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[贝尔麻痹:广泛的鉴别诊断]

[Bell's palsy: a broad differential diagnosis].

作者信息

Amerika Wardell E, Koopman J P, Jacobs Bart C, de Bruijn Sebastiaan F T M

机构信息

HagaZiekenhuis, Den Haag en Zoetermeer. Afd. Neurologie.

Contact: Wardell E. Amerika (

出版信息

Ned Tijdschr Geneeskd. 2023 Aug 9;167:D6837.

Abstract

Peripheral facial palsy is a common clinical symptom and is most often caused by Bell's palsy. The pathogenesis is largely unknown, but inflammation of the facial nerve, possibly after a viral infection, may play a role. Bell's palsy has a monophasic course with usually - but not always - a good recovery. Even though Bell's palsy exhibits clear clinical features, in clinical practice diagnosis and choice of treatment remain difficult and other causes of an isolated facial palsy may easily be overlooked.

摘要

周围性面瘫是一种常见的临床症状,最常见的病因是贝尔麻痹。其发病机制尚不清楚,但面神经炎症(可能继发于病毒感染)可能起一定作用。贝尔麻痹病程呈单相性,通常(但并非总是)恢复良好。尽管贝尔麻痹具有明确的临床特征,但在临床实践中,诊断和治疗方案的选择仍然困难,孤立性面瘫的其他病因很容易被忽视。

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