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老年病人,尤其是伴有诸如高血压等中风危险因素者,突然发生面神经瘫痪时,往往首先想到是中风。其实并不如此,作者例举四例这样的病人最后都确诊为Bell’s面瘫。例1,83岁,女性,舒张压在药物严密控制下仍始终高于94mmHg柱,75岁和80岁时曾发生左、右侧两次面瘫,然后恢复,最后确诊为Bell’s面瘫。例2,66岁,男性,胰岛素依赖型糖尿病20年,曾发生三次心肌梗塞,63岁行冠状动脉旁路移植术。在60、64岁时两次Bell’s面瘫而恢复。例3,69岁,女性,患高血压、高血脂和成人型糖尿病.69岁发生一次突发性复视,眩晕和面瘫,最后确定为由小血意外所致第七对面神经核性面瘫。例4,86岁,女性,患不稳定高血压伴多发性、
Elderly patients, especially those with risk factors such as stroke and stroke, often have a stroke first when they suddenly develop facial paralysis. In fact, not the case, the author cited four cases of such patients were finally diagnosed as Bell’s facial paralysis. For example, at the age of 18, women had diastolic blood pressure higher than 94mmHg under strict control of the drug. Left and right facial paralysis occurred at the age of 75 and 80 years and then recovered. Finally, Bell’s facial paralysis was confirmed. Example 2,66 years old, male, insulin-dependent diabetes for 20 years, had three myocardial infarction, 63-year-old coronary artery bypass grafting. Bell’s facial paralysis recovered at 60 and 64 years of age. Example 3, Age 69, Female, Hypertensive, Hyperlipidemic and Adult Diabetic. Sudden diplopia, vertigo and facial paralysis occurred at the age of 69 and were finally confirmed as the seventh facial nerve paralysis due to a small blood accident. Example 4, 86 years old, female, with unstable hypertension with multiple,
