Gilchrist J M
Department of Clinical Neurosciences, Brown University School of Medicine, Rhode Island Hospital, Providence.
Muscle Nerve. 1993 May;16(5):447-52. doi: 10.1002/mus.880160502.
A 25-year-old man with acute, bilateral facial palsies is presented. He had a lymphocytic meningitis, history of tick bites, and lived in an area endemic for Lyme disease, which was ultimately confirmed by serology. Electrodiagnostic investigation included facial motor nerve study, blink reflex and electromyography of facial muscles, which were indicative of a neurapraxic lesion on the right and an axonopathic lesion on the left. The clinical course was consistent with these findings as the right side fully recovered and the left remained plegic. The clinical features of Lyme associated facial neuritis are reviewed, as is the electrodiagnostic evaluation of facial palsy.
本文报告了一名25岁患有急性双侧面瘫的男性患者。他曾患淋巴细胞性脑膜炎，有蜱虫叮咬史，居住在莱姆病流行地区，血清学检查最终确诊为莱姆病。电诊断检查包括面部运动神经研究、瞬目反射和面部肌肉肌电图，结果显示右侧为神经失用性损伤，左侧为轴索性损伤。临床病程与这些发现相符，右侧完全恢复，左侧仍为瘫痪状态。本文回顾了莱姆病相关面神经炎的临床特征以及面瘫的电诊断评估。
