由脑干梗塞起的中枢性面神经麻痹,不伴肢体病变者,临床少见,我们遇误诊1例,报告如下.患者,女,61岁,家庭妇女.患者自感轻微头晕,进食时食物常滞留于齿颊间隙,轻流口水,嘴角轻歪近1个月,加重3天.当时诊断为“周围性面神经麻痹”,施针灸、理疗20余天,效果不明显.查体:BP12.0/8.0kPa,左侧鼻唇沟变浅,口角向右歪斜,左侧鼓腮噘嘴不能,左嘴角有少许口涎流出,伸舌舌 From the brain stem infarction central facial paralysis, without limb disease, clinical rare, we encounter 1 case of misdiagnosis, the report is as follows.Patients, female, 61 years old, domestic women .Some patients feel a slight dizziness, food often stranded In the cheek gap, drooling, mouth lightly crooked nearly 1 month, aggravating 3 days .At that time was diagnosed as “peripheral facial paralysis”, acupuncture and moxibustion, physical therapy for more than 20 days, the effect is not obvious. Physical examination: BP12.0 / 8.0 kPa, the left nasolabial fissure shallow, skewed to the right corner of the mouth, the left drum cheek pouting can not, left mouth a little mouth saliva outflow, stretching tongue