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Facialisparese

Sist oppdatert: Sist revidert:
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Definisjon:
Ansiktslammelse som skyldes en perifer eller sentral skade på facialisnerven, den 7. hjernenerven
Forekomst:
Perifer lammelse rammer ca. 15-30 av 100.000 personer hvert år
Symptomer:
Ansiktslammelse, tale- og spisevansker og vansker med å lukke øyet
Funn:
Perifer lammelse gir svakhet i pannens, øyets, nesens og munnens mimiske muskulatur på den syke siden. Ved sentral lammelse er det normal bevegelighet i pannen
Diagnostikk:
Vanligvis er tilleggsundersøkelser ikke nødvendig ved perifer lammelse. Innleggelse i sykehus for CT/MR ved sentral lammelse
Behandling:
Øyebeskyttelse. Kortikosteroider ved Bells parese. Antiviral behandling ved herpes zoster. Antibiotika ved borreliose
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  10. Bremell D, Hagberg L. Clinical characteristics and cerebrospinal fluid parameters in patients with peripheral facial palsy caused by Lyme neuroborreliosis compared with facial palsy of unknown origin (Bell's palsy). BMC Infect Dis 2011; 11: 215. PubMed  
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  12. Engström M, Berg T, Stjernquist-Desatnik A, et al. Prednisolone and valaciclovir in Bell's palsy: a randomised, double-blind, placebo-controlled, multicentre trial. Lancet Neurol 2008; 7: 993-1000. PubMed  
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  • Ingard Løge, spesialist allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Rune Midgard, dr. med., overlege og førsteamanuensis II, Nevrologisk avdeling, Helse Nordmøre og Romsdal HF, Molde sjukehus og Enhet for anvendt klinisk forskning, NTNU