• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

贝尔麻痹综合征:模仿者与变色龙

Bell's palsy syndrome: mimics and chameleons.

作者信息

Fuller Geraint, Morgan Cathy

机构信息

Department of Neurology, Gloucester Royal Hospital, Gloucester, UK.

出版信息

Pract Neurol. 2016 Dec;16(6):439-444. doi: 10.1136/practneurol-2016-001383. Epub 2016 Mar 31.

DOI:10.1136/practneurol-2016-001383
PMID:27034243
Abstract

In this article we will explore the mimics and chameleons of Bell's palsy and in addition argue that we should use the term 'Bell's palsy syndrome' to help guide clinical reasoning when thinking about patients with facial weakness. The diagnosis of Bell's palsy can usually be made on clinical grounds without the need for further investigations. This is because the diagnosis is not one of exclusion (despite this being commonly how it is described), a lower motor neurone facial weakness where all alternative causes have been eliminated, but rather a positive recognition of a clinical syndrome, with a number of exclusions, which are described below. This perhaps would be more accurately referred to a 'Bell's palsy syndrome'. Treatment with corticosteroids improves outcome; adding an antiviral probably reduces the rates of long-term complications.

摘要

在本文中,我们将探讨贝尔麻痹的模仿者和变色龙,并主张我们应使用“贝尔麻痹综合征”这一术语,以在思考面部无力患者时帮助指导临床推理。贝尔麻痹的诊断通常可基于临床做出,无需进一步检查。这是因为该诊断并非排除性诊断(尽管通常是这样描述的,即排除所有其他原因后的下运动神经元性面部无力),而是对一种临床综合征的肯定性识别,有一些需要排除的情况,如下所述。这或许更准确地应称为“贝尔麻痹综合征”。使用皮质类固醇治疗可改善预后;加用抗病毒药物可能会降低长期并发症的发生率。

相似文献

1
Bell's palsy syndrome: mimics and chameleons.贝尔麻痹综合征:模仿者与变色龙
Pract Neurol. 2016 Dec;16(6):439-444. doi: 10.1136/practneurol-2016-001383. Epub 2016 Mar 31.
2
Bell's Palsy.贝尔麻痹
Continuum (Minneap Minn). 2017 Apr;23(2, Selected Topics in Outpatient Neurology):447-466. doi: 10.1212/CON.0000000000000447.
3
Clinical practice guideline: Bell's palsy.临床实践指南:贝尔氏麻痹。
Otolaryngol Head Neck Surg. 2013 Nov;149(3 Suppl):S1-27. doi: 10.1177/0194599813505967.
4
[Residual states in 30 percent of adult patients with Bell's palsy. Early treatment with cortisone improves the healing process].[30%的成年贝尔麻痹患者存在残留症状。早期使用皮质类固醇治疗可改善愈合过程]
Lakartidningen. 2015 Jan 6;112:C6RD.
5
Herpes simplex virus type 1 and Bell's palsy-a current assessment of the controversy.单纯疱疹病毒 1 型和贝尔麻痹——争议的当前评估。
J Neurovirol. 2010 Feb;16(1):1-5. doi: 10.3109/13550280903552446.
6
Delayed facial nerve decompression for Bell's palsy.贝尔面瘫的延迟面神经减压术。
Eur Arch Otorhinolaryngol. 2016 Jul;273(7):1755-60. doi: 10.1007/s00405-015-3762-y. Epub 2015 Aug 30.
7
Managing Bell's palsy.贝尔面瘫的治疗
Drug Ther Bull. 2006 Jul;44(7):49-53. doi: 10.1136/dtb.2006.44749.
8
Bell's Palsy: Etiology, Management and Dental Implications.贝尔氏麻痹:病因、治疗及对牙科的影响。
J Can Dent Assoc. 2022 Aug;88:m8.
9
Facial palsy in Melkersson-Rosenthal syndrome and Bell's palsy: familial history and recurrence tendency.梅尔克森-罗森塔尔综合征和贝尔麻痹中的面神经麻痹:家族史和复发倾向。
Ann Otol Rhinol Laryngol. 2015 Feb;124(2):107-9. doi: 10.1177/0003489414546398. Epub 2014 Aug 13.
10
French Society of ENT (SFORL) guidelines. Management of acute Bell's palsy.法国耳鼻喉科学会(SFORL)指南。急性贝尔麻痹的管理
Eur Ann Otorhinolaryngol Head Neck Dis. 2020 Dec;137(6):483-488. doi: 10.1016/j.anorl.2020.06.004. Epub 2020 Jul 4.

