一例面神经管增宽患者同侧面神经麻痹多次复发
Multiple recurrences of ipsilateral facial palsy in a patient with widening of the facial canal.
作者信息
Andreassen Christer Swan, Ovesen Therese
机构信息
Department of Otorhinolaryngology & Head and Neck Surgery, Aalborg University Hospital, Hobrovej 18-22, 9000 Aalborg, Denmark; Department of Otorhinolaryngology & Head and Neck Surgery, Aarhus University Hospital, Building 10, 1st Floor, Noerrebrogade 44, 8000 Aarhus C., Denmark; Institute of Clinical Medicine, Aarhus University, Brendstrupgaardsvej 100, 8200 Aarhus N, Denmark.
Department of Otorhinolaryngology & Head and Neck Surgery, Aarhus University Hospital, Building 10, 1st Floor, Noerrebrogade 44, 8000 Aarhus C., Denmark; Institute of Clinical Medicine, Aarhus University, Brendstrupgaardsvej 100, 8200 Aarhus N, Denmark.
出版信息
Int J Pediatr Otorhinolaryngol. 2015 Feb;79(2):274-7. doi: 10.1016/j.ijporl.2014.11.030. Epub 2014 Dec 3.
The incidence of facial palsy (FP) is 6-12/100,000 in children, however only one in twenty experience recurrences. This report describes the clinical approach and diagnostic considerations in a child with multiple ipsilateral FP. The first occurrence of FP in conjunction with fever occurred at age 13 months, and was succeeded by more than 20 recurrences. Imaging revealed widening of the facial canal along with thickening of the facial nerve, allowing collateral inflammation and edema to induce pressure on the nerve. This is the first case describing the association between an abnormally widened facial canal and recurrent FP in childhood.
儿童面神经麻痹（FP）的发病率为6-12/10万，然而只有二十分之一的患儿会复发。本报告描述了一名患有同侧多发性FP患儿的临床处理方法及诊断要点。该患儿首次出现FP并伴有发热是在13个月大时，之后复发超过20次。影像学检查显示面神经管增宽以及面神经增粗，继发性炎症和水肿导致神经受压。这是首例描述儿童期面神经管异常增宽与复发性FP之间关联的病例。
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