Bell Paralizisinde Manyetik Rezonans Görüntülemede Fasiyal Sinir Kontrast Tutulumunun Prognostik Önemi

Öz

Amaç: Bell paralizili hastalarda manyetik rezonans görüntüleme’de MRG fasiyal sinirin kontrast tutulum durumunun prognoz üzerine etkisini araştırmak.Gereç ve Yöntemler: Ocak 2015-Ocak 2017 tarihleri arasında Bell paralizisi tanısı ile kliniğimizde tedavi olan hastalar retrospektif olarak incelendi. Çalışmaya dahil edilme kriterlerini karşılayan 59 hastanın MRG’leri fasiyal sinir kontrast tutulumu açısından değerlendirildi. Kontrast tutulumu olan hastalar ile, tutulumu olmayan hastaların başlangıç House-Brackmann HB evreleri ile 6. ay ve sonraki HB evreleri karşılaştırılarak, kontrast tutulumunun şiddet ve prognoz üzerine etkisi araştırıldı.Bulgular: Kontrast tutulumu olan ve olmayan grupların ortalama House-Brackmann evreleri sırası ile 3,56 ve 2,50 olarak saptandı, fark istatistiki olarak anlamlı bulundu p

Anahtar Kelimeler

• Bell paralizi, Fasiyal sinir, Prognoz

Prognostic Significance of Facial Nerve Contrast Enhancement in Magnetic Resonance Imaging in Bellʼs Palsy

Abstract

Objective: To investigate the effect of facial nerve contrast enhancement on the prognosis in magnetic resonance imaging MRI in patients with Bell's palsy.Material and Methods: Between January 2015 and January 2017, patients diagnosed with Bell’s palsy in our clinic were assessed retrospectively. MRI scans of 59 patients who met the inclusion criteria were evaluated for facial nerve contrast enhancement. The effect of contrast enhancement on the severity and prognosis was investigated by comparing the initial House-Brackmann HB stages of contrast-enhanced patients and non-involvement patients with 6th month and subsequent HB stages.Results: The mean House-Brackmann stages of the groups with and without contrast enhancement were 3.56 and 2.50, respectively, and the difference was statistically significant p

Keywords

• Bellʼs palsy, Facial nerve, Prognosis

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