Facial asymmetry in superior oblique muscle palsy.
Facial asymmetry in superior oblique muscle palsy.
复制标题
上斜肌麻痹的面部不对称。
DOI：
10.3928/0191-3913-19930901-11
复制
发表时间：
1993
影响因子：
1.2
通讯作者：
J. Hoxie
中科院分区：
文献类型：
--
作者：
M. E. Wilson;J. Hoxie
面部不对称是先天性或极早发作的上级斜肌麻痹中斜颈的一种未被认识到的关联或后遗症，当存在于成人时，有助于确认慢性性并防止不必要的神经学评估。对19例上级斜肌麻痹患者进行了前瞻性研究。在12例成年期出现的单侧麻痹中，9例被认为是先天性的，其中7例（77%）有面部不对称。大的垂直融合性聚散幅度和斜颈，回顾童年的照片，证实了早期发病的麻痹，在每个面部不对称的患者。此外，两名18个月和3岁的儿童出现头部持续倾斜，面部不对称。如果斜颈在面部结构发育成熟之前矫正，不对称性可能会消失。
Facial asymmetry is an underrecognized association or sequela of torticollis in congenital or very early onset superior oblique muscle palsy, which when present in an adult, helps to confirm chronicity and prevent unnecessary neurologic evaluation. Nineteen cases of superior oblique muscle palsy were studied prospectively. Of 12 unilateral palsies presenting in adulthood, 9 were considered congenital by history and 7 (77%) of these had facial asymmetry. Large vertical fusional vergence amplitudes and torticollis, on review of childhood photographs, confirmed the early onset of the palsy in each facial asymmetry patient. In addition, two children presenting at age 18 months and 3 years of age with constant head tilting had facial asymmetry. If torticollis is corrected before maturation of the facial structure, resolution of the asymmetry may occur.