両側性顔面麻痺について

BILATERAL FACIAL PALSY

　I．はじめに

　両側性顔面麻痺は稀な疾患と考えられる。本疾患について近年McGovern^1），Hora^2），Dudley^3），Rontal^4），Schuring^26）が報告し，本邦には簑和田^5）の4例，隈上^6）の1例の報告がある。私たちは最近11例の患者を経験したので報告する。

　Bilateral facial palsy, facial diplegia, is considered as a rare condition. Eleven cases of this disease consisting of 2 cases of traumatic origin, 2 of postoperative, 2 of congenital, 2 of symptomatic and 3 of idiopathic, seen in the facial clinic, Department of Otolaryngology, University of Tokyo, are reported.

　The etiology of bilateral facial palsy is different from that of unilateral palsy. The pathology of socalled alternating palsy in idiopathic bilateral palsy is believed to be different from that of the Bell's palsy.

　On attempting to diagnose bilateral palsy the initial symptom of systemic disease should always be considered. The treatment of this condition is different because of its bilateralty. In children, special attention should be given to functional disorders such as articulatory disturbances because of the bilateral palsy.