贝尔的麻痹和面部麻痹之间的区别

关键区别 - 贝尔的麻痹与面部麻痹

Structuralor functional damage to the facial nerve can give rise to a weakness of the facial muscles known as facial nerve palsy. Infection of the facial nerve within the bony facial canal of the petrous bone causes the facial nerve to swell, giving rise to a set of clinical manifestations that are identified as the Bell’s palsy.这是贝尔的麻痹和面部麻痹之间的主要区别。

Facial palsy or面神经麻痹是面部肌肉对面神经的结构或功能损害后的弱点。当这种弱点发生在被称为铃铛的麻痹的神经感染之后。因此，贝尔的麻痹是造成面部神经麻痹的原因之一。

内容

1.Overview and Key Difference
2.贝尔的麻痹是什么
3.What is Facial Palsy
4.Similarity Between Bell’s Palsy and Facial Palsy
5.并排比较 - 贝尔的麻痹与表格形式的面部麻痹
6.概括

贝尔的麻痹是什么?

Infection of the facial nerve within the bony facial canal of the petrous bone causes the facial nerve to swell. This gives rise to a set of clinical manifestations that are identified as the Bell’s palsy. In most of the cases,单纯疱疹病毒is the infective agent. Within 24-48 hours from the onset of the infection, the patient develops a lower motor type facial nerve palsy.

临床特征

• 一半脸的弱点
• Pain behind the ear
• Hyperacusis
• Altered sensation of taste

贝尔的麻痹is usually diagnosed clinically, and no tests are required.

管理

患者在大部分时间内即使在没有特定治疗的情况下都在3-8周内完全康复。在早期阶段用皮质类固醇治疗可能有助于改善结果。应研究贝尔的麻痹的复发，以识别诸如艾滋病毒之类的任何潜在疾病。

What is Facial Palsy?

面神经是第七对颅神经，它提供了面部表情的肌肉。它还支配了耳朵的stapedius肌肉。对面神经的结构或功能损害会导致面部肌肉的弱点。这被称为面神经麻痹。

Unilateral Facial Nerve Palsy

Unilateral facial nerve palsy can occur in two forms:

• Upper motor lesions

脸部的上半部从两个面神经中接收感官供应。但是，面部的下半部分仅由对侧面神经支配。因此，单侧上运动神经病变只会导致对侧面部肌肉下半部分析。

• Lower motor lesions

A unilateral lower motor lesion will cause ipsilateral hemifacial paralysis.

Causes

• 小脑角度的肿瘤
• 贝尔的麻痹
• Trauma
• Middle ear infection
• Ramsay Hunt syndrome
• Parotid gland tumors
• Stroke

Bilateral Facial Nerve Palsy

In contrast to the unilateral facial nerve palsy, there is no asymmetry in the bilateral facial nerve palsy and this makes the clinical identification of the disease bit difficult.

Causes

• Infections such asLyme disease和HIV seroconversion
• 结节病
• Skull base trauma
• Pontine lesions
• Neuromuscular disorders such asGuillan barre和myasthenia
• Rare genetic and congenital diseases

为鉴定该疾病和管理模式而进行的调查根据潜在疾病有所不同。

什么是面神经麻痹和足总之间的相似性cial Palsy?

• Structural or functional damage to the facial nerve is the underlying pathology in both conditions

贝尔的麻痹和面部麻痹有什么区别？

Ptosis and Blepharoplasty
Infection of the facial nerve within the bony facial canal of the petrous bone causes the facial nerve to swell. This gives rise to a set of clinical manifestations that are identified as the Bell’s palsy.	对面神经的结构或功能损害会导致面部肌肉的弱点。这被称为面神经麻痹。
Cause
贝尔的麻痹是面部神经麻痹的原因之一。	Causes of unilateral facial nerve palsy 小脑角度的肿瘤 贝尔的麻痹 Trauma Middle ear infection Ramsay Hunt syndrome Parotid gland tumors Stroke Causes of bilateral facial nerve palsy Infections such as Lyme disease and HIV seroconversion 结节病 Skull base trauma Pontine lesions Neuromuscular disorders such as 吉兰·巴雷（Guillan Barre）和疗法 Rare genetic and congenital diseases
Diagnosis
贝尔的麻痹is usually diagnosed clinically, and no tests are required.	The choice of investigations depends on the clinical suspicion of the underlying cause.
Treatment and Management
患者在大部分时间内即使在没有特定治疗的情况下都在3-8周内完全康复。 在早期阶段用皮质类固醇治疗可能有助于改善结果。应调查贝尔的麻痹的复发，以识别诸如艾滋病毒之类的任何潜在疾病。	管理方式根据潜在疾病而变化。

摘要 - 贝尔的麻痹与面部麻痹

对面神经的结构或功能损害会导致面部肌肉的弱点。这被称为面神经麻痹。On the other hand, infection of the facial nerve within the bony facial canal of the petrous bone causes the facial nerve to swell. This gives rise to a set of clinical manifestations that are identified as the Bell’s palsy. Bell’s palsy is one cause of facial nerve palsy among hundreds of other causes.

Reference:

1. Kumar，Parveen J.和Michael L. Clark。Kumar＆Clark临床医学。爱丁堡：W.B。桑德斯，2009年。

Image Courtesy:

1. “Bells palsy diagram” By Patrick J. Lynch, medical illustrator – Patrick J. Lynch, medical illustrator(CC BY 2.5)viaCommons Wikimedia
2. “Head facial nerve branches” By Patrick J. Lynch, medical illustrator – Patrick J. Lynch, medical illustrator(CC BY 2.5)viaCommons Wikimedia