Facial muscles in the context of "Myasthenia gravis"

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⭐ Core Definition: Facial muscles

The facial muscles are a group of striated skeletal muscles supplied by the facial nerve (cranial nerve VII) that, among other things, control facial expression. These muscles are also called mimetic muscles. They are only found in mammals, although they derive from neural crest cells found in all vertebrates. They are the only muscles that attach to the dermis.

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👉 Facial muscles in the context of Myasthenia gravis

Myasthenia gravis (MG) is a long-term neuromuscular junction disease that leads to varying degrees of skeletal muscle weakness. The most commonly affected muscles are those of the eyes, face, and swallowing. It can result in double vision, drooping eyelids, and difficulties in talking and walking. Onset can be sudden. Those affected often have a large thymus or develop a thymoma.

Myasthenia gravis is an autoimmune disease of the neuromuscular junction which results from antibodies that block or destroy nicotinic acetylcholine receptors (AChR) at the junction between the nerve and muscle. This prevents nerve impulses from triggering muscle contractions. Most cases are due to immunoglobulin G1 (IgG1) and IgG3 antibodies that attack AChR in the postsynaptic membrane, causing complement-mediated damage and muscle weakness. Rarely, an inherited genetic defect in the neuromuscular junction results in a similar condition known as congenital myasthenia. Babies of mothers with myasthenia may have symptoms during their first few months of life, known as neonatal myasthenia or more specifically transient neonatal myasthenia gravis. Diagnosis can be supported by blood tests for specific antibodies, the edrophonium test, electromyography (EMG), or a nerve conduction study.

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Facial muscles in the context of Oral pathology

Oral and maxillofacial pathology refers to the diseases of the mouth ("oral cavity" or "stoma"), jaws ("maxillae" or "gnath") and related structures such as salivary glands, temporomandibular joints, facial muscles and perioral skin (the skin around the mouth). The mouth is an important organ with many different functions. It is also prone to a variety of medical and dental disorders.

The specialty oral and maxillofacial pathology is concerned with diagnosis and study of the causes and effects of diseases affecting the oral and maxillofacial region. It is sometimes considered to be a specialty of dentistry and pathology. Sometimes the term head and neck pathology is used instead, which may indicate that the pathologist deals with otorhinolaryngologic disorders (i.e. ear, nose and throat) in addition to maxillofacial disorders. In this role there is some overlap between the expertise of head and neck pathologists and that of endocrine pathologists.

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Facial muscles in the context of Risus sardonicus

Risus sardonicus or rictus grin is a highly characteristic, abnormal, sustained spasm of the facial muscles that appears to produce grinning. It may be caused by tetanus, strychnine poisoning, or Wilson's disease, and has been reported after execution by hanging.

The condition's name derives from the appearance of raised eyebrows and an open "grin", which can appear sardonic or malevolent to the lay observer, displayed by those experiencing these muscle spasms.

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Facial muscles in the context of Wernicke–Geschwind model

In the study of language processing, Carl Wernicke created an early neurological model of language, that later was revived by Norman Geschwind. The model is known as the Wernicke–Geschwind model.

  1. For listening to and understanding spoken words, the sounds of the words are sent through the auditory pathways to area 41, which is the primary auditory cortex (Heschl's gyrus). From there, they continue to Wernicke's area, where the meaning of the words is extracted.
  2. In order to speak, the meanings of words are sent from Wernicke's area via the arcuate fasciculus to Broca's area, where morphemes are assembled. The model proposes that Broca's area holds a representation for articulating words. Instructions for speech are sent from Broca's area to the facial area of the motor cortex, and from there instructions are sent to facial motor neurons in the brainstem, which relay movement orders to facial muscles.
  3. In order to read, information concerning the written text is sent from visual areas 17, 18, and 19 to the angular gyrus (area 39) and from there to Wernicke's area, for silent reading or, together with Broca's area, for reading out loud.

This model is now obsolete. Nevertheless, it has been very useful in directing research and organizing research results, because it is based on the idea that language consists of two basic functions: comprehension, which is a sensory/perceptual function, and speaking, which is a motor function.
However, the neural organization of language is more complex than the Wernicke–Geschwind model of language suggests. The localization of speech in Broca's area is one of the weakest points of this model.

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