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伯氏疏螺旋体脑膜多神经根神经炎所致面瘫的预后

Prognosis of facial palsy in Borrelia burgdorferi meningopolyradiculoneuritis.

作者信息

Angerer M, Pfadenhauer K, Stöhr M

机构信息

Neurologische Klinik, Zentralklinikum Augsburg, Germany.

出版信息

J Neurol. 1993 May;240(5):319-21. doi: 10.1007/BF00838171.

DOI:10.1007/BF00838171
PMID:8326340
Abstract

Out of 72 patients treated for Borrelia burgdorferi meningopolyradiculoneuritis facial palsies occurred in 22 (12 unilateral, 10 bilateral). Eleven of the 32 pareses were initially complete. By the follow-up examination patients had recovered well with slight sequelae in 22% without cosmetically disfiguring pareses or synkinesias. Electrophysiological studies revealed axonal damage of the nerve as the underlying mechanism.

摘要

在72例接受伯氏疏螺旋体脑膜多神经根神经炎治疗的患者中,22例(12例单侧,10例双侧)出现面瘫。32例面神经麻痹中有11例最初完全性麻痹。随访检查时,患者恢复良好,22%有轻微后遗症,无美容缺陷性麻痹或联带运动。电生理研究显示神经轴突损伤是潜在机制。

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本文引用的文献

1
Multiple mononeuritis and radiculitis with erythema, pain, elevated CSF protein and pleocytosis (Bannwarth's syndrome).多发性单神经炎和神经根炎伴红斑、疼痛、脑脊液蛋白升高和细胞增多(班沃思综合征)。
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Tick-borne spirochetes as a cause of facial palsy.蜱传螺旋体作为面神经麻痹的一个病因。
Clin Otolaryngol Allied Sci. 1985 Oct;10(5):279-84. doi: 10.1111/j.1365-2273.1985.tb00255.x.
3
The triad of neurologic manifestations of Lyme disease: meningitis, cranial neuritis, and radiculoneuritis.
莱姆病神经系统表现的三联征:脑膜炎、颅神经炎和神经根神经炎。
Neurology. 1985 Jan;35(1):47-53. doi: 10.1212/wnl.35.1.47.
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Tick-bite meningoradiculoneuritis: clinical, electrophysiologic, and histologic findings in 10 cases.
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Tick-borne borreliosis and facial palsy.蜱传疏螺旋体病与面神经麻痹。
Acta Otolaryngol. 1988 Jan-Feb;105(1-2):100-7. doi: 10.3109/00016488809119451.
6
Meningoradiculitis and encephalomyelitis due to Borrelia burgdorferi: a follow-up study of 72 patients over 27 years.伯氏疏螺旋体所致脑脊神经根炎和脑脊髓炎:27年间72例患者的随访研究
J Neurol. 1989 Sep;236(6):322-8. doi: 10.1007/BF00314373.
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Lyme disease.莱姆病
N Engl J Med. 1989 Aug 31;321(9):586-96. doi: 10.1056/NEJM198908313210906.
8
Serum and cerebrospinal fluid examinations in the diagnosis of Borrelia infection in Bell's palsy.
Acta Otolaryngol. 1990 Nov-Dec;110(5-6):421-6. doi: 10.3109/00016489009107464.