White Rebecca, Shackleton David
Emergency Department, West Middlesex University Hospital, Chelsea and Westminster NHS Foundation Trust, Isleworth, London, UK.
BMJ Case Rep. 2018 Jul 6;2018:bcr-2018-224593. doi: 10.1136/bcr-2018-224593.
Changes in atmospheric pressure have been reported to cause a transient lower motor neuron weakness of the facial nerve. We report the case of a passenger on an international flight who developed a unilateral facial weakness after take-off which resolved within 45 min. The effect is thought to be due to an ischaemic neuropraxia of the facial nerve caused by increased middle ear pressure compressing the facial nerve in an exposed facial canal. The condition has been commonly reported in scuba-divers but less frequently in airline passengers. Treatment is not necessary.
据报道，大气压力变化会导致面神经出现短暂的下运动神经元性肌无力。我们报告一例国际航班乘客的病例，该乘客起飞后出现单侧面部无力，45分钟内症状消失。这种效应被认为是由于中耳压力增加，压迫暴露的面神经管中的面神经，导致面神经缺血性神经失用。这种情况在潜水员中很常见，但在航空乘客中较少见。无需治疗。
