Zhang Wenjuan, Xu Lei, Luo Tingting, Wu Feng, Zhao Bin, Li Xianqi
Shanxi Medical University School and Hospital of Stomatology, Taiyuan, 030001, China.
The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory for Oral Biomedical Engineering of Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China.
J Neurol. 2020 Jul;267(7):1896-1905. doi: 10.1007/s00415-019-09282-4. Epub 2019 Mar 28.
Bell's palsy is the most common condition involving a rapid and unilateral onset of peripheral paresis/paralysis of the seventh cranial nerve. It affects 11.5-53.3 per 100,000 individuals a year across different populations. Bell's palsy is a health issue causing concern and has an extremely negative effect on both patients and their families. Therefore, diagnosis and prompt cause determination are key for early treatment. However, the etiology of Bell's palsy is unclear, and this affects its treatment. Thus, it is critical to determine the causes of Bell's palsy so that targeted treatment approaches can be developed and employed. This article reviews the literature on the diagnosis of Bell's palsy and examines possible etiologies of the disorder. It also suggests that the diagnosis of idiopathic facial palsy is based on exclusion and is most often made based on five factors including anatomical structure, viral infection, ischemia, inflammation, and cold stimulation responsivity.
贝尔面瘫是最常见的涉及第七颅神经外周轻瘫/瘫痪迅速单侧发作的病症。在不同人群中,其年发病率为每10万人中有11.5 - 53.3人患病。贝尔面瘫是一个引起关注的健康问题,对患者及其家庭都有极其负面的影响。因此,诊断和迅速确定病因是早期治疗的关键。然而,贝尔面瘫的病因尚不清楚,这影响了其治疗。因此,确定贝尔面瘫的病因至关重要,以便能够制定和采用有针对性的治疗方法。本文回顾了关于贝尔面瘫诊断的文献,并研究了该病症可能的病因。文章还指出,特发性面神经麻痹的诊断基于排除法,最常依据包括解剖结构、病毒感染、缺血、炎症和冷刺激反应性在内的五个因素做出诊断。