Clinical features of infants with acute facial palsy

DOI 13 References
  • Tanaka Manabu
    Division of Neurology, Saitama Children's Medical Center
  • Adachi Nodoka
    Division of Otorhinolaryngology, Saitama Children's Medical Center
  • Asanuma Satoshi
    Division of Otorhinolaryngology, Saitama Children's Medical Center
  • Sakata Hideaki
    Department of Speech, Language and Hearing Therapy, Faculty of Health Sciences, Mejiro University
  • Kaga Kimitaka
    National Institute of Sensory Organs, National Hospital Organization Tokyo Medical Center

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  • 2 歳未満で発症した後天性顔面神経麻痺症例の検討

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Abstract

  To characterize the clinical course and treatment of acute facial nerve palsy (FNP) in cases up to two years of age, seven cases were reviewed retrospectively. The cases were referred to Saitama Children's Medical Center for neurological evaluation of acute FNP between January 2002 and December 2011. The mean age of onset was 1.3 years (1.0–1.8 years). Causes of FNP were infection (3) including acute otitis media and initial infection of herpes simplex, Bell's idiopathic palsy (3), and trauma (1). All patients in this study have recovered almost completely, and the recovery period was between one week and four months. One case had a relapse but was mostly recovered from symptoms after four months. Clinical evaluation of isolated facial movements of all cases was conducted using the Yanagihara grading system in the first week after onset, but it was inadequate. Therefore, appropriate methods for evaluation of FNP in children and infants are required.

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