耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
腎性高血圧に随伴した末梢性顔面神経麻痺の1例
藤本 俊明隈上 秀伯
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ジャーナル フリー

1971 年 17 巻 2 号 p. 131-133

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The authors reported a case of facial paralysis associated with hypertension. The patient was 12 years old female who presented with a right facial nerve paralysis and complained disturbance of vision. Her blood pressure was 216/138 mmHg. A pediatrist diagnosed her as hypertension associated with nephritis. Ophthalmologic diagnosis was neuroretinopathia angiospastica. The findings were spasm of the retinal artery, papilloedema and bleeding in the retina. She was admitted to our clinic for investigation of facial nerve paralysis. According to our investigation the facial nerve of this patient was affected at the level of the infrachordal part of the facial canal. We assumed that the pressure induced by bleeding in the facial canal pressed the nerve and the paralysis occurred. The bleeding was suspected as a similar phenomenon to bleeding in the retina.
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