Wit M A, de Vos-van Biezenbos J B M, de Boe J R
Afd. Neurologie, Martini Ziekenhuis, Postbus 30.033, 9700 RM Groningen.
Ned Tijdschr Geneeskd. 2007 Feb 10;151(6):364-6.
An 18-year-old girl had experienced drooping at the left corner of the mouth for several weeks and could not close her left eye. These symptoms improved gradually and spontaneously. She had had a similar experience 2 years earlier; at that time, the right side of the face was affected. Family members reported similar episodes. After excluding Lyme borreliosis and cerebellopontine angle tumour, a diagnosis of idiopathic familial peripheral facial palsy was made. Peripheral facial nerve palsy is commonly seen in children and young adults. Obtaining a family history is helpful in these patients: a positive family history is found in 2.4-28.6% of the cases. In the absence of other symptoms, a diagnosis of idiopathic familial peripheral facial palsy should be considered. The prognosis of these patients is generally good and therapy is usually unnecessary.
一名18岁女孩数周来一直存在左侧嘴角下垂，且左眼无法闭合。这些症状逐渐自行改善。她在两年前有过类似经历，当时面部右侧受累。家庭成员也报告有类似发作。在排除莱姆病和桥小脑角肿瘤后，诊断为特发性家族性周围性面神经麻痹。周围性面神经麻痹常见于儿童和年轻人。对于这些患者，了解家族史很有帮助：2.4% - 28.6%的病例有阳性家族史。在没有其他症状的情况下，应考虑特发性家族性周围性面神经麻痹的诊断。这些患者的预后通常良好，通常无需治疗。
