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伴有三叉神经痛的贝尔氏面瘫病程缩短的多模态干预:病例报告。

Course of Concomitant Bell's Palsy and Trigeminal Neuralgia Shortened with a Multi-Modal Intervention: A Case Report.

机构信息

National University of Natural Medicine, Oregon Health & Science University, Portland, Oregon, United States.

National University of Natural Medicine, University of Western States, Portland, Oregon, United States.

出版信息

Explore (NY). 2019 Nov-Dec;15(6):425-428. doi: 10.1016/j.explore.2019.04.003. Epub 2019 Apr 25.

Abstract

A 60-year-old man presented to the ER with lancinating right-sided facial pain following a URI. He was diagnosed with trigeminal neuralgia, yet returned several days later with right-sided facial paralysis. He was then also diagnosed with Bell's palsy and treated with corticosteroids and antiviral medication. He continued to experience facial pain and paralysis, and sought out integrative medical care including acupuncture, nutritional supplements, diet and lifestyle changes, and parenteral therapy with intravenous vitamins and minerals. Eight weeks later he reported near complete resolution of symptoms. Multi-modal interventions may shorten recovery time in some patients with trigeminal neuralgia or Bell's palsy. To the best of our knowledge, this is the first case report on concomitant trigeminal neuralgia and Bell's palsy. The CARE (CAse REport) guidelines were used in the writing of this case report.

摘要

一位 60 岁男性因 URI 后继发的阵发性右侧面部疼痛到急诊就诊。他被诊断为三叉神经痛,但几天后又出现右侧面部瘫痪。随后他还被诊断为贝尔氏麻痹,并接受皮质类固醇和抗病毒药物治疗。他仍持续出现面部疼痛和瘫痪,并寻求综合医疗,包括针灸、营养补充剂、饮食和生活方式改变,以及静脉内维生素和矿物质的肠外治疗。八周后,他报告症状几乎完全缓解。多模式干预可能会缩短一些三叉神经痛或贝尔氏麻痹患者的恢复时间。据我们所知,这是首例同时发生三叉神经痛和贝尔氏麻痹的病例报告。本病例报告的撰写遵循 CARE(病例报告)指南。

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