双侧放射状冠梗死表现为单侧周围性面瘫1例。

IF 2.2 3区医学 Q3 CLINICAL NEUROLOGY

BMC Neurology Pub Date : 2025-04-23 DOI:10.1186/s12883-025-04195-4

Gao Zheng-Hua, Lu Yao, Lin Song-Jun, Cai Hao-Bin, Cai Tian-Tian

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引用次数: 0

摘要

男，56岁，右侧嘴角、眼睑下垂，左下肢无力。MRI显示左侧为放射状腔隙性脑梗死，右侧为急性脑梗死。然而，针肌电图（EMG）结果不显著。经确定，他的单侧周围性面瘫（PFP）样症状继发于双侧辐射冠性梗死。本病例强调一些脑中风患者可能出现pfp样症状。为了减少误诊，临床医生应考虑中心病变表现为PFP的可能性。

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Infarction in bilateral corona radiata presented as unilateral peripheral facial paralysis: a case report.

A 56-year-old man presented with right-sided drooping of the mouth corner and eyelid, along with weakness in the left lower limb. His MRI revealed a corona radiata lacunar infarction on the left and an acute infarction on the right. However, the needle electromyography (EMG) results were unremarkable. It was determined that his unilateral peripheral facial paralysis (PFP)-like symptoms were secondary to bilateral corona radiata infarctions. This case highlights that some patients with cerebral strokes may present with PFP-like symptoms. To minimize misdiagnosis, clinicians should consider the possibility of central lesions manifesting as PFP.

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来源期刊

BMC Neurology 医学-临床神经学

CiteScore

4.20

自引率

0.00%

发文量

428

审稿时长

3-8 weeks

期刊介绍： BMC Neurology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of neurological disorders, as well as related molecular genetics, pathophysiology, and epidemiology.