中枢性周围性面瘫（Central peripheral facial paralysis）.docVIP

中枢性周围性面瘫（Central peripheral facial paralysis） Caused by the side of corticobulbar tract damage central facial paralysis, mainly for the lower part of facial paralysis, in which only the nasolabial fold and a low, grin, cheek and whistle drum when muscle paralysis, and frown and eyes is still normal, or slightly more than the contralateral side weakness. Central facial paralysis caused by damage to the corticospinal tract occurs only when voluntary muscle paralysis occurs, and involuntary contractions in emotional movements, such as crying or laughing, remain. When lesions in the basal ganglia, thalamus, or hypothalamus of the extrapyramidal system cause emotional facial paralysis, facial paralysis occurs during emotional movements such as laughter or crying, while facial muscles can still contract at random. Peripheral facial paralysis, voluntary movement and emotional movement, muscle paralysis occurred. Unconscious and uncooperative patients can observe facial expression movements or give pressure stimulation such as the orbit, so that their facial muscles contraction, and compare the symmetry of both sides, so as to determine whether there is facial paralysis. In the eyes of the coma patients with fingers closed, open the lid, then suddenly relax, then immediately closed eyes. If there is facial paralysis, then the upper eyelid drops slowly and closes incompletely. If the open upper eyelid in case of resistance, suggest that the patient is still non coma. What is the difference between central facial paralysis and peripheral facial paralysis? Peripheral facial paralysis is facial paralysis caused by facial nerve, motor fiber and pathological changes. The lesion is located below the nucleus of the facial nerve, such as the pons, the facial nerve, the middle ear, or the parotid gland. All the affected muscles of the lesion were paralyzed. Manifested as the eyelids can not be closed, can not frown, blowing the gills leakage, etc., can