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Fortschr Neurol Psychiatr 2006; 74(7): 371-376
DOI: 10.1055/s-2005-915579
Originalarbeit
© Georg Thieme Verlag Stuttgart · New York

Isolierte Paresen der Fazialisendäste - Klinische Befunde, Ursachen und Differenzialdiagnose

Isolated Pareses of the Terminal Branches of the Facial Nerve: Clinical Findings, Etiology and Differential DiagnosisB.  Kissig1 , S.  Zierz1
  • 1Klinik für Neurologie, Martin-Luther-Universität Halle-Wittenberg (Direktor Prof. Dr. S. Zierz)
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Publication History

Publication Date:
26 September 2005 (online)

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Zusammenfassung

Klinische Befunde und Ursachen von Paresen der Fazialisendäste werden an 35 Patienten demonstriert. Aufgrund seiner exponierten Lage haben isolierte Läsionen vorrangig den Ramus marginalis mandibulae (n = 21) betroffen, gefolgt von denen bukkaler (n = 6) und zygomatiko-temporaler (n = 4) Äste. Zweimal haben komplexere Lähmungen der perioralen Muskulatur vorgelegen. Iatrogene Verletzungen (n = 25) rangieren in unserer Untersuchung vor tumorbedingten (n = 4), traumatischen (n = 2) und viral entzündlichen (n = 1) Läsionen sowie einer idiopathischen Parese. Bei 2 Patienten sind die Lähmungen als kongenital einzuordnen. Die Bedeutung der klinischen Untersuchung zur Abgrenzung von supranukleären Läsionen wird hervorgehoben.

Abstract

Clinical findings from 35 patients with isolated paralyses of distinct branches of the facial nerve are demonstrated. Presumably because of its position, the mandibular marginal ramus has most often been affected (n = 21) followed by buccal (n = 6) and temporal branches (n = 4). In two patients, the pattern of perioral muscular pareses was compatible with lesions of more than one branch. Causes for the facial nerve branch lesions were iatrogenic (n = 25), tumor (n = 4), trauma (n = 2), inflammatory (n = 1), idiopathic (n = 1) and congenital (n = 2). The impact of the clinical investigation to distinguish supranuclear lesions is emphasized.

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Dr. med. habil. B. Kissig

Neurologische Klinik der Martin-Luther-Universität Halle-Wittenberg

Ernst-Grube-Straße 40

06097 Halle (Saale)

Email: sekretariat.neurologie@medizin.uni-halle.de