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In reply

We thank Grisold and Nussgruber for their comments on our review of neurological aspects of taste disorders. A neurological review is limited to 3000 words and a maximum of 50 references. For this reason, not all available information could be thoroughly debated.

It is correct that "fat receptors" have been discussed,¹ but so far they have limited clinical relevance. A detailed investigation of the olfactory system is necessary to complete the diagnostic procedures in patients with complaints of taste dysfunction.² The additional information on taste disorder due to radiation and to lesions of the lingual, trigeminal, and facial nerves is also of interest. The dissection of cervical arteries in association with cranial nerve palsy mostly affects the carotid artery, although the vertebral artery can be affected too.

We feel that the classification of central taste disorder into brainstem, thalamic, and cortical taste disorders is expedient in clinical practice, . . . [Full Text of this Article]

Josef G. Heckmann, MD; Siegfried M. Heckmann, DMD; Christoph J. G. Lang, MD
Erlangen, Germany

Thomas Hummel, MD
Dresden, Germany

RELATED ARTICLE

Comments on Neurological Aspects of Taste Disorders
Wolfgang Grisold and Vera Nussgruber
Arch Neurol. 2004;61(2):297-298.
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