Fernández Garcia de Castro S M, Cavalieri Merlo I, Menoyo Bueno A, Gil González M
Acta Otorrinolaringol Esp. 1989 May-Jun;40(3):177-80.
We studied the facial electroneurography (facial ENoG) in 20 normal subjects and 37 patients with facial palsy and their different etiologies. Facial ENoG was performed for the first time within 3 days after palsy onset. We carried out anamnesis, physical and functional exploration (Schirmer's test, stapedial reflex and electrogustometry) as well as motor valuation and facial ENoG. These last two test were performed, not only in the first 72 hours after the onset, but also 7, 15 and 21 days later, in the first month and in successive months until complete recovery of the facial movement or for six months in cases of partial recovery. We studied two parameters of facial ENoG: amplitude and latency. We discovered that the ENoG revealed the progression of the Wallerian degeneration in the distal nerve beginning from the lesion. Therefore, we consider that the amplitude is the most reliable data in the facial ENoG.
我们对20名正常受试者以及37名患有面瘫且病因各异的患者进行了面部神经电图(facial ENoG)研究。面瘫发作后3天内首次进行面部神经电图检查。我们进行了问诊、体格检查和功能检查(Schirmer试验、镫骨肌反射和味觉电测定)以及运动评估和面部神经电图检查。最后这两项检查不仅在发病后的头72小时内进行,而且在7天、15天和21天后进行,在第一个月以及之后的几个月内进行,直至面部运动完全恢复,对于部分恢复的病例则进行6个月。我们研究了面部神经电图的两个参数:波幅和潜伏期。我们发现神经电图显示了从病变部位开始的远端神经沃勒变性的进展。因此,我们认为波幅是面部神经电图中最可靠的数据。