颞骨骨折导致的双侧面瘫：一例报告
Bilateral Facial Paralysis Caused by Temporal Bone Fracture: A Case Report.
作者信息
Ghiasi Samad, Banaei Mehdi
机构信息
Tabriz University of Medical Sciences, Tabriz, IR Iran.
出版信息
Arch Trauma Res. 2016 Feb 6;5(2):e26892. doi: 10.5812/atr.26892. eCollection 2016 Jun.
INTRODUCTION
Although bilateral facial nerve palsy is a rare condition, its etiology is more detectable than the unilateral type. A temporal bone fracture is one cause of bilateral facial nerve palsy, contributing in 3% of the cases.
CASE PRESENTATION
Here, we report the case of a 35-year-old man complaining of bilateral incomplete eye closure, two weeks after a closed head injury caused by a motor vehicle accident.
CONCLUSIONS
The high resolution computed tomography findings revealed a bilateral temporal bone fracture line, which extended to the fallopian canal. With regard to treatment, near complete recovery was obvious after two weeks of treatment with oral corticosteroids. Overall, bilateral facial palsy is hard to diagnose; therefore, clinical suspicion and the early detection of facial nerve injuries is necessary for good nerve recovery in temporal bone fractures.
引言
虽然双侧面神经麻痹是一种罕见病症，但其病因比单侧型更容易查明。颞骨骨折是双侧面神经麻痹的一个病因，占病例的3%。
病例报告
在此，我们报告一名35岁男性的病例，该患者在机动车事故导致闭合性颅脑损伤两周后，出现双侧眼睑闭合不全。
结论
高分辨率计算机断层扫描结果显示双侧颞骨骨折线，该骨折线延伸至面神经管。关于治疗，口服皮质类固醇治疗两周后明显接近完全恢复。总体而言，双侧面神经麻痹难以诊断；因此，对于颞骨骨折，临床怀疑和早期发现面神经损伤对于神经良好恢复是必要的。
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