A Study on Patients with Bell’s Palsy and Ramsay Hunt Syndrome

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  • 入院加療を行ったBell麻痺およびRamsay Hunt症候群の検討
  • ニュウイン カリョウ オ オコナッタ Bell マヒ オヨビ Ramsay Hunt ショウコウグン ノ ケントウ

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<p>Peripheral facial nerve palsy is more frequent in Bell’s palsy and Ramsay Hunt syndrome. We performed a retrospective review of the data of 67 patients with Bell’palsy (29 males, 38 females; median age, 63 years) and 18 patients with Ramsay Hunt syndrome (6 males, 12 females; median age, 53.5 years) diagnosed between April 2015 and March 2020. In the patient group with Bell’s palsy, the initial paralysis score was ≤ 8 in 21 patients (31.3%), 10–18 in 28 patients (41.8%), and ≥ 20 in 18 patients (26.9%), and the final paralysis score was 40 in 45 patients (65.7%), 36 to 38 in 11 patients (16.4%), 32 to 34 in 2 patients (3.0%), 20 to 30 in 7 patients (10.4%), and 10–18 in 2 patients (3.0%). Bell’s palsy was cured in 56 of 67 the patients, corresponding to a cure rate of 83.6%. In the patient group with Ramsay Hunt syndrome, the initial paralysis score was ≤ 8 in 9 patients (50.0%), 10–18 in 6 patients (33.3%), and ≥ 20 in 3 patients (16.7%) and the final paralysis score was 40 in 8 patients (44.4%), 36–38 in 3 patients (16.7%), 32–34 in 2 patients (11.1%), 20–30 in 2 patients (11.1%), and 10–18 in 2 patients (11.1%). Ramsay Hunt syndrome was cured in 11 of the 18 patients, corresponding to a cure rate of 61.1%. The findings of electroneurography were found to be associated with cure/non-cure in patients with Bell’s palsy, whereas the initial paralysis score was significantly associated with the prognosis in patients with Ramsay Hunt syndrome.</p>

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