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題名 | 以急性週邊型顏面神經麻痺為初始表徵之急性下橋腦梗塞=Acute Peripheral-type Facial Palsy as an Initial Presentation of Acute Caudal Pontine Infarction |
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作 者 | 陳建志; 鄒永恩; 蔡銘修; 陳登郎; | 書刊名 | 臺灣耳鼻喉頭頸外科雜誌 |
卷期 | 48:2 2013.04-06[民102.04-06] |
頁次 | 頁180-183 |
分類號 | 416.844 |
關鍵詞 | 貝爾氏麻痺; 下橋腦梗塞; 週邊型顏面神經麻痺; 交叉感覺徵候; Bell's palsy; Caudal pontine infarction; Peripheral-type facial palsy; Crossed sensory signs; |
語文 | 中文(Chinese) |
中文摘要 | 貝爾氏麻痺是一種原因不明的急性週邊型顏面神經麻痺,是造成顏面神經麻痺最常見的原因。一47歲男性,有高血壓、第二型糖尿病及慢性腎臟病等過去病史,因突發左側週邊型顏面神經麻痺(House-Brackmann分級第4級),在1日內求診,因無其他神經學病症,診斷為左側貝爾氏麻痺,但2日後開始出現左側顏面及右側軀幹感覺減弱。磁振造影顯示左側下橋腦有急性梗塞,美國國家衛生研究院中風評量表(NIHSS)評為4分。經過2個月的追蹤,左側顏面神經麻痺的狀況依舊。因此,在診斷為貝爾氏麻痺後,仍須注意是否有其他細微的神經學徵候出現,設法排除腦幹中風的可能性。 |
英文摘要 | Bell's palsy is acute peripheral-type facial palsy of unknown etiology, which is contributed to most facial palsies. A 47-year-old man with hypertension, type II diabetic mellitus and chronic renal disease, presented with acute onset of left peripheral-type facial palsy (House-Brackmann classification IV) less than one day. Because of no neurologic focal sign, he was diagnosed with left Bell's palsy. However, hypoesthesia of left face and right trunk occurred 2 days later. Magnetic resonance imaging demonstrated an acute infarction at left caudal pons. The National Institutes of Health Stroke Scale (NIHSS) was 4 scores. The left facial palsy did not relieve over the following 2 months. Therefore, a delicate neurologic focal sign should be followed in order to exclude the possibility of brainstem infarction despite that Bell's palsy has been confirmed. |
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