引用本文的文献

1
Comparison of oral versus intravenous steroid in the management of Bell's palsy: a systematic review and meta-analysis of randomized clinical trials.口服与静脉注射类固醇治疗贝尔面瘫的比较:一项随机临床试验的系统评价和荟萃分析
Eur Arch Otorhinolaryngol. 2024 Mar;281(3):1095-1104. doi: 10.1007/s00405-023-08288-z. Epub 2023 Nov 9.
2
Acute Peripheral Facial Paralysis Masquerading as Bell's Palsy Is the First Presentation of COVID-19 Infection.伪装成贝尔麻痹的急性周围性面瘫是新型冠状病毒肺炎感染的首发表现。
Case Rep Neurol Med. 2023 Jan 30;2023:4278146. doi: 10.1155/2023/4278146. eCollection 2023.
3
Economic Impact of Diagnostic Imaging in the Workup of Uncomplicated Bell's Palsy.
单纯性贝尔面瘫检查中诊断性影像学检查的经济影响
J Neurol Surg B Skull Base. 2021 Jan 21;83(3):323-327. doi: 10.1055/s-0040-1722231. eCollection 2022 Jun.
4
Two Cases of Peripheral Facial Palsy With Negative CSF Analysis Despite an Infectious Etiology.两例感染性病因但脑脊液分析阴性的周围性面神经麻痹病例。
Neurol Clin Pract. 2021 Dec;11(6):e932-e934. doi: 10.1212/CPJ.0000000000000791. Epub 2019 Dec 11.
5
Facial Paralysis Detection in Infrared Thermal Images Using Asymmetry Analysis of Temperature and Texture Features.基于温度和纹理特征不对称性分析的红外热图像面部麻痹检测
Diagnostics (Basel). 2021 Dec 8;11(12):2309. doi: 10.3390/diagnostics11122309.
6
Misdiagnosis of Bell's palsy: Case series and literature review.贝尔氏面瘫的误诊:病例系列与文献综述
Clin Case Rep. 2020 Apr 16;8(7):1185-1191. doi: 10.1002/ccr3.2832. eCollection 2020 Jul.
7
The Diagnosis and Treatment of Idiopathic Facial Paresis (Bell's Palsy).特发性面神经炎(贝尔麻痹)的诊断与治疗。
Dtsch Arztebl Int. 2019 Oct 11;116(41):692-702. doi: 10.3238/arztebl.2019.0692.
8
Profile of facial palsy in Arar, northern Saudi Arabia.沙特阿拉伯北部阿拉尔地区面瘫概况。
Electron Physician. 2017 Oct 25;9(10):5596-5602. doi: 10.19082/5596. eCollection 2017 Oct.
9
Prevalence and characteristics of hearing loss in patients diagnosed with Bell's Palsy.被诊断为贝尔氏面瘫患者的听力损失患病率及特征
Eur Arch Otorhinolaryngol. 2018 Jan;275(1):99-102. doi: 10.1007/s00405-017-4816-0. Epub 2017 Nov 21.
10
Lyme disease and Bell's palsy: an epidemiological study of diagnosis and risk in England.莱姆病与贝尔氏面瘫:英格兰诊断与风险的流行病学研究
Br J Gen Pract. 2017 May;67(658):e329-e335. doi: 10.3399/bjgp17X690497. Epub 2017 Apr 10.