[电神经图和三叉神经-面神经反射在贝尔面瘫中的预后价值]

[Prognostic value of electroneuronography and trigemino-facial reflex in Bell's palsy].

作者信息

Bouhanna S, Hagen P, Chabert R, Roumieux J L, Lallemant J G

机构信息

CHU Gaston Doumergue, Nîmes, France.

出版信息

Rev Laryngol Otol Rhinol (Bord). 1996;117(5):353-6.

PMID:9183905

Abstract

56 patients with Bell's palsy were tested with electroneuronography (ENoG and Blink reflex (BR) within the 5th and 15th day of onset of facial paralysis. The recovery at the end of evolution was evaluated with the study of facial function. This retrospective study showed that ENoG is able to predict with a very low risk of error a good prognosis when more than 10 percent (strictly, of fibers (non degenerated and blocked) are active. On the other hand only persistence or early recovery of BR can assure a good prognosis whereas the absence do not permit to conclude.

摘要

56例贝尔麻痹患者在面瘫发作的第5天至第15天接受了神经电图（ENoG）和眨眼反射（BR）检测。通过对面部功能的研究评估病情发展末期的恢复情况。这项回顾性研究表明，当超过10%（严格来说，是纤维（未退化和受阻的））活跃时，ENoG能够以极低的错误风险预测良好的预后。另一方面，只有BR持续存在或早期恢复才能确保良好的预后，而BR缺失则无法得出结论。