지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 103 - 109 (7page)
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초록· 키워드
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Objective To examine the neurophysiologic status in patients with idiopathic facial nerve palsy (Bell’s palsy) and Ramsay Hunt syndrome (herpes zoster oticus) within 7 days from onset of symptoms, by comparing the amplitude of compound muscle action potentials (CMAP) of facial muscles in electroneuronography (ENoG) and transcranial magnetic stimulation (TMS).Methods The facial nerve conduction study using ENoG and TMS was performed in 42 patients with Bell’s palsy and 14 patients with Ramsay Hunt syndrome within 7 days from onset of symptoms. Denervation ratio was calculated as CMAP amplitude evoked by ENoG or TMS on the affected side as percentage of the amplitudes on the healthy side. The severity of the facial palsy was graded according to House-Brackmann facial grading scale (H-B FGS).Results In all subjects, the denervation ratio in TMS (71.53±18.38%) was significantly greater than the denervation ratio in ENoG (41.95±21.59%). The difference of denervation ratio between ENoG and TMS was significantly smaller in patients with Ramsay Hunt syndrome than in patients with Bell’s palsy. The denervation ratio of ENoG or TMS did not correlated significantly with the H-B FGS.Conclusion In the electrophysiologic study for evaluation in patients with facial palsy within 7 days from onset of symptoms, ENoG and TMS are useful in gaining additional information about the neurophysiologic status of the facial nerve and may help to evaluate prognosis and set management plan.
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참고문헌 (25)
참고문헌 신청
Atolini N Jr. / 2009 / Facial nerve palsy : incidence of different ethiologies in a tertiary ambulatory / Int Arch Otorhinolaryngol 13 : 167 ~ 171
Devriese PP. / 1988 / The natural history of facial paralysis
Finsterer J. / 2008 / Management of peripheral facial nerve palsy / Eur Arch Otorhinolaryngol 265 : 743 ~ 752
Fisch U. / 1972 / Total intratemporal exposure of the facial nerve : pathologic findings in Bell’s palsy / Arch Otolaryngol 95 : 335 ~ 341
Furuta Y. / 1992 / Detection of varicella-zoster virus DNA in human geniculate ganglia by polymerase chain reaction / J Infect Dis 166 : 1157 ~ 1159
Devriese PP. / 1988 / The natural history of facial paralysis
Finsterer J. / 2008 / Management of peripheral facial nerve palsy / Eur Arch Otorhinolaryngol 265 : 743 ~ 752
Fisch U. / 1972 / Total intratemporal exposure of the facial nerve : pathologic findings in Bell’s palsy / Arch Otolaryngol 95 : 335 ~ 341
Furuta Y. / 1992 / Detection of varicella-zoster virus DNA in human geniculate ganglia by polymerase chain reaction / J Infect Dis 166 : 1157 ~ 1159
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