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患者,男,62岁。疲劳后出现畏寒、发热、咽痛、背痛。体查:体温38.8℃,咽充血。诊断上感。4天后上感症状消失,出现左侧不能皱额,睑裂增宽,闭眼时见Bell现象,左鼻唇沟变浅,口角右歪,诊断为左侧面神经炎入院。住院第2天双侧均不能皱额,双眼不能闭合,两侧鼻唇沟变浅,口角低垂,唇闭不拢,流涎。无泪少、味觉减退、耳廓疱疹、耳聋或听觉过敏。无中耳炎及腮腺炎病史。眼底及Ⅴ,Ⅵ对脑神经均正常,肢体运动、感觉、反射正常,无病理反射。内科及耳科检查无异常。脑脊液、脑电图、颅底片、内听道片、颅脑CT扫描均正常。诊断为双侧面神经炎。经服强的松、B族维生素、地
Patient, male, 62 years old. After fatigue, chills, fever, sore throat, back pain. Physical examination: body temperature 38.8 ℃, pharyngeal congestion. Diagnosis of the flu. 4 days after the symptoms disappeared, the left can not be wrinkled, palpebral fissure widened, see the Bell phenomenon when the eyes closed, the left nasolabial fold shallow mouth right crooked, diagnosed as left facial neuritis admitted. The first two days of hospitalization can not be wrinkled on both sides, his eyes can not be closed on both sides of the nasolabial fold shallow, drooping mouth, lips closed together, salivation. No tears, less taste, pinna herpes, deafness, or hypersensitivity. No history of otitis media and mumps. Fundus and Ⅴ, Ⅵ of the normal brain, limb movement, sensory, reflexes, no pathological reflex. No abnormalities in internal medicine and otology. Cerebrospinal fluid, EEG, skull film, internal auditory canal, brain CT scan were normal. Diagnosis of bilateral facial neuritis. After the strong pine, B vitamins, to