BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 单次发作
  • 单侧
  • 不存在全身症状
  • 累及所有神经分支

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

  • 上呼吸道感染
  • 黑色或西班牙裔人种
  • 干旱/寒冷气候
  • 高血压

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)
  • 伯氏疏螺旋体菌血清学检查
全部具体信息

需要考虑的检查

  • 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)
全部具体信息

治疗流程

急性

贡献者

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

利益冲突披露
TH declares that she has no competing interests.

Fellow

Division of Facial Plastic and Reconstructive Surgery

Massachusetts Eye and Ear Infirmary

Boston

MA

利益冲突披露
NJ declares that he has no competing interests.

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 monograph. 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

利益冲突披露
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

利益冲突披露
PG declares that he has no competing interests.

Consultant in ENT/Thyroid Surgery

Arrowe Park Hospital

Upton

Wirral

UK

利益冲突披露
VS declares that he has no competing interests.

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