Görke W, Felix S, Severien C
Universitätskinderklinik im St. Josef Hospital Bochum.
Klin Padiatr. 1989 Nov-Dec;201(6):467-70. doi: 10.1055/s-2008-1026748.
In childhood Lyme-Borreliosis often presents as facial palsy. This progredient infectious disease is to be treated by intravenous penicillin therapy in order to avoid future complications. In three out of four own observations facial palsy raised suspicion towards central origin. By performance of the orbicularis oculi reflex in all four cases peripheral damage of the facial nerve could be demonstrated. This simple electromyographic method seems to be a valuable tool in the differentiation of central and peripheral facial nerve palsy in childhood, preserving the affected children from painful electrodiagnostic procedure or useless search for supranuclear lesions.
儿童期莱姆病常表现为面神经麻痹。这种进行性传染病需通过静脉注射青霉素治疗，以避免未来出现并发症。在本人观察的四例病例中，有三例面神经麻痹引发了对中枢性病因的怀疑。通过对所有四例病例进行眼轮匝肌反射检查，证实了面神经的外周损伤。这种简单的肌电图方法似乎是区分儿童中枢性和外周性面神经麻痹的一种有价值的工具，可使患病儿童免受痛苦的电诊断程序或对核上病变的无用检查。
