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顏面神經麻痺之病例報告

Case Report of Facial Palsy

摘要


顏面神經麻痺臨床上可分為中樞性與周圍性兩大類,文獻報告中常見的是,指莖乳突孔內急性非化膿性炎症,引起組織急性水腫,面神經受壓,而引起的周圍性面神經損害,又稱貝耳氏麻痺(Bell's palsy),臨床治療配合針灸,療效甚佳。本個案非貝耳氏麻痺,患病已5年之久,自民國90年起到目前,共診治126次,左側顏面神經麻痺、抽搐,療效不佳,經西醫核磁共振(MRI)檢查,發現第7、8對腦神經受到血管壓迫所致,建議開刀治療,病人畏懼,拒絕開刀,希望持續中醫治療而得到緩解。

並列摘要


The facial palsy can be divided into axial type and periphery type. In the literature, it means the acute oedema caused by the inflammation of stylomastoid foramen. Then the facial nerve is pressured to form periphery type damage of facial nerve, it is also called Bell's palsy. The clinical treatment with acupuncture can get very good therapy effect. The case is not Bell's palsy. The patient suffered it for 5 years, and got 126 times of treatment since 2001. The therapy was not good for left facial palsy. It was found the 7th and 8th pairs of brain nerve were oppressed by blood vessel through nuclear magnet resonance (MRI) inspection. It was recommended to conduct surgery. But the patient was afraid of surgery and hoped Chinese medicine treatment could get good effect.

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