Krishnamurthy Shedthikere, Weinstock Arie L, Smith Sharon H, Duffner Patricia K
Department of Neurology, State University of New York at Buffalo, Children's Hospital of Buffalo, Buffalo, New York 14222, USA.
Pediatr Neurol. 2002 Jul;27(1):68-70. doi: 10.1016/s0887-8994(02)00394-6.
Facial paralysis is not a well-recognized presenting feature of leukemia in children. We present two infants and one older child in whom the initial manifestation of their leukemia was lower motor neuron facial paresis. Initial diagnosis in all the patients was Bell's palsy. The presence of Bell's palsy in young children requires a complete evaluation, including consideration of leptomeningeal disease. Leukemic children presenting with cranial neuropathy require intensive central nervous system therapy.
面瘫并非儿童白血病常见的临床表现。我们报告了两名婴儿和一名大龄儿童，他们白血病的最初表现为下运动神经元性面瘫。所有患者最初均被诊断为贝尔麻痹。幼儿出现贝尔麻痹需要进行全面评估，包括考虑软脑膜疾病。出现颅神经病变的白血病患儿需要强化中枢神经系统治疗。
