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Neurology：Melkersson-Rosenthal综合征伴永久性双侧面部无力

2019-01-31 zyx整理 神经科病例撷英拾粹

Bell麻痹水肿
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56岁的女性，多次Bell麻痹交替性发作，伴有下唇水肿和味觉障碍。

56岁的女性，多次Bell麻痹交替性发作，伴有下唇水肿和味觉障碍。面部麻痹和水肿仅部分消退，多年来患者丧失了微笑和亲吻的能力，并且在进食时出现流泪（图）。神经系统查体，皮肤检查，脑MRI和磁共振血管造影无殊。家族史阴性。莱姆病，结节病，HIV血清学检测阴性，HbA1C升高。Melkersson-Rosenthal是一种罕见的综合征，表现为交替性或双侧面部无力，巨舌，以及不太常见的皱襞舌（fissured tongue），有时候症状是永久性的。

（图：A：患者双侧轻度面部水肿，无法亲吻；B：患者双侧轻度面部水肿，无法微笑；C：患者舌头正常，没有褶皱）

原始出处：Rossi F, Tsakadze N, Rossi EM, Hoffmann M. Teaching NeuroImages: Melkersson-Rosenthal syndrome with permanent bilateral facialweakness. Neurology. 2019 Jan 1;

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    2019-12-14 anminleiryan

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    2019-05-09 yinhl1978

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    2019-02-02 lsndxfj

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    2019-02-02 zhouqu_8

    #综合征#

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    2019-02-02 wangbingxhy

    #双侧#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1878296, encodeId=ea1318e82965a, content=<a href='/topic/show?id=c157696175' target=_blank style='color:#2F92EE;'>#ERS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6961, encryptionId=c157696175, topicName=ERS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e93e105, createdName=anminleiryan, createdTime=Sat Dec 14 19:05:00 CST 2019, time=2019-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2000696, encodeId=b3e5200069611, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Thu May 09 08:05:00 CST 2019, time=2019-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1364446, encodeId=e8511364446c9, content=<a href='/topic/show?id=7c5615628ad' target=_blank style='color:#2F92EE;'>#ROS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15628, encryptionId=7c5615628ad, topicName=ROS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=acc3210, createdName=lsndxfj, createdTime=Sat Feb 02 14:05:00 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1431432, encodeId=9d5c1431432cd, content=<a href='/topic/show?id=f9b9e9124a8' target=_blank style='color:#2F92EE;'>#综合征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79124, encryptionId=f9b9e9124a8, topicName=综合征)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Feb 02 14:05:00 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522425, encodeId=4fc215224253f, content=<a href='/topic/show?id=46223e39897' target=_blank style='color:#2F92EE;'>#双侧#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37398, encryptionId=46223e39897, topicName=双侧)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=741b11453403, createdName=wangbingxhy, createdTime=Sat Feb 02 14:05:00 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1541432, encodeId=1b30154143217, content=<a href='/topic/show?id=5c961e37307' target=_blank style='color:#2F92EE;'>#THA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17373, encryptionId=5c961e37307, topicName=THA)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Feb 02 14:05:00 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
    2019-02-02 zhouqu_8

    #THA#

    0