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In a small portion of individuals, the auricular nerve is the afferent limb of the Ear-Cough or Arnold Reflex. [3] Physical stimulation of the external acoustic meatus innervated by the auricular nerve elicits a cough, much like the other cough reflexes associated with the vagus nerve.
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 list of reflexes in humans. Abdominal reflex; Accommodation reflex — coordinated changes in the vergence, lens shape and pupil size when looking at a distant object after a near object. Acoustic reflex or attenuation reflex — contraction of the stapedius and tensor tympani muscles in the middle ear in response to high sound intensities.
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]
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.
The affected neurons are found in the superior ganglion and innervate the ear via the auricular branch of the vagus. The condition is treated by microvascular decompression of the vagus nerve where it exits the brainstem.
A cough is a sudden expulsion of air through the large breathing passages which can help clear them of fluids, irritants, foreign particles and microbes.As a protective reflex, coughing can be repetitive with the cough reflex following three phases: an inhalation, a forced exhalation against a closed glottis, and a violent release of air from the lungs following opening of the glottis, usually ...