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[寒冷诱发的周围性面瘫中的检测及刺激检测肌电图(EMG)、瞬目反射和三叉神经(V2和V3)体感诱发电位(SSEP)。在寒冷诱发的面瘫中系统应用V SSEP的重要性]

[Detection and stimulus-detection electromyography (EMG), blink-reflex and trigeminal (V2 and V3) somatosensory evoked potentials (SSEP) in peripheral facial paralyses induced by cold. Importance of the systematic use of V SSEP in facial paralyses induced by cold].

作者信息

Diagne M, Ndiaye/Niang M, Ndiaye M M, Ndiaye I P

机构信息

Département d'Explorations Fonctionnelles du système Nerveux, Clinique Neurologique du C.H.U. de Fann, Dakar.

出版信息

Dakar Med. 1989;34(1-4):12-9.

PMID:2491368
Abstract

Thirty-six patients afflicted with cold-induced peripheral facial paralysis were examined by classical detection and stimulus-detection E.M.G. methods (Blink Reflex) complemented by V (V2, V3) S.E.P. These examinations were carried out 4 to 7 weeks after the deficiency set in. Detection and stimulus-detection E.M.G. is the best method of confirming clinical diagnosis of peripheral facial paralysis. If there is the slightest sign of Charles Bell, the Blink-Reflex is an excellent confirmation test. S.E.P. of the V allows infra-clinical damage to the nerve to be discerned in 45% of the cases. The cause of this damage is a subject of debate.

摘要

对36例患有冷诱导性周围性面瘫的患者进行了经典检测和刺激检测肌电图方法(眨眼反射)检查,并辅以V(V2、V3)体感诱发电位检查。这些检查在面瘫出现后的4至7周进行。检测和刺激检测肌电图是确诊周围性面瘫临床诊断的最佳方法。如果有哪怕最轻微的贝尔征迹象,眨眼反射就是一项出色的确诊检查。V波的体感诱发电位能在45%的病例中识别出神经的亚临床损伤。这种损伤的原因存在争议。

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