Bademosi O, Ogunlesi T O, Osuntokun B O
Department of Medicine, University College Hospital, Ibadan, Nigeria.
Afr J Med Med Sci. 1987 Dec;16(4):197-201.
The clinical feature of isolated unilateral peripheral facial nerve paralysis (PFP), seen in 153 consecutive Nigerians over a 14-year period at the University College Hospital (UCH), Ibadan, are presented. The hospital incidence rate was 2.67 per 10,000 with a mean annual rate of 11 per 100,000. Although males (61%) were more frequently affected than females (39%), the peak incidence for both sexes was in the third decade, and 53% of the cases were between 20 years old and 39 years old. Bell's palsy (ninety-three cases) was the most common type encountered. Hypertension (eleven cases) was associated with PFP only in patients above 50 years old. Herpes zoster infection (six cases) and otogenous (eight patients) were not uncommon. Although conjunctivitis (8%) was the most frequent complication, post-paralytic motor features in the form of synkinesia (eight cases), hemispasmas or contractures, and autonomic disturbances such as the crocodile-tear phenomenon (three cases) and auriculo-temporal syndrome (one case) were rare.
本文介绍了在伊巴丹大学学院医院（UCH）14年间连续收治的153例尼日利亚患者中孤立性单侧周围性面神经麻痹（PFP）的临床特征。医院发病率为每10000人中有2.67例，平均年发病率为每100000人中有11例。虽然男性（61%）比女性（39%）更易患病，但两性的发病高峰均在第三个十年，53%的病例年龄在20岁至39岁之间。贝尔麻痹（93例）是最常见的类型。高血压（11例）仅在50岁以上的PFP患者中出现。带状疱疹感染（6例）和耳源性（8例）并不少见。虽然结膜炎（8%）是最常见的并发症，但联动（8例）、偏侧痉挛或挛缩等麻痹后运动特征以及鳄鱼泪现象（3例）和耳颞综合征（1例）等自主神经紊乱很少见。
