Department of Infectious Medicine, Division of Infectious Diseases, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
Neurology. 2011 Jul 12;77(2):174-8. doi: 10.1212/WNL.0b013e3182242d23.
Although Sir Charles Bell was the first to provide the anatomic basis for the condition that bears his name, in recent years researchers have shown that other European physicians provided earlier clinical descriptions of peripheral cranial nerve 7 palsy. In this article, we describe the history of facial distortion by Greek, Roman, and Persian physicians, culminating in Razi's detailed description in al-Hawi. Razi distinguished facial muscle spasm from paralysis, distinguished central from peripheral lesions, gave the earliest description of loss of forehead wrinkling, and gave the earliest known description of bilateral facial palsy. In doing so, he accurately described the clinical hallmarks of a condition that we recognize as Bell palsy.
虽然查尔斯·贝尔爵士是第一个为这种以他的名字命名的疾病提供解剖学基础的人，但近年来，研究人员已经表明，其他欧洲医生更早地对第七颅神经周围麻痹进行了临床描述。在本文中，我们描述了希腊、罗马和波斯医生对面部扭曲的历史记载，最终以拉齐在《al-Hawi》中的详细描述为高潮。拉齐区分了面部肌肉痉挛和瘫痪，区分了中枢性和周围性病变，最早描述了额部皱纹消失，并最早描述了双侧面瘫。通过这样做，他准确地描述了我们认为是贝尔面瘫的疾病的临床特征。
