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Klimkin A.V.

Kafedra nervnykh bolezneĭ Voenno-meditsinskoĭ akademii im. S.M. Kirova, Sankt-Peterburg

Voitenkov V.B.

Pediatric Research and Clinical Center for Infectious Diseases, Saint Petersburg, Russia

Skripchenko N.V.

Pediatric Research and Clinical Center for Infectious Diseases, Saint Petersburg, Russia

Neurosonography of the facial nerve in children with idiopathic neuropathy of facial nerve

Authors:

Klimkin A.V., Voitenkov V.B., Skripchenko N.V.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2017;117(12): 52‑56

DOI: 10.17116/jnevro201711712152-56

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Table of contents

NEUROSONOGRAPHY OF THE FACIAL NERVE IN CHILDREN WITH IDIOPATHIC NEUROPATHY OF FACIAL NERVE
NEUROSONOGRAPHY OF THE FACIAL NERVE IN CHILDREN WITH IDIOPATHIC NEUROPATHY OF FACIAL NERVE

To cite this article:

Klimkin AV, Voitenkov VB, Skripchenko NV. Neurosonography of the facial nerve in children with idiopathic neuropathy of facial nerve. S.S. Korsakov Journal of Neurology and Psychiatry. 2017;117(12):52‑56. (In Russ.)
https://doi.org/10.17116/jnevro201711712152-56

Подписка 2025-2 (S.S. Korsakov Journal of Neurology and Psychiatry)
 
 
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Objective. To find the correlation between neurophysiological and neurosonographic (NSG) parameters of the facial nerve of children with idiopathic neuropathy of the facial nerve (NLN) in the acute period with good and poor prognosis of recovery of facial nerve function. Material and methods. Sixty-five children with NLN (mean age 11.5±4.9 years) and 57 children of control group (mean age 12.5±5.2 years) were examined. All children with NLN were studied using NSG with the measurement of the diameter of the facial nerve in the area of processus stylomastoideus and in the parotid gland. Stimulation electroneuromyography of the facial nerve with the registration of the M-response from the m. orbicularis oculi and evaluation of the degree of paresis of facial muscles using the 6-point House—Brackmann scale on the 10—15 day were performed. On the 30th day after manifestation of paresis, children with NLN were divided into two groups: the good recovery group 1 (n=54) and the poor prognosis recovery group (n=11). Correlation between NSG and electroneuromyography indicators with good and poor prognosis of recovery of facial nerve function was analyzed. Results and conclusion. Based on the results obtained, 85% sensitivity and 77% specificity of measuring the diameter of the facial nerve using NSG in predicting poor prognosis of recovery of facial nerve function was shown. Normative and thresholds NSG parameters of the facial nerve in children were obtained.

Keywords:

neurosonography
electroneuromyography
facial nerve neuropathy
children

Authors:

Klimkin A.V.

Kafedra nervnykh bolezneĭ Voenno-meditsinskoĭ akademii im. S.M. Kirova, Sankt-Peterburg

Voitenkov V.B.

Pediatric Research and Clinical Center for Infectious Diseases, Saint Petersburg, Russia

Skripchenko N.V.

Pediatric Research and Clinical Center for Infectious Diseases, Saint Petersburg, Russia

List of references:

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  2. Svistushkin VM, Slavskii AN. Neuropathy of the facial nerve: modern approaches to diagnosis and treatment. RMJ. 2016;24(4):280-285. (In Russ.)
  3. Huang B, Zhou ZL, Wang LL, Zuo C, Lu Y, Chen Y. Electrical response grading versus House—Brackmann scale for evaluation of facial nerve injury after Bell’s palsy: a comparative study. J Integr Med. 2014;12(4):367-371. (In Russ.) https://doi.org/10.1016/S2095-4964(14)60036-4
  4. Komantsev VN, Skripchenko NV, Savina MV. The resources of neurophysiological methods for diagnostic localization of nervous system lesion in children’s neuroinfections. Zhurnal Infektologii. 2010;2(2):40-44. (In Russ.)
  5. Savitskaya NG, Ostafiychuk AV, Suponeva NA, Yankevich DS. Possibilities of the electromyography in predicting of the recovery in idiopathic neuropathy facial nerve. Neuromuscular disease. 2012;4:36-43. (In Russ.)
  6. Ma J, Su S, Yue S, Zhao Y, Li Y, Chen X, Ma H. Preoperative Visualization of Cranial Nerves in Skull Base Tumor Surgery Using Diffusion Tensor Imaging Technology. Turk Neurosurg. 2016;26(6):805-812. https://doi.org/10.5137/1019-5149.JTN.13655-14.1
  7. Tawfik EA, Walker FO, Cartwright MS. Neuromuscular ultrasound of cranial nerves. J Clin Neurol. 2015;11(2):109-121. https://doi.org/10.3988/jcn.2015.11.2.109
  8. Li S, Guo RJ, Liang XN, Wu Y, Cao W, Zhang ZP, Zhao W, Liang HD. High-frequency ultrasound as an adjunct to neural electrophysiology: Evaluation and prognosis of Bell’s palsy. Exp Ther Med. 2016;11(1):77-82. https://doi.org/10.3892/etm.2015.2878
  9. Tawfik EA. Sonographic characteristics of the facial nerve in healthy volunteers. Muscle Nerve. 2015;52(5):767-771. https://doi.org/10.1002/mus.24627
  10. Hsieh R, Wu C, Wang L, Lee W. Correlates of degree of nerve involvement in early Bell’s palsy. BMC Neurology. 2009;9:22-28. https://doi.org/10.1186/1471-2377-9-22
  11. Lo YL, Fook-Chong S, Leoh TH, Dan YF, Lee MP, Gan HY, Chan LL. High-resolution ultrasound in the evaluation and prognosis of Bell’s palsy. Eur J Neurol. 2010;17(6):885-889. https://doi.org/10.1111/j.1468-1331.2010.02950.x
  12. Klimkin AV, Voitenkov VB, Skripchenko NV. Ultrasound examination of the nature of the defeat of the median nerve at the carpal tunnel syndrome. Journal of Neurology and Psychiatry im. S.S. Korsakov. 2016;116(6):25-30. (In Russ.) https://doi.org/10.17116/jnevro20161166125-30

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