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This nerve may be involved by the glomus jugulare tumour. Laryngeal cancer can present with pain behind the ear and in the ear - this is a referred pain through the vagus nerve to the nerve of Arnold. In a small portion of individuals, the auricular nerve is the afferent limb of the Ear-Cough or Arnold Reflex. [3]
Stimulation of the auricular branch of the vagus nerve supplying the ear may also elicit a cough. This ear-cough reflex is also known as Arnold's nerve reflex (ANR), linked to the auricular branch of vagus nerve. It is an example of vagal hypersensitivity.
The hypersensitivity of vagal afferent nerves causes refractory or idiopathic cough. Arnold's nerve ear-cough reflex, though uncommon, is a manifestation of a vagal sensory neuropathy and this is the cause of a refractory chronic cough that can be treated with gabapentin. The cough is triggered by mechanical stimulation of the external auditory ...
A main reason is that patients’ cough reflex is enhanced for a month or more even from the simplest common cold, said Dr. Peter Dicpinigaitis, director of Montefiore Cough Center in New York City.
The auricular branch of the vagus nerve was nicknamed "Arnold's nerve" after he described the reflex of coughing when the ear is stimulated. [2] Other eponyms that contain his name are "Arnold's ganglion" (otic ganglion) and "Arnold's canal" (a passage of the petrous portion of the temporal bone for the auricular branch of the vagus nerve. [3]
Hering–Breuer reflex — is a reflex triggered to prevent over-inflation of the lung; Hoffmann's reflex — also known as the finger flexor reflex; middle finger and thumb response. Test can indicate both neurological damage and nerve regeneration; often combined with the Babinski reflex test. Jaw jerk reflex
The vagus nerve provides an auricular branch also termed "Arnold's nerve" which also supplies the external auditory canal, thus laryngopharyngeal cancer can result in referred ear pain. This nerve is also responsible for the ear-cough reflex in which stimulation of the ear canal results in a person coughing.
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