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Rehabilitation Practice and Science

Translated Title

雙側面神經麻痺：病例報告暨文獻回顧

Abstract

Bilateral peripheral facial palsy (BPFP) is a rare disease. It occurs in less than one percent of patients with facial palsy. The average annual incidence rate is 0.13 to 0.2 persons per million. The etiologies of BPFP differ a little from those of unilateral peripheral facial palsy. The diagnosis depends on a series of complete examinations. We reported two cases with BPFP. One was bilateral simultaneous, and the other was bilateral alternating type. Case one was a patient with Guillain-Barre syndrome. His residual bilateral facial palsy lasted more than two months after the paresis of four limbs had subsided. The other was a case with recurrent Bell’s palsy. We also discussed Bell’s palsy and other potential diseases, such as Ramsay-Hunt’s syndrome, Heerfordt’s syndrome, myasthenia gravis, and neoplasm etc. The most common cause of BPFP is Guillain-Barre syndrome. Bell’s palsy is the second. Nevertheless, other etiologies are also reported in literatures, e.g. infection, trauma, and neoplasm etc. Because the diagnosis of Bell’s palsy is established after excluding other possible etiologic diseases, it is important to perform a series of complete examinations for patients with BPFP. The prognosis is predicted by electrodiagnostic tests. The amplitude of compound muscle action potentials was found to be the most valuable. The goal of treatment is to prevent the occurrence of the sequelae. Conservative treatment with electric stimulation and the manipulation of neuromuscular rehabilitation promote the recovery of the nerve function.

Language

Traditional Chinese

First Page

191

Last Page

200

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