Refractory Bell’s palsy responding to late treatment with high-dose intravenous steroids
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Bell’s palsy is an acute peripheral facial paralysis with no detectable cause. Although the prognosis of Bell’s palsy is generally good, some patients experience poor recoveries and there is no established treatment for those that do not recover even after receiving the conventional treatment. Here we present two cases of refractory Bell’s palsy with facial nerve enhancement in magnetic resonance imaging who showed symptomatic improvement after the late administration of high-dose intravenous methylprednisolone.
Abstract
Bell’s palsy is an acute peripheral facial paralysis with no detectable cause. Although the prognosis of Bell’s palsy is generally good, some patients experience poor recoveries and there is no established treatment for those that do not recover even after receiving the conventional treatment. Here we present two cases of refractory Bell’s palsy with facial nerve enhancement in magnetic resonance imaging who showed symptomatic improvement after the late administration of high-dose intravenous methylprednisolone.
참고문헌 (10)
- Holland NJ, "Recent developments in Bell’s palsy", BMJ, 329, pp.553~557 (2004)
- Peitersen E, "Bell’s palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies", Acta Otolaryngol Suppl, (549), pp.4~30 (2002)
- Kress B, "Bell palsy : quantitative analysis of MR imaging data as a method of predicting outcome", Radiology, 230, pp.504~509 (2004)
- Yoo MC, "Evaluation of factors associated with favorable outcomes in adults with Bell palsy", JAMA Otolaryngol Head Neck Surg, 146, pp.256~263 (2020)
- Fisch U, "Prognostic value of electrical tests in acute facial paralysis", Am J Otol, 5, pp.494~498 (1984)
- Donati D, "Successful response of non-recovering Ramsay Hunt syndrome to intravenous high dose methylprednisolone", J Neurol Sci, 318, pp.160~162 (2012)
- May M, "Acute Bell’s palsy: prognostic value of evoked electromyography, maximal stimulation, and other electrical tests", Am J Otol, 5, pp.1~7 (1983)
- Tien RD, "Herpes trigeminal neuritis and rhombencephalitis on Gd-DTPA-enhanced MR imaging", AJNR Am J Neuroradiol, 11, pp.413~414 (1990)
- 김인섭, "Correlation between MRI and Operative Findings in Bell's Palsy and Ramsay Hunt Syndrome", Yonsei Medical Journal, 48(6), pp.963~968 (2007), 연세대학교의과대학
- Coutinho AE, "The anti-inflammatory and immunosuppressive effects of glucocorticoids, recent developments and mechanistic insights", Mol Cell Endocrinol, 335, pp.2~13 (2011)