Department of Neurology, Rouen University Hospital and University of Rouen, France.
Department of Neurology, Rouen University Hospital and University of Rouen, France.
J Clin Neurosci. 2020 Feb;72:452-453. doi: 10.1016/j.jocn.2020.01.042. Epub 2020 Jan 23.
Facial palsy is a condition frequently encountered in neurological daily practice. Typically, telling apart peripheral facial palsy (PFP) from central facial palsy is easy, and depends on the presence of the upper face involvement. However weakness of eye closure can be seen also in cases of central facial palsies, making the diagnosis more difficult. When the facial involvement is isolated, that constitutes a crucial diagnosis challenge because it can be misdiagnosed as Bell's palsy, particularly in young patients. However, subtle clinical findings such as a predominant involvement of the lower face and the presence of a dissociation of emotional and volitional facial movements points towards a central etiology as in our patient. We report here a case of isolated peripheral-type facial palsy due to acute bleeding of supratentorial cavernoma. To our knowledge, such case has not yet been reported.
面瘫是神经科日常实践中经常遇到的一种病症。通常，区分周围性面瘫（PFP）和中枢性面瘫很容易，这取决于是否涉及到上面部。然而，中枢性面瘫也会出现闭眼无力，这使得诊断更加困难。当面瘫孤立出现时，这构成了一个关键的诊断挑战，因为它可能被误诊为贝尔氏面瘫，特别是在年轻患者中。然而，一些细微的临床发现，如下面部的主要受累和情感性与随意性面部运动的分离，提示存在中枢性病因，就像我们的患者一样。我们在此报告一例由于幕上海绵状血管畸形急性出血引起的孤立性周围型面瘫。据我们所知，这种情况尚未有报道。
