Zheng-Hua Gao, Yao Lu, Song-Jun Lin, Hao-Bin Cai, Tian-Tian Cai
The fourth Clinical Medical College of Guangzhou University of Chinese Medicine, No.1 Fuhua Road, Futian District, Shenzhen, 518033, Guangdong, China.
Shenzhen Traditional Chinese Medicine Hospital, No.1 Fuhua Road, Futian District, Shenzhen, 518033, Guangdong, China.
BMC Neurol. 2025 Apr 23;25(1):176. doi: 10.1186/s12883-025-04195-4.
A 56-year-old man presented with right-sided drooping of the mouth corner and eyelid, along with weakness in the left lower limb. His MRI revealed a corona radiata lacunar infarction on the left and an acute infarction on the right. However, the needle electromyography (EMG) results were unremarkable. It was determined that his unilateral peripheral facial paralysis (PFP)-like symptoms were secondary to bilateral corona radiata infarctions. This case highlights that some patients with cerebral strokes may present with PFP-like symptoms. To minimize misdiagnosis, clinicians should consider the possibility of central lesions manifesting as PFP.
一名56岁男性出现右侧口角和眼睑下垂，同时左下肢无力。他的磁共振成像（MRI）显示左侧放射冠腔隙性梗死和右侧急性梗死。然而，针极肌电图（EMG）结果无明显异常。确定他的单侧周围性面瘫（PFP）样症状继发于双侧放射冠梗死。该病例强调，一些脑卒中患者可能表现出PFP样症状。为尽量减少误诊，临床医生应考虑中枢性病变表现为PFP的可能性。
