Ogata K, Yamada T, Hara H, Taniwaki T, Kira J
Department of Neurology, Faculty of Medicine, Kyushu University, Fukuoka.
Rinsho Shinkeigaku. 1998 Dec;38(12):1070-2.
Here we report a case of acute cerebellitis, in which the patient developed right peripheral facial palsy during the recovery phase of cerebellar ataxia. A 67-year-old man developed truncal and limb ataxia following a fever, general fatigue and anorexia. He was diagnosed to have acute cerebellitis. While the ataxia symptoms were improving without any treatment, right peripheral facial nerve palsy developed and an MRI revealed an enhancement of the right facial nerve proximal to the geniculate ganglion. After treatment with acyclovir and corticosteroids, his facial nerve palsy and ataxia both gradually improved. There has been no previous report of an adult case who developed peripheral facial nerve palsy during the recovery phase of acute cerebellitis. This case indicates that a wide spectrum of neurological complications may develop in association with a varicella-zoster virus infection.
在此，我们报告一例急性小脑炎病例，该患者在小脑共济失调的恢复期出现了右侧周围性面瘫。一名67岁男性在发热、全身乏力和厌食后出现躯干和肢体共济失调。他被诊断为急性小脑炎。在未进行任何治疗的情况下，共济失调症状正在改善时，右侧周围性面神经麻痹出现，磁共振成像（MRI）显示膝状神经节近端的右侧面神经强化。在接受阿昔洛韦和皮质类固醇治疗后，他的面神经麻痹和共济失调均逐渐改善。此前尚无关于成人在急性小脑炎恢复期出现周围性面神经麻痹的病例报告。该病例表明，水痘-带状疱疹病毒感染可能会引发广泛的神经系统并发症。
