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| 題 名 | 以單側周邊型顏面神經麻痺為表徵之橋腦梗塞--個案報告=A Rare Case of Pontine Infarction Presenting with Unilateral Peripheral-type Facial Palsy |
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| 作 者 | 陳建志; 陳登郎; 劉崇祥; 蔡崇豪; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
| 卷 期 | 8:1 2013.02[民102.02] |
| 頁 次 | 頁47-53 |
| 分類號 | 417.7822 |
| 關鍵詞 | 顏面神經麻痺; 突發性耳聾; 橋腦梗塞; 小腦梗塞; Facial palsy; Sudden deafness; Pontine infarction; Cerebellar infarction; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 造成周邊型顏面神經麻痺最常見的原因為貝氏麻痺(54%),其次為耳性帶狀疱疹(Ramsay-Hunt症候群)(20%)、外傷性麻痹(12%)或其他(4%)。一71歲老年男性,因突發左側周邊型顏面神經麻痺(House-Brackmann分級第4級)至本院急診,合併左側突發性耳聾、眩暈及寬大步伐。腦部磁振造影顯示左側橋腦及小腦梗塞。美國國家衛生研究院中風評量表評為4分。橋腦梗塞僅以周邊型顏面神經麻痺為表徵者很罕見,本個案之單側周邊型顏面神經麻痺同時合併了同側突發性耳聾、眩暈及小腦徵兆,不應視為常見之貝氏麻痺,應考慮腦幹病變。 |
| 英文摘要 | The most common etiology of peripheral-type facial palsy is Bell's palsy (54%), followed respectively by herpes zoster otitis (Ramsay-Hunt syndrome) (20%), traumatic palsy (12%), and others (4%). A 71-year-old man presented with left peripheral-type facial palsy (House-Brackmann classification IV), left sudden deafness, vertigo, and wide-based gait. Brain magnetic resonance imaging demonstrated left pontine and cerebellar infarctions. The National Institutes of Health Stroke Scale was 4. Isolated pontine infarction rarely presents with isolated peripheral-type facial palsy. The case's unilateral peripheral-type facial palsy was complicated with ipsilateral sudden deafness, vertigo and other cerebellar signs; it was therefore attributable to a brainstem lesion rather than Bell's palsy, the common cause of peripheral-type facial palsy. |
本系統中英文摘要資訊取自各篇刊載內容。