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Bell Paralizisinde Manyetik Rezonans Görüntülemede Fasiyal Sinir Kontrast Tutulumunun Prognostik Önemi

Yıl 2019, Cilt: 5 Sayı: 3, 449 - 452, 01.01.2019

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

Kaynakça

  • Peitersen E. Bell’spalsy: The spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl 2002;549:4-30.
  • Jun BC, Chang KH, Lee SJ, Park YS. Clinical feasibility of temporal bone magnetic resonance imaging as a prognostic tool in idiopathic acute facial palsy. J Laryngol Otol 2012;126:893-6.
  • Brandle P, Satoretti-schefer S, Böhmer A, Wichmann W, Fisch U. Correlation of MRI, clinical, and electroneuronographic findings in acute facial nerve palsy. Am J Otol 1996;17:154-61.
  • Kress BP, Griesbeck F, Efinger K, Solbach T, Gottschalk A, Kornhuber AW, Bähren W. Bell’s palsy: What is the prognostic value of measurements of signal intensity increases with contrast enhancement on MRI? Neuroradiology 2002;44:428-33.
  • Sartoretti-schefer S, Wichmann W, Valavanis A. Idiopathic, herpetic, and HIV-associated facial nerve palsies: Abnormal MR enhancement patterns. AJNR Am J Neuroradiol 1994;15:479-85.
  • Hong HS, Yi BH, Cha JG, Park SJ, Kim DH, Lee HK, Lee JD. Enhancement pattern of the normal facial nerve at 3.0 t temporal MRI. Br J Radiol 2010;83:118-21.
  • Kinoshita T, Ishii K, Okitsu T, Okudera T, Ogawa T. Facial nerve palsy: Evaluation by contrast-enhanced MR imaging. Clin Radiol 2001;56:926-32.
  • Seok JI, Lee DK, Kim KJ. The usefulness of clinical findings in localising lesions in bell’s palsy: Comparison with MRI. J Neurol Neurosurg Psychiatry 2008;79:418- 20.
  • Song MH, Kim J, Jeon JH, Cho CI, Yoo EH, Lee WS, Lee HK. Clinical significance of quantitative analysis of facial nerve enhancement on MRI in bell’s palsy. Acta Otolaryngol 2008;128:1259-65.
  • Kum RO, Yurtsever Kum N, Ozcan M, Yilmaz YF, Gungor V, Unal A, Ciliz DS. Elevated neutrophil-to- lymphocyte ratio in Bell’s palsy and its correlation with facial nerve enhancement on MRI. Otolaryngol Head Neck Surg 2015;152:130-5.
  • Burmeister HP, Baltzer PA, Volk GF, Klingner CM, Kraft A, Dietzel M, Witte OW, Kaiser WA, Guntinas-Lichius O. Evaluation of the early phase of bell’s palsy using 3 T MRI. Eur Arch Otorhinolaryngol 2011;268:1493-500.
  • Engström M, Abdsaleh S, Ahlström H, Johansson L, Stålberg E, Jonsson L. Serial gadolinium-enhanced magnetic resonance imaging and assessment of facial nerve function in bell’s palsy. Otolaryngol Head Neck Surg 1997;117:559-66.

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

Yıl 2019, Cilt: 5 Sayı: 3, 449 - 452, 01.01.2019

Öz

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

Kaynakça

  • Peitersen E. Bell’spalsy: The spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl 2002;549:4-30.
  • Jun BC, Chang KH, Lee SJ, Park YS. Clinical feasibility of temporal bone magnetic resonance imaging as a prognostic tool in idiopathic acute facial palsy. J Laryngol Otol 2012;126:893-6.
  • Brandle P, Satoretti-schefer S, Böhmer A, Wichmann W, Fisch U. Correlation of MRI, clinical, and electroneuronographic findings in acute facial nerve palsy. Am J Otol 1996;17:154-61.
  • Kress BP, Griesbeck F, Efinger K, Solbach T, Gottschalk A, Kornhuber AW, Bähren W. Bell’s palsy: What is the prognostic value of measurements of signal intensity increases with contrast enhancement on MRI? Neuroradiology 2002;44:428-33.
  • Sartoretti-schefer S, Wichmann W, Valavanis A. Idiopathic, herpetic, and HIV-associated facial nerve palsies: Abnormal MR enhancement patterns. AJNR Am J Neuroradiol 1994;15:479-85.
  • Hong HS, Yi BH, Cha JG, Park SJ, Kim DH, Lee HK, Lee JD. Enhancement pattern of the normal facial nerve at 3.0 t temporal MRI. Br J Radiol 2010;83:118-21.
  • Kinoshita T, Ishii K, Okitsu T, Okudera T, Ogawa T. Facial nerve palsy: Evaluation by contrast-enhanced MR imaging. Clin Radiol 2001;56:926-32.
  • Seok JI, Lee DK, Kim KJ. The usefulness of clinical findings in localising lesions in bell’s palsy: Comparison with MRI. J Neurol Neurosurg Psychiatry 2008;79:418- 20.
  • Song MH, Kim J, Jeon JH, Cho CI, Yoo EH, Lee WS, Lee HK. Clinical significance of quantitative analysis of facial nerve enhancement on MRI in bell’s palsy. Acta Otolaryngol 2008;128:1259-65.
  • Kum RO, Yurtsever Kum N, Ozcan M, Yilmaz YF, Gungor V, Unal A, Ciliz DS. Elevated neutrophil-to- lymphocyte ratio in Bell’s palsy and its correlation with facial nerve enhancement on MRI. Otolaryngol Head Neck Surg 2015;152:130-5.
  • Burmeister HP, Baltzer PA, Volk GF, Klingner CM, Kraft A, Dietzel M, Witte OW, Kaiser WA, Guntinas-Lichius O. Evaluation of the early phase of bell’s palsy using 3 T MRI. Eur Arch Otorhinolaryngol 2011;268:1493-500.
  • Engström M, Abdsaleh S, Ahlström H, Johansson L, Stålberg E, Jonsson L. Serial gadolinium-enhanced magnetic resonance imaging and assessment of facial nerve function in bell’s palsy. Otolaryngol Head Neck Surg 1997;117:559-66.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Makalesi
Yazarlar

Süleyman Emre Karakurt Bu kişi benim

Mehmet Ali Çetin Bu kişi benim

Hatice Gül Hatıpoğlu Bu kişi benim

Mehmet Fatih Karakuş Bu kişi benim

Mustafa Çolak Bu kişi benim

Emre Apaydın Bu kişi benim

Yayımlanma Tarihi 1 Ocak 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 5 Sayı: 3

Kaynak Göster

Vancouver Karakurt SE, Çetin MA, Hatıpoğlu HG, Karakuş MF, Çolak M, Apaydın E. Bell Paralizisinde Manyetik Rezonans Görüntülemede Fasiyal Sinir Kontrast Tutulumunun Prognostik Önemi. Akd Tıp D. 2019;5(3):449-52.