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双侧面瘫:一例极其罕见且诊断困难的病例研究

Bilateral Facial Palsy: A Case Study of an Exceedingly Rare and Difficult Diagnosis.

作者信息

Jha Gaurav, Azhar Sabeen, Kuttuva Shivani, Elahi Sameel, Baseer Asad

机构信息

Neuroscience, Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, London, GBR.

Acute Medicine, Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, London, GBR.

出版信息

Cureus. 2021 Oct 19;13(10):e18900. doi: 10.7759/cureus.18900. eCollection 2021 Oct.

Abstract

Bilateral facial nerve palsy is a rare condition, representing only 0.3-2.0% of all facial palsy cases. Facial paralysis constitutes the result of a diverse array of systemic disorders and heterogeneous aetiologies and thus represents a diagnostic challenge. This case report describes a previously healthy male who presented to the emergency department numerous times within a few weeks with unrelated non-specific symptoms. These symptoms could not be attributed to any specific aetiology after various radiological and laboratory examinations, and hence presented a diagnostic dilemma until he developed bilateral seventh nerve palsy and was admitted for a further workup.

摘要

双侧面神经麻痹是一种罕见疾病,仅占所有面神经麻痹病例的0.3 - 2.0%。面瘫是多种全身性疾病和不同病因导致的结果,因此是一项诊断挑战。本病例报告描述了一名此前健康的男性,他在几周内多次因无关的非特异性症状前往急诊科就诊。经过各种影像学和实验室检查后,这些症状无法归因于任何特定病因,因此在他出现双侧第七神经麻痹并入院进行进一步检查之前,一直存在诊断难题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/8601397/03f12500e05c/cureus-0013-00000018900-i01.jpg

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