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贝尔氏面瘫的误诊：病例系列与文献综述

Misdiagnosis of Bell's palsy: Case series and literature review.

作者信息

Bacorn Colin, Fong Nancy Su Teng, Lin Lily Koo

机构信息

Department of Ophthalmology and Vision Science University of California Davis Health Sacramento CA USA.

University of California Davis School of Medicine University of California Davis Sacramento CA USA.

出版信息

Clin Case Rep. 2020 Apr 16;8(7):1185-1191. doi: 10.1002/ccr3.2832. eCollection 2020 Jul.

DOI:10.1002/ccr3.2832
PMID:32695353
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7364059/
Abstract

Although Bell's palsy is a common etiology for isolated facial paralysis, it is important clinicians perform a complete neurologic examination to avoid misdiagnosis. Multiple cranial neuropathy is often caused by tumor or infection.

摘要

尽管贝尔麻痹是孤立性面瘫的常见病因，但临床医生进行全面的神经系统检查以避免误诊很重要。多发性颅神经病变常由肿瘤或感染引起。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8170/7364059/bcee47b3bde0/CCR3-8-1185-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8170/7364059/ae35ed072b33/CCR3-8-1185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8170/7364059/d1f1c77d02b4/CCR3-8-1185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8170/7364059/bcee47b3bde0/CCR3-8-1185-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8170/7364059/ae35ed072b33/CCR3-8-1185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8170/7364059/d1f1c77d02b4/CCR3-8-1185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8170/7364059/bcee47b3bde0/CCR3-8-1185-g003.jpg

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本文引用的文献

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Patterns of pontine strokes mimicking Bell's palsy.桥脑梗死类似贝尔氏麻痹的模式。
BMC Neurol. 2019 Aug 27;19(1):208. doi: 10.1186/s12883-019-1440-1.
2
Idiopathic Recurrent Polyneuritis Cranialis: A Rare Entity.特发性复发性颅神经炎：一种罕见病症。
Cureus. 2019 Apr 17;11(4):e4488. doi: 10.7759/cureus.4488.
3
Differential diagnosis of peripheral facial nerve palsy: a retrospective clinical, MRI and CSF-based study.周围性面神经麻痹的鉴别诊断：一项回顾性临床、MRI 和 CSF 研究。
贝尔麻痹还是新冠病毒mRNA疫苗接种后侵袭性浸润性基底样癌？一例病例报告及文献综述。
EXCLI J. 2023 Sep 11;22:992-1011. doi: 10.17179/excli2023-6145. eCollection 2023.
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The Rate of Occult Lesion Diagnosis in a Large Bell's Palsy Cohort.大样本贝尔麻痹患者隐匿性病灶诊断率。
Laryngoscope. 2024 Feb;134(2):911-918. doi: 10.1002/lary.30895. Epub 2023 Jul 20.
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Multiple cranial neuropathy due to varicella zoster virus reactivation without vesicular rash: a challenging diagnosis.水痘-带状疱疹病毒再激活而无疱疹性皮疹所致多发性颅神经病：一种具有挑战性的诊断。
Neurol Sci. 2023 Oct;44(10):3687-3689. doi: 10.1007/s10072-023-06833-6. Epub 2023 May 9.
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Incidence of Underlying Abnormal Findings on Routine Magnetic Resonance Imaging for Bell Palsy.贝尔面瘫患者常规磁共振成像的潜在异常结果的发生率。
JAMA Netw Open. 2023 Apr 3;6(4):e239158. doi: 10.1001/jamanetworkopen.2023.9158.
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Diagnostic Error in Neuro-ophthalmology: Avenues to Improve.神经眼科学中的诊断错误：改进途径。
Curr Neurol Neurosci Rep. 2022 Apr;22(4):243-256. doi: 10.1007/s11910-022-01189-4. Epub 2022 Mar 23.
8
When paediatric facial nerve paralysis is not a Bell's palsy: A case of cerebellopontine angle tumour.小儿面神经麻痹并非贝尔麻痹时：一例桥小脑角肿瘤病例
J Taibah Univ Med Sci. 2021 Sep 4;17(1):141-145. doi: 10.1016/j.jtumed.2021.08.008. eCollection 2022 Feb.
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Zhejiang Da Xue Xue Bao Yi Xue Ban. 2021 Apr 25;50(2):148-154. doi: 10.3724/zdxbyxb-2021-0103.
J Neurol. 2019 Oct;266(10):2488-2494. doi: 10.1007/s00415-019-09387-w. Epub 2019 Jun 27.
4
Determining Etiology of Facial Nerve Paralysis With MRI: Challenges in Malignancy Detection.利用磁共振成像确定面神经麻痹的病因：恶性肿瘤检测中的挑战。
Ann Otol Rhinol Laryngol. 2019 Sep;128(9):862-868. doi: 10.1177/0003489419848462. Epub 2019 May 8.
5
Pontine haemorrhage disguised as Bell's palsy.伪装成贝尔麻痹的脑桥出血。
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A case study of Ramsay Hunt Syndrome in conjunction with cranial polyneuritis.拉姆齐·亨特综合征合并颅神经炎的病例研究。
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A rare neurological complication of Waldenstrom's Macroglobulinemia.华氏巨球蛋白血症一种罕见的神经系统并发症。
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