Taiping Hospital, Department of Internal Medicine, Taiping, Perak, Malaysia.
Taiping Hospital, Department of Radiology, Taiping, Perak, Malaysia.
Med J Malaysia. 2022 May;77(3):403-405.
Pontine infarct is a rare but clinically significant cause of an isolated facial nerve palsy. Prompt diagnosis with the use of magnetic resonance imaging (MRI) allows early initiation of treatment for such patients. We report a 62-year-old gentleman with diabetes, hypertension, and gout, presenting with lower motor neuron facial nerve palsy. This report highlights that isolated facial nerve palsy is not always associated with Bell's palsy, which remains the commonest cause of facial nerve paralysis. A thorough neurological examination and good clinical correlation with the patient's history and physical findings, coupled with the use of facial nerve anatomical knowledge and early employment of MRI, are imperative in clinching the diagnosis.
脑桥梗死是一种罕见但具有临床意义的孤立性面神经麻痹病因。通过使用磁共振成像（MRI）进行及时诊断，可以为这类患者尽早开始治疗。我们报告了一例 62 岁的男性患者，患有糖尿病、高血压和痛风，表现为下运动神经元性面神经麻痹。本报告强调了孤立性面神经麻痹并不总是与贝尔麻痹相关，后者仍然是面神经瘫痪最常见的病因。全面的神经学检查，以及与患者病史和体格检查的良好临床相关性，加上对面神经解剖知识的了解和早期使用 MRI，对于明确诊断至关重要。
