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[特发性面神经麻痹:预后的长期随访研究及电诊断结果的意义]

[Idiopathic facial paralysis: long-term catamnestic study of prognosis and the significance of electrodiagnostic findings].

作者信息

Karbe H, Haupt W F

机构信息

Universitäts-Nervenklinik Köln.

出版信息

Laryngorhinootologie. 1989 Mar;68(3):137-40. doi: 10.1055/s-2007-998303.

DOI:10.1055/s-2007-998303
PMID:2712972
Abstract

550 patients suffering from Bell's palsy and examined by electromyography (EMG) as well as electroneurography (ENG) were interviewed in respect of treatment and remission. In more than 80% of the cases it was possible to register volitional activity by EMG as well as to elicit an electroneurographic response. We found a high correlation between electrodiagnostical deficit and degree of recovery. EMG and ENG were equally suitable to assess the severity of damage. The overall prognosis of Bell's palsy was favorable in cases of incomplete lesions. The recovery was probably improved by administration of steroids in the examined group, especially in cases with temporary loss of electroneurographic response.

摘要

对550例患有贝尔麻痹且接受了肌电图(EMG)和神经电图(ENG)检查的患者进行了关于治疗和缓解情况的访谈。在超过80%的病例中,通过肌电图能够记录到自主活动,并且能够引出神经电图反应。我们发现电诊断缺陷与恢复程度之间存在高度相关性。肌电图和神经电图在评估损伤严重程度方面同样适用。贝尔麻痹不完全性病变病例的总体预后良好。在所检查的组中,使用类固醇可能改善了恢复情况,尤其是在神经电图反应暂时丧失的病例中。

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