急性周围性面神经麻痹中的脑脊液

Cerebrospinal fluid in acute peripheral facial palsy.

作者信息

Kohler A, Chofflon M, Sztajzel R, Magistris M R

机构信息

Clinique de Neurologie, Hôpital Cantonal Universitaire, Geneva, Switzerland.

出版信息

J Neurol. 1999 Mar;246(3):165-9. doi: 10.1007/s004150050328.

DOI:10.1007/s004150050328

PMID:10323312

Abstract

Cerebrospinal fluid (CSF) is rarely analyzed in peripheral facial palsy, and reports in the literature are scarce. We report the CSF findings in 265 patients with acute isolated peripheral facial palsy. The CSF findings were abnormal in 11% of 230 patients with idiopathic peripheral facial palsy, in 60% of 17 patients with Ramsay Hunt syndrome (pleocytosis), in 25% of 8 patients with Lyme disease, in all of 8 patients with HIV infection, and in 2 other patients (sarcoidosis and herpes simplex). We conclude from this large series that the CSF is usually normal in idiopathic peripheral facial palsy. If the CSF is abnormal, a specific cause should be sought.

摘要

脑脊液（CSF）在外周性面神经麻痹中很少进行分析，且文献报道稀少。我们报告了265例急性孤立性外周性面神经麻痹患者的脑脊液检查结果。在230例特发性外周性面神经麻痹患者中，11%的患者脑脊液检查结果异常；在17例拉姆齐·亨特综合征患者中，60%的患者脑脊液出现细胞增多；在8例莱姆病患者中，25%的患者脑脊液检查结果异常；8例HIV感染患者的脑脊液检查结果均异常；另外2例患者（结节病和单纯疱疹）脑脊液检查结果也异常。从这个大样本系列研究中我们得出结论，特发性外周性面神经麻痹患者的脑脊液通常是正常的。如果脑脊液检查结果异常，则应寻找特定病因。