Guidoux C, Garcin B, Clery-Melin M L, Blanc R, Jouvent E, Hosseini H
Service de Neurologie, CHU Henri Mondor, Créteil.
Rev Neurol (Paris). 2006 May;162(5):637-9. doi: 10.1016/s0035-3787(06)75058-5.
Sudden bilateral deafness and facial weakness are unusual presentations of brain stem stroke.
We report the case of a patient who presented successively sudden bilateral deafness and facial diplegia in correlation with a brain stem stroke but without any ischemic pontine lesion.
Unlike our case, all of the earlier publications, have reported the presence of ischemic pontine lesions in patients with bilateral deafness and facial diplegia. Selective vulnerability of inner ear to ischemia has been hypothesized but cannot explain the facial diplegia.
Our case would suggest extra-neuraxis failure by ischemia of the acoustico-facial nerve.
突发性双侧耳聋和面肌无力是脑干卒中的不常见表现。
我们报告了一例患者，该患者先后出现突发性双侧耳聋和双侧面瘫，与脑干卒中相关，但无任何缺血性脑桥病变。
与我们的病例不同，所有早期出版物均报道双侧耳聋和双侧面瘫患者存在缺血性脑桥病变。有人推测内耳对缺血具有选择性易损性，但无法解释双侧面瘫。
我们的病例提示听面神经缺血导致神经轴外功能障碍。
