Wedekind C, Hildebrandt G, Klug N
Department of Neurosurgery, University of Cologne, Germany.
Zentralbl Neurochir. 1996;57(3):163-6.
We report on the uncommon delay of facial palsy in the course of a patient who underwent surgery for a left sided acoustic neuroma. Facial nerve function was preserved without clinical or electrophysiological deficit during the immediate postoperative phase and then lost almost totally over two days. This began on the seventh postoperative day. Recovery became visible under hypervolemic hemodilution and glucocorticoids a few days later and was complete after three months. Vasospasm in combination with neural edema might account for this uncommon delay of postoperative facial nerve deterioration.
我们报告了一例接受左侧听神经瘤手术的患者出现面神经麻痹罕见延迟的情况。术后即刻面神经功能得以保留，无临床或电生理缺陷，但随后在两天内几乎完全丧失。这种情况始于术后第七天。几天后，在高血容量血液稀释和糖皮质激素治疗下恢复迹象明显，三个月后完全恢复。血管痉挛合并神经水肿可能是术后面神经恶化这种罕见延迟的原因。
