miller Fisher syndrome). A serial multimodal neurophysiological study. Brain, 1988, vol. 111 (Pt 1), pp. 95-114.
6. Estañol B., Sentíes-Madrid H., Téllez-Zenteno J.F. et al. Increase of the H reflex amplitude and absence of long latency reflexes in the intrinsic hand muscles in patients with spasticity. Arch Neurocien (Mex), 2007, vol. 12, no. 1, pp. 37-44.
7. Khabirov F.A., Aver’yanova L.A., Babicheva N.N., Granatov E.V., Khaybullin T.I. Clinical, neurophysiological and neurovisualization study of tremor in multiple sclerosis. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova, 2015, vol. 115, no. 2, iss. 2, pp. 21-30 (in Russ.).
8. Michels R., Wessel K., Klöhn S. Long-latency reflexes, somatosensory evoked potentials and transcranial magnetic stimulation: relation of the three methods in multiple sclerosis. Electroencephalography and clinical neurophysiology, 1993, vol. 89 (4), pp. 235-241.
9. Taube W., Schubert M., Gruber M. et al. Direct corticospinal pathways contribute to neuromuscular control of perturbed stance. Journal of applied physiology, 2006, vol. 101 (2), pp. 420-429.
10. Tataroglu C., Sair A., Parlaz A. et al. Effects of 1-Hz repetitive transcranial magnetic stimulation on long-latency reflexes and cortical relay time. Journal of clinical neurophysiology: official publication of the American Electroencephalographic Society, 2011, vol. 28 (3), pp. 319-322.
11. Deuschl G., Strahl K., Schenck E. et al. The diagnostic significance of long-latency reflexes in multiple sclerosis. Electroencephalography and Clinical Neurophysiology, 1988, vol. 70, pp. 56-61.
12. Deuschl G., Ludolph A., Schenck E. et al. The relations between long-latency reflexes in hand muscles, somatosensory evoked potentials and transcranial stimulation of motor tracts. Electroencephalography and clinical neurophysiology, 1989, vol. 74 (6), pp. 425-430.
13. Tataroglu C., Genc A., Idiman E. et al. Cortical relay time for long latency reflexes in patients with definite multiple sclerosis. The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 2004, vol. 31 (2), pp. 229-234.
14. Chen C.C., Chen J.T., Wu Z.A. et al. Long latency responses in pure sensory stroke due to thalamic infarction . Acta neurologica Scandinavica, 1998, vol. 98 (1), pp. 41-48.
15. Liao K.K., Chen J.T., Lin K.P. et al. Brain dysfunction explored by long latency reflex: a study of adrenomyeloneuropathy . Acta Neurol Scand, 2001, vol. 104 (2), pp. 105-109.
16. Deuschl G., Lucking C.H. Physiology and clinical applications of hand muscle reflexes. Electroencephalogr Clin Neurophysiol Suppl, 1990, vol. 41, pp. 84-101.
17. Manto M. Mechanisms of human cerebellar dysmetria: experimental evidence and current conceptual bases. Journal of NeuroEngineering and Rehabilitation, 2009, vol. 6, p. 10.
18. Deuschl G., Ljcking C.H., Schenck E. Hand muscle reflexes following electrical stimulation in choreatic movement disorders. Journal of Neurology, Neurosurgery and Psychiatry, 1989, vol. 52, pp. 755-762.