Abid Farida, Lalani Irfan, Zakaria Asma, Facchini Sergio A, Hunter Jill V
Department of Pediatric Neurology, Baylor College of Medicine, Houston, Texas, USA.
Pediatr Neurol. 2007 Jan;36(1):64-5. doi: 10.1016/j.pediatrneurol.2006.07.009.
There is a wide differential diagnosis for patients presenting with multiple cranial nerve palsies, including infectious, inflammatory, malignant, genetic, toxic, and metabolic conditions. This report describes the clinical features, neuroimaging findings, and response to surgical treatment in a patient with bilateral deafness and recurrent episodes of bilateral facial nerve palsy that were caused by renal osteodystrophy. It is suggested that renal osteodystrophy be considered in the differential diagnosis of multiple cranial nerve palsies in the appropriate clinical setting.
对于出现多发性颅神经麻痹的患者,有广泛的鉴别诊断,包括感染性、炎症性、恶性、遗传性、中毒性和代谢性疾病。本报告描述了一名因肾性骨营养不良导致双侧耳聋和双侧面神经麻痹反复发作的患者的临床特征、神经影像学表现以及手术治疗反应。建议在适当的临床情况下,将肾性骨营养不良纳入多发性颅神经麻痹的鉴别诊断中。