Engervall K, Carlsson-Nordlander B, Bredberg G
Department of Otolaryngology, Södersjukhuset, Karolinska Institute, Stockholm, Sweden.
Clin Otolaryngol Allied Sci. 1990 Dec;15(6):537-44. doi: 10.1111/j.1365-2273.1990.tb00795.x.
Patients with a peripheral facial palsy due to an underlying Ixodes-borne borreliosis often have cerebrospinal fluid findings indicating meningeal involvement. The aim of the present study was to identify signs of CNS involvement by means of brain-stem evoked response audiometry (BSER) in patients with a facial palsy due to borreliosis, as well as in patients with a facial palsy of unknown aetiology. Bell's palsy. Abnormalities in BSER were found to be significantly more common along the borrelial patients. Furthermore, a reversal of these abnormalities following treatment with benzyl-penicillin was found in the majority of patients with borreliosis. The results of the present study emphasize the importance of diagnosing and treating an underlying borreliosis in patients with a peripheral facial palsy.
由蜱传播的莱姆病引起的周围性面神经麻痹患者，其脑脊液检查结果常提示有脑膜受累。本研究的目的是通过脑干听觉诱发电位（BSER）来确定莱姆病所致面神经麻痹患者以及病因不明的面神经麻痹患者（贝尔麻痹）中枢神经系统受累的体征。结果发现，BSER异常在莱姆病患者中明显更为常见。此外，大多数莱姆病患者在接受苄青霉素治疗后，这些异常情况有所好转。本研究结果强调了诊断和治疗周围性面神经麻痹患者潜在莱姆病的重要性。
