Sneezing Triggered by Onabotulinum Toxin Injections (P2.262)
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Objective: To describe the occurrence of sneezing in a subpopulation of patients injected in the forehead with Onabotulinum toxin for either migraine or essential blepharospasm. Background: Sneezing is commonly triggered by dust, environmental allergens and respiratory tract infections. Some uncommon phenomena that trigger sneezing include light, stomach filling, orgasm and even sexual thoughts alone. Reports exist of lateral medullary stroke and tumours resulting in the loss of the sneezing reflex. It is well known in several reports that eyelid injections can trigger sneezing but we describe 11 cases where only forehead injections trigger a sneezing response. Design/Methods: Retrospective review of 9 cases Results: 9 patients, 4 with BEB and 5 with migraine sneeze with every forehead injection but not those in the eyelids. Conclusions: Clinicians should be aware that injection of onabotulinum can trigger a sneezing response due to afferent stimulation through V1 trigeminal afferents and that the effector of this response is likely centered in the lateral medulla.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it