An electrophysiological prognostic diagnosis for facial palsy
An electrophysiological prognostic diagnosis for facial palsy
复制标题
面瘫的电生理预后诊断
DOI：
10.1016/j.anl.2022.08.010
复制
发表时间：
2023
影响因子：
1.7
通讯作者：
Haginomori Shin-Ichi
中科院分区：
文献类型：
--
作者：
尾﨑 昭子;綾仁 悠介;萩森 伸一;Haginomori Shin-Ichi
本文综述了面神经麻痹的两种电生理检查方法-神经电图（ENoG）和神经兴奋性试验（NET）。ENoG比NET具有优势，因为它反映了变性的面神经纤维的百分比，并可以提供准确的预后。然而，作为缺点，ENoG需要大型、昂贵的设备，并且这种超大电刺激对于患者来说可能是相当痛苦的。NET的疼痛程度较低，因为刺激较弱，电流刚好满足阈值，所需的设备紧凑且价格低廉。然而，无法计算变性神经纤维的百分比，并且NET在准确预测面瘫预后方面不如ENoG。ENoG和NET的适当时机都是发病后7至10天。虽然ENoG已被证明比NET更受欢迎，因为它的准确性预测预后，我们不应该预测面神经麻痹的预后仅根据结果的电生理检查;全面的评估，包括面肌分级系统是必不可少的。
Two electrophysiological tests for facial palsy—electroneurography (ENoG) and nerve excitability test (NET)—were reviewed. ENoG has advantages over NET in that it reflects the percentage of degenerated facial nerve fibers and can provide an accurate prognosis. However, as disadvantages, ENoG requires large, expensive equipment, and such supramaximal electrical stimulation can be quite painful for patients. NET is less painful due to weak stimulation with just enough current to meet the threshold, and the required equipment is compact and inexpensive to procure. However, it is impossible to calculate the percentage of degenerated nerve fibers, and NET is inferior to ENoG in terms of accurate prognostic prediction for facial palsy. The appropriate timing for both ENoG and NET is 7 to 10 days after the onset. While ENoG has proven more popular than NET because of its accuracy for prognostic prediction, we should not predict the prognosis of facial palsy based solely on the results of electrophyisiolgical examinations; a comprehensive evaluation including the facial muscle grading system is essential.