最近审阅: 30 十月 2020
最近更新: 20 十一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 单次发作
  • 单侧耳鸣
  • 不存在全身症状
  • 累及所有神经分支
  • 干燥性角膜结膜炎
  • 疼痛
  • 联带运动

其他诊断因素

  • 存在的危险因素
  • 任何年龄
  • 听觉过敏
  • 味觉障碍

危险因素

  • 鼻内流感疫苗接种
  • 妊娠
  • 上呼吸道感染
  • 黑色或西班牙裔人种
  • 干旱/寒冷气候
  • 高血压
  • 贝尔麻痹家族史
  • 糖尿病

诊断性检查

首要检查

  • 临床诊断
  • 电神经描记 (ENoG)(诱发肌电图- eEMG)
  • 针极肌电图 (EMG)
  • 伯氏疏螺旋体血清学检测
更多 首要检查

需考虑的检查

  • 纯音测听
  • 鼓室测量法和镫骨肌反射
  • MRI(面神经分布区域钆增强的精细扫描)
  • CT(精细,非增强)
更多 需考虑的检查

治疗流程

急性处理

撰稿人

Professor of Otology and Laryngology

Director, Division of Facial Plastic and Reconstructive Surgery and Director, Facial Nerve Center

President, Sir Charles Bell Society

Massachusetts Eye and Ear Infirmary and Harvard Medical School

Boston

MA

利益声明

TH declares that she has no competing interests.

Fellow

Division of Facial Plastic and Reconstructive Surgery

Massachusetts Eye and Ear Infirmary

Boston

MA

利益声明

NJ holds a patent on the methods and systems for functional electrical stimulation of the paralysed face (WO2017124019A1).

Dr Tessa Hadlock and Dr Nathan Jowett would like to gratefully acknowledge Dr Vishnu Madhok, Dr Iain Swan, Dr Pauline Lockhart, Dr Michael Norbury, and Dr John Gail Neely, previous contributors to this topic. VM, IS, PL, MN, and JGN declare that they have no competing interests.

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Consultant Neurologist

Barts Health NHS Trust

London

UK

利益声明

GE is involved in a number of clinical trials on multiple sclerosis sponsored by Genzyme, Roche, Teva, Novartis, Biogen, as well as one funded by the MRC. He is also involved in clinical trials sponsored by Allergan, NMT Medical, GlaxoSmithKline (GSK), Bristol-Myers, the UK's Parkinson's Disease Research Group, and Pharmacia. In addition, he has attended lectures, conferences and symposia with the following companies - GSK, Astra Zeneca, MSD, Almirall, Pfizer, Menarini, Allergan, Biogen, Teva, Conference Plus, Infomed, BMJ.

Major

US Air Force

MC Program Director

Department of Neurology

MMCN

Wilford Hall Medical Center

Lackland Air Force Base

TX

利益声明

PG declares that he has no competing interests.

Consultant in ENT/Thyroid Surgery

Arrowe Park Hospital

Upton

Wirral

UK

利益声明

VS declares that he has no competing interests.

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