안면 신경 마비 환자의 측두골 자기공명영상 소견:벨마비 및 귀 대상포진의 비교

박시내; 이석은; 김현수; 박경호; 박준욱; 김범수; 곽봉기; 여상원; 정소령

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자료유형: 학술저널

저자정보: 박시내 이석은 김현수 박경호 박준욱 김범수 곽봉기 여상원 정소령

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제7호

발행연도: 2005.1

수록면: 854 - 858 (5page)

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Background and Objectives：Magnetic resonance imaging (MRI) is a valuable and important tool for use in diagnosing and investigating diseases affecting the facial nerve. However, there are few reports investigating the difference in the MRI findings of Bell’s palsy and Ramsay Hunt syndrome. in order to evaluate the difference in the clinical values regarding these two groups of facial nerve palsy syndrome. In this study, we observed the MRI findings to investigate the value of MRI and its clinical significance in those two different groups of facial nerve palsy. Subjects and Method：Fourty-eight patients of Bell’s palsy or herpes zoster oticus, who were admitted to Kangnam St. Mary’s Hospital from January 1998 to December 2003, were selected to assess the results of gadolinium enhanced MRI. The frequency and the site of the facial nerve enhancement and its correlation with electroneuronography (ENoG), the time interval of the palsy to MRI, and initial ESR levels were observed in both groups of facial nerve palsy. Results：On gadolinium enhanced MRI, 16 of 24 patients with Bell’s palsy and 22 of 24 patients with herpes zoster oticus had contrast enhancement in the meatal, labyrinthine segments and geniculate ganglion. The number of enhanced segments was significantly larger in the patients with herpes zoster oticus than in the patients with Bells palsy (p<0.05). There has been significant correlation between the number of enhanced segment of the facial nerve and the result of ENoG in the patients with herpes zoster oticus (p<0.05). Conclusion：Gadolinium enhanced MRI (Gd-MRI) studies may predict the extent of lesion within the course of the facial nerve and its clinical value as a prognostic factor could be suggested in patients with herpes zoster oticus.

#벨마비·귀 대상포진·자기공명영상. #Bell's palsy·Herpes zoster oticus·MRI.

참고문헌 (16)

참고문헌 신청

Ahlstrom H / 1997 / Jonsson L. Serial gadolinium-enhanced MRI and assessment of facialnerve involvement in Bell？s palsy. Otolarygol Head Neck Surg 1997 : 559 ~ 66

Bohmer A / 1996 / Fisch U.Correlation on MRI : 154 ~ 61

Cha CI / / Ahn HY. Gadolinium enhancedMRI finding of Bell？s palsy and herpes zoster oticus. Korean J Otolaryngol1993 : 498 ~ 505

Fischbach R / 2000 / Stennert E. Limitationsof magnetic resonance imaging in the evaluation of perineuraltumor spread causing facial nerve paralysis. Arch OtolaryngolHead Ne

Jonsson L / 1995 / Thuomas KA. Gadolinium-DPTAEnhanced MRI in Bell？s Palsy and Herpes Zoster Oticus An Overviewand Implications for Future Studies. Acta Otolaryngol 1995 : 5

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