Facialisparese
Sist revidert:
Sist revidert av:Ingard Løge
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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- 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