原发性面肌痉挛的临床诊治进展

Advances in diagnosis and treatment of primary hemifacial spasm

原发性面肌痉挛是一种与面神经有关的面肌运动障碍性疾病,多单侧发病。发作时面部肌肉呈无规律、不自主阵挛,可于情绪激动、精神紧张、面部随意运动时诱发或加重,严重影响日常工作及生活。近年国内外在该病的发病机制、诊断和鉴别诊断以及治疗方法上有较多新的研究,本文将围绕上述方面进行综述。

Primary hemifacial spasm is a motor disorder of facial muscles related to facial nerve.During the attack,the facial muscles present irregular and involuntary clonus,which can be induced or aggravated by emotional excitement,mental tension and random facial movement,seriously affecting daily work and life.The pathogenesis,diagnosis,differential diagnosis and treatment of the primary hemifacial spasm have been studied extensively in recent years.This article reviews the progress in these aspects.