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Facta universitatis - series: Medicine and Biology
2005, vol. 12, br. 1, str. 47-54
jezik rada: engleski
vrsta rada: članak
Rani prognostički značaj elektrofizioloških testova kod Bell-ove paralize - procena trajanja kliničkog oporavka
Klinički centar Niš

e-adresa: gordanadj@bankerinter.net

Sažetak

Bell-ova paraliza je najčešće oboljenje sedmog kranijalnog živca sa dobrom prognozom. Više od 70% pacijenata dostigne kompletan klinički oporavak, bez kliničkih rezidua. Perzistirajuće sekvele se evidentiraju jedino u slučajevima sa izraženim aksonalnim gubitkom. Elektrofiziološki testovi mogu pružiti značajne informacije o stepenu nervnog oštećenja i mogućoj posledičnoj disfunkciji. Iz tih razloga bi ovi testovi mogli imati značajnu ulogu u prognozi bolesti. Naša istraživanja obuhvatila su pedeset pacijenata sa kliničkim znacima Bell-ove paralize. Analizirali smo kliničke znake (stepen mišićne slabosti) i elektrofiziološke parametre (amplituda i latencija evociranog mišićnog potencijala, latencija rane komponente blink refleksa) trećeg, sedmog i četrnaestog dana od pojave paralize. Naši rezultati pokazuju da elektrofiziološki parametri imaju rani prognostički značaj kod Bell-ove paralize. Na osnovu elektrofizioloških parametara moguće je predvideti trajanje kliničkog oporavka, kao i ishod bolesti.

Ključne reči

Bell-ova paraliza; evocirani mišićni potencijal; blink refleks

Reference

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