Causative factors and prodromal symptoms of facial nerve palsy

概要

論文の詳細を見る
We studied the causative factors and prodromal symptoms of facial nerve palsy by questionnaires given to 219 patients who were seen between 1978 and 1982 at Hyogo College of Medicine and between 1996 and 2004 at Chibune Hospital and Osaka Dental University. Each patient was asked to select his or her most likely causative factors (physiological or psychological) of facial palsy and the most dominant symptom from a list. The two most prominent causative factors reported for facial nerve palsy could roughly be divided into the two categories of physiological (65.3%) and psychological (16.9%). These results did not differ greatly between Bell's palsy (BP) and Hunt syndrome (HS). Prodromal symptoms were also of two forms: those specific to viral infection, such as facial pain and vertigo, and those thought caused by disturbances in the autonomic nervous system (ANS), such as stiffness in the shoulders and headaches. While disturbances in the ANS seem to be the major cause of BP, viral infections seemed predominant as the cause of HS. These results were based on the assumption that damage to the facial nerve in BP is predominantly caused by strangulation in the fallopian canal resulting from local disturbance in the ANS. Therefore, the disruption of the blood flow, which was directly caused by the viral infection, was more important than neuritis,. We discussed the relationship of stress, reactivation of the neural virus, and disturbances in blood flow in the fallopian canal.
大阪歯科学会の論文

Causative factors and prodromal symptoms of facial nerve palsy

スポンサーリンク

概要

著者

関連論文

スポンサーリンク