双侧面神经麻痹伴感觉异常的临床特点(附1例报告)  

Clinical features of bifacial weakness with paresthesias( report of 1 case)

作　　者：张凯琳 肖波[1] 田发发[1] 李静[1] 李楠[2] 

机构地区：[1]中南大学湘雅医院神经内科,长沙410008 [2]中南大学湘雅医院神经内科神经退行性疾病湖南省重点实验室,长沙410008

出　　处：《临床神经病学杂志》2018年第1期54-56,共3页Journal of Clinical Neurology

基　　金：国家自然科学基金资助项目(81471225)

摘　　要：目的探讨双侧面神经麻痹伴感觉异常(BFP)的临床特点。方法对1例BFP患者的临床资料进行回顾性分析。结果本例患者为青年男性,急性起病,以双侧面神经麻痹及肢体远端感觉异常为主要表现,腱反射减弱/消失。腰穿CSF检查提示蛋白-细胞分离,EMG示右拇短展肌神经源性损害和双下肢F波延迟。结论患者出现双侧面神经麻痹合并肢体远端感觉异常,伴有腱反射减弱/消失,但无眼外肌麻痹、共济失调和肢体/颈部无力时,结合CSF、EMG检查,应考虑BFP可能。Objective To explore the clinical features of bifacial weakness with paresthesias （BPF）. Methods The clinical data of 1 BFP patient was analyzed retrospectively. Results This patient was a young man with acute onset of bifacial weakness and distal paresthesias as the main manifestation. Physical examination showed limb hyporeflexia/arefiexia. Lumbar puncture and CSF testing indicated albuminocytological dissociation. EMG revealed neurogenic damage of right abductor pollicis brevis and F-wave delay of both lower extremities. Conclusion For patient with bifacial weakness, distal paresthesias, hyporeflexia/areflexia but without ophthalmoplegia, ataxia or limb weakness, with CSF and EMG examination, the possibility of BFP should be considered.

关 键 词：双侧面神经麻痹伴感觉异常 Guillain—Barré综合征 

分 类 号：R745.1[医药卫生—神经病学与精神病学]