PDF(Pubmed)
Abstract：
UNASSIGNED: Peripheral-type facial palsy could be caused by a lesion in the tegmentum of the pons, such as infarction, with a rare occurrence. We herein described a case of unilateral peripheral-type facial palsy induced by dorsolateral pontine infarction and treated this patient using modified hypoglossal-facial nerve anastomosis.
UNASSIGNED: A 60-year-old female presented with dizziness, hearing drop, diplopia, and peripheral-type facial palsy. Brain Magnetic Resonance Imaging showed a dorsolateral pontine infarction on the right side which exactly refers to the location of the ipsilateral facial nucleus or facial nerve fascicles at the pons. Subsequent electrophysiological examinations confirmed poor facial nerve function of this patient and modified hypoglossal-facial nerve anastomosis was then performed.
UNASSIGNED: This case reminded medical practitioners not to ignore the possibility of involvement of a central cause in peripheral-type facial palsy patients. In addition, modified hypoglossal-facial nerve anastomosis served as a useful skill improvement that may help reduce hemiglossal dysfunction while restoring facial muscle function.
UNASSIGNED: A 60-year-old female presented with dizziness, hearing drop, diplopia, and peripheral-type facial palsy. Brain Magnetic Resonance Imaging showed a dorsolateral pontine infarction on the right side which exactly refers to the location of the ipsilateral facial nucleus or facial nerve fascicles at the pons. Subsequent electrophysiological examinations confirmed poor facial nerve function of this patient and modified hypoglossal-facial nerve anastomosis was then performed.
UNASSIGNED: This case reminded medical practitioners not to ignore the possibility of involvement of a central cause in peripheral-type facial palsy patients. In addition, modified hypoglossal-facial nerve anastomosis served as a useful skill improvement that may help reduce hemiglossal dysfunction while restoring facial muscle function.
摘要：
■周围型面神经麻痹可由脑桥被膜损伤引起，如梗塞，一个罕见的事件。我们在此描述了一例由桥背外侧梗死引起的单侧周围型面神经麻痹，并使用改良的舌下神经-面神经吻合术对该患者进行了治疗。
■一名60岁的女性出现头晕，听力下降,复视,和周围型面神经麻痹。脑磁共振成像显示右侧脑桥背外侧梗死，确切地说是指脑桥上同侧面核或面神经束的位置。随后的电生理检查证实该患者的面神经功能较差，然后进行了改良的舌下神经-面神经吻合术。
■此病例提醒医生不要忽视周围型面神经麻痹患者中央病因的可能性。此外,改良的舌下神经-面神经吻合术是一项有用的技能改进，可能有助于减少半舌管功能障碍，同时恢复面部肌肉功能。
■一名60岁的女性出现头晕，听力下降,复视,和周围型面神经麻痹。脑磁共振成像显示右侧脑桥背外侧梗死，确切地说是指脑桥上同侧面核或面神经束的位置。随后的电生理检查证实该患者的面神经功能较差，然后进行了改良的舌下神经-面神经吻合术。
■此病例提醒医生不要忽视周围型面神经麻痹患者中央病因的可能性。此外,改良的舌下神经-面神经吻合术是一项有用的技能改进，可能有助于减少半舌管功能障碍，同时恢复面部肌肉功能。
