P-2-06-25
Algorithm diagnostic to know anatomic zone of lesion in Peripherical Facial palsy. (500 cases report).
L. C. Dominquez. (Guanajuato University, Leon, Mexico)
Review of 500 cases of Peripherical Facial palsy in a prospective study was do it on 14 years work; making diagnostic by anatomic zone of lesion, dividing the Facial nerve trayectory in 7 zones: I Nucleus level (n=3); II Nucleus to meatus (n=1); III Geniculated gangli (n=8); IV Stapedius muscle (n=100); V Timpani chord (n=160); VI Stylomastoid foramen (n=220); VII Facial terminal branches (n=8). The correlation was make it by: muscular exam, Schirmer test, Rinne test, Taste test and exploration of VI and VIII cranial nerves for algorithm diagnostic. Sample characteristics were: age mean 28 years (range 5-60); sex: male n=238, female n=262; annual presentation like mean 35 by years (range 25-45); winter season predominance with 293 patients (58.6%); partial presentation 285 cases, total 214; two patients with bilateral facial palsy; evolution time 2 to 12 weeks since initial to health in 94.6% of cases; etiology detected on 112 patients (22.4%): Astrocytoma (n=2); acustic neurinoma (n=2); Herpes zoster (n=7); Parotiditis (n=10); poliomyelitis (n=6); Guillain Barre syndrome (n=4); Peduncular bleeding post delivery (=2); skull traumatism (n=4); facial traumatism (n=8) Melkerson Rosenthal (n=8); otitis (n=7); Surgery in face (n=10); Diabetes Mellitus (n=42).
This study confirms the utility of algorithm to know the anatomic zone of lesion.
P-2-06-26
A SIMPLE ASSESSMENT OF A PATIENT WITH NEUROMUSCULAR DISEASE
Kazuo Miyoshi (Hara National Sanatorium, Hatsukaichi, Japan)
Abstract: Purpose: many people are involved in assisting a patient with neuromuscular disease. So, it is important for them to understand the patient's status. Here, we present a simple assessment for this purpose.
Method: A patient is assessed from four perspectives; medical (M), psychological (P), environmental (E) status and the ability to perform self care (S). Three degrees; mild (1), moderate (2) and severe (3), are provided for each status. This assessment is accompanied by the name, age, diagnosis and remarks such as artificial ventilation.
Results: Here, a case of Duchenne muscular dystrophy is shown. The patient will show M1P1S3E1 in the early stage, which indicates that he needs only physical care, and M3P1S3E1 in the late stage, which indicates the need for intensive medical and physical care.
Conclusion: This simple assessment will quickly inform assistants of the current status of a patient.
