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新型冠状病毒肺炎感染后面神经鞘瘤导致的急性面神经麻痹

Acute Facial Nerve Palsy in Facial Nerve Schwannoma Following COVID-19 Infection.

作者信息

Mohd Ridzam Mohd Syafeeq, Abdullah Asma

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.

出版信息

Cureus. 2023 Mar 27;15(3):e36764. doi: 10.7759/cureus.36764. eCollection 2023 Mar.

Abstract

Lower motor neuron facial nerve palsy (FNP) has many causes. Bell's palsy is by far the commonest cause. Among other causes include infective and neoplastic causes. While FNP caused by facial nerve schwannoma (FNS); a benign neoplastic condition of the facial nerve is slowly progressing, infective causes mainly viral origins present with acute FNP. We present a young female who complained of an acute onset of FNP on day five of her COVID-19 infection. She initially presented with symptoms suggestive of ear infection, and subsequent magnetic resonance imaging (MRI) showed evidence of FNS, which she was subjected to surgery later at our center. This rare acute incidence of FNP in schwannoma might be triggered by the COVID-19 infection and demonstrates the role of imaging in finding the cause of FNP.

摘要

下运动神经元性面神经麻痹(FNP)有多种病因。贝尔麻痹是迄今为止最常见的病因。其他病因包括感染性和肿瘤性病因。虽然由面神经鞘瘤(FNS)引起的FNP(一种面神经的良性肿瘤性疾病)进展缓慢,但感染性病因主要是病毒感染,表现为急性FNP。我们报告一名年轻女性,她在感染新冠病毒19的第5天出现急性FNP。她最初表现出提示耳部感染的症状,随后的磁共振成像(MRI)显示有FNS的迹象,她后来在我们中心接受了手术。这种神经鞘瘤中罕见的FNP急性发病可能由新冠病毒19感染引发,并证明了影像学在查明FNP病因方面的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3541/10132860/09405b5b964d/cureus-0015-00000036764-i01.jpg

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