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Paralisis facial
Federico Failach Navarro
Residente en Medicina Interna
Universidad del Sinú
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DEFINICION
VII PAR SINDROME
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632
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EPIDEMIOLOGIA
Incidencia de 20-30/100.000 H x año
60-75% son paralisis perifericas
masculino : femenino
izquierdo : derecho
edad media 40 años.
90% de los pacientes se recuperan.
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632
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FISIOLOGIA
Función motora
Función sensitiva
Función sensorial
Función secretora
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632
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ANATOMIA
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632
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TIPOS DE LESIONES
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632
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CUADRO CLINICO
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632
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CENTRAL O PERIFERICA
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632
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DIAGNOSTICOS DIFERENCIALES
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632
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CLASIFICAR
94%60%
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632
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ESTUDIOS COMPLEMENTARIOS
• Hemograma, glicemia, serologia HIV. otros
• Electromiografia facial
• Electroneurografia
• TAC craneo
• RNM con contraste.
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632
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TRATAMIENTO
N ENGL J MED 351;13 WWW.NEJM.ORG SEPTEMBER 23, 2009; Am Fam Physician 2007;76: 997-1052; Otolaryngol Clin N Am 41 (2008) 619-632
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