Bell's palsy
Bell's palsy
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DOI：
10.1056/nejmcp041120
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发表时间：
2004-09-23
影响因子：
158.5
通讯作者：
Gilden, DH
中科院分区：
文献类型：
--
作者：
Gilden, DH
前言这篇日志以一个突出临床常见问题的病例小插曲开始。然后提出支持各种战略的证据，然后审查现有的正式准则。文章最后给出了作者的临床建议。阶段一位50岁的健康男性注意到他的脸右侧下垂。在检查中，面部不对称是明显的，一些唾液已经积累在病人的嘴的右侧。当病人试图闭上眼睛时，他的右眼并没有闭上，尽管它向上滚动，他无法显示他的牙齿或在右边膨胀他的脸颊。如何评价患者？他需要立即治疗吗？临床问题突发性单侧面瘫最常见的原因是中风和贝尔麻痹。病人的……
ForewordThisJournalfeature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.StageA healthy 50-year-old man notices that his face is drooping on the right side. On examination, facial asymmetry is evident, and some saliva has accumulated on the right side of the patient's mouth. When the patient attempts to close his eyes, his right eye does not close, although it rolls upward, and he is unable to show his teeth or inflate his cheek on the right. How should the patient be evaluated? Does he need immediate treatment?The Clinical ProblemThe most common causes of the abrupt onset of unilateral facial weakness are stroke and Bell's palsy. The patient's . . .