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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.32 no.2 São Paulo June 1974

http://dx.doi.org/10.1590/S0004-282X1974000200007 

Etiología da paralisia facial periférica. Relato de um caso inusitado

 

Aetiology of peripheral facial paralysis: report of an unusual case

 

 

J. Fortes-Rêgo

Deptartamento de Medicina Especializada da Faculdade de Ciências da Saúde da Universidade de Brasília: Professor-Assistente

 

 


RESUMO

Após conceituar a paralisia de Bell, ressaltar sua alta incidência e expor as teorias que se propõem a explicá-la, é relatado um caso de paralisia facial periférica isolada ocorrido durante o retorno de um mergulho, em paciente de 28 anos. Na revisão bibliográfica realizada são mencionadas e discutidas numerosas entidades que têm sido consideradas como causas de paralisia facial periférica, destacando-se um trabalho americano que relata dois casos ocorridos, de forma transitória, durante aumento de altitude e que foram atribuídos à variação de pressão no ouvido médio. Como conclusão, é admitido um mecanismo similar para o caso em pauta.


SUMMARY

The case of a 28-year-old patient in which a peripheral facial paralysis occurred during raise of diving is reported. In reviewing the literature several conditions are mentioned and discussed as fortuitous causes of peripheral facial paralysis, being emphazised an North-American report about two patients suffering five episodes of transient seventh nerve paresis during ascent to altitude, where a disequilibrium of pressures between the middle ear and the nasopharynx was assumed to be the efective cause of the Bell's palsy. A similar mechanism was admited for the reported case.


 

 

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Full text available only in PDF format.

 

 

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Universidade de Brasília — Unidade Integrada de Saúde de Sobradinho — Distrito Federal — Brasil.
Trabalho realizado no Deptartamento de Medicina Especializada da Faculdade de Ciências da Saúde da Universidade de Brasília, em colaboração com o dr. Pedro A. Cardoso, Médico residente

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