非介入性脉冲射频电流治疗2年未恢复贝尔氏麻痹1例报告

IF 1.9 4区 医学 Q4 NEUROSCIENCES
B. Phyllis
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引用次数: 0

摘要

患有贝尔氏麻痹或单侧面部轻瘫的患者由于其他影响面部神经的疾病如拉姆齐·亨特症,医源性或疾病,他们经常发现他们的病情会导致面部肌肉的长期轻瘫,对他们的生活产生功能,心理和社会影响。以往对面神经在茎突孔处发生的局部炎症,采用超声、非刺激性电流和对受损面部肌肉的电功能肌肉刺激治疗,往往不能恢复面部受累侧的全部功能。非介入性脉冲射频(NI-PRF)电流可以刺激面神经,在第七神经主干及其伴随分支的面部上、中、下区域产生束状反应,从而改善运动功能。这在急性贝尔氏麻痹的第一次治疗中立即开始,只需要4-6次治疗就可以帮助大多数患者。以前认为无法恢复的长期疾病(多年后)已经恢复了运动控制,这通常发生在治疗1 - 3个月之间。必要的治疗不一定是连续的,可以在上述期间每周两次甚至每周一次。即使治疗中断,病情也会继续改善。这将对这些患者既经济又有效地节省时间。本报告讨论了一个持续2年未恢复的贝尔麻痹的主要病例史,并在仅仅6次治疗后显示出明显的改善。电针通常包括在上述治疗中,作为增加循环和改善肌肉活动的辅助手段
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case Report on a Patient With Unrecovered Bell’s Palsy of 2 Years Duration Treated With Non-Interventional Pulsed Radio Frequency Electrical Current
Patents with unrecovered Bell’s palsy or a mono facial paresis from other conditions that affect the facial nerve as in Ramsey Hunt disorder, iatrogenicity or disease, often find that their condition causes long term paresis in the facial muscles with functional, psychological and social impacts upon their lives. Previous treatments to the local inflammation occurring in the facial nerve as it exits the stylomastoid foramen with ultrasound, non-stimulating electrical currents and electrical functional muscle stimulation of the compromised facial muscles, often do not restore full function to the affected side of the face. A non-interventional pulsed radio frequency (NI-PRF) electrical current has been observed to stimulate the facial nerve with fasciculations occurring in the main branch of the VII th nerve and its concomitant branches to the upper, middle and lower areas of the face resulting in improved motor function. This commences immediately within the first treatment in acute Bell’s Palsy and only 4-6 treatments are required to assist most patients. Prolonged conditions that were previously thought unrecoverable (after years) have restored motor control and this usually occurs between 1 – 3 months of treatment. Treatment requisite does not have to be continuous and can be given twice weekly or even once weekly over the period mentioned above. Even if treatment is interrupted the condition continues to improve. This would have both an economic and efficient time saving impact on these patients. The main case history of an unrecovered Bell’s palsy of 2 years duration is discussed in this report and demonstrates marked improvement after only six treatments. Electroacupuncture is often included in the above treatments as an adjunct to increase circulation and improve muscle activity
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来源期刊
CiteScore
5.40
自引率
3.60%
发文量
22
审稿时长
>12 weeks
期刊介绍: This interdisciplinary journal publishes papers relating to the plasticity and response of the nervous system to accidental or experimental injuries and their interventions, transplantation, neurodegenerative disorders and experimental strategies to improve regeneration or functional recovery and rehabilitation. Experimental and clinical research papers adopting fresh conceptual approaches are encouraged. The overriding criteria for publication are novelty, significant experimental or clinical relevance and interest to a multidisciplinary audience. Experiments on un-anesthetized animals should conform with the standards for the use of laboratory animals as established by the Institute of Laboratory Animal Resources, US National Academy of Sciences. Experiments in which paralytic agents are used must be justified. Patient identity should be concealed. All manuscripts are sent out for blind peer review to editorial board members or outside reviewers. Restorative Neurology and Neuroscience is a member of Neuroscience Peer Review Consortium.
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