Misleading Bilateral Blink Reflex Loss in A Severe Tetanus Case

Bernhard Neumann,Wilhelm Schulte-Mattler,Kornelius Fuchs, Ruth Zellner,Sandra Boy,Klemens Angstwurm

Clinical case reports（2016）

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摘要

Key Clinical MessageTetanus is rare and often forgotten in the diagnostic workup. The diagnosis is mainly based on typical clinical symptoms, because of missing sensitive paraclinical test. As described in our case, a missing bilateral blink reflex may occur in severe tetanus, which should not lead to the rejection of the diagnosis.

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关键词

Blink reflex,magnesium sulfate,masseter inhibitory reflex,neurophysiology,silent period,tetanus

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