De Figueiredo Neto N, Martins J W, Farage Filho M, Henriques F G
Médico Residente da Unidade de Neurocirurgia, Hospital de Base do Distrito Federal.
Arq Neuropsiquiatr. 1995 Dec;53(4):795-8. doi: 10.1590/s0004-282x1995000500015.
The authors report the case of a 45-years-old female patient, with progressive hemiatrophy of the left face and tongue. The laboratorial and image studies were normal, including routine blood exams, cerebral-spinal fluid, hepatic function tests, renal and rheumatic; besides X ray, computerized tomography and magnetic resonance of skull. The electroneuromyography showed peripheral neurogenic alterations of motor trigeminal and hypoglossal nerves, markedly on the left side. Those findings are compatible with Romberg's facial hemiatrophy diagnosis, motivating discussion of several aspects of this rare disease according to the account and literature.
作者报告了一例45岁女性患者,患有左侧面部和舌部进行性偏侧萎缩。实验室检查和影像学检查均正常,包括常规血液检查、脑脊液检查、肝功能检查、肾功能检查和风湿相关检查;此外还进行了颅骨的X线、计算机断层扫描和磁共振成像检查。肌电图显示三叉神经运动支和舌下神经存在周围神经源性改变,左侧更为明显。这些发现符合Romberg面部偏侧萎缩的诊断,促使根据病例报告和文献对这种罕见疾病的几个方面进行讨论。