Investigation of prognostic diagnosis with enhanced MRI for peripheral facial nerve palsy

  • MIURA Hiroko
    Department of Anesthesiology, School of Medicine, Iwate Medical University
  • SUZUKI Kenji
    Department of Anesthesiology, School of Medicine, Iwate Medical University
  • SUZUKI Tasuku
    Department of Anesthesiology, School of Medicine, Iwate Medical University
  • OOHATA Mitsuhiko
    Department of Anesthesiology, School of Medicine, Iwate Medical University
  • NAKASATO Tatsuhiko
    Department of Radiology, School of Medicine, Iwate Medical University

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Other Title
  • 末梢性顔面神経麻痺の造影MRI所見と予後予測に関する検討
  • マッショウセイ ガンメン シンケイ マヒ ノ ゾウエイ MRI ショケン ト ヨゴ ヨソク ニ カンスル ケントウ

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Abstract

We investigated to determine the utility of enhanced MRI as a prognostic examination for peripheral facial nerve palsy retrospectively. Fifty-five patients with that disease were classified into two groups. Group A was found with positive enhanced effect along facial nerve (n=35); group B was not found with that effect (n=20). The clinical course of patients was compared between the groups, and relevance between rates of complete healing and concomitant symptoms (pain, eruption of herpes zoster, taste disturbance, hyperacusis, secretory disturbance of tear, and enhanced effect of MRI) were researched. The frequencies of hospitalization and cervical sympathetic nerve block were more in group A. The lowest facial palsy score and the value of an electroneurography within 1 week after the onset were higher in group B. The rate of complete cure was 71.4% in group A; in group B it was 100%. Only those found with enhanced MRI were correlated with a rate of complete cure. We concluded that enhanced MRI is useful for prognostic evaluation of peripheral facial nerve palsy.

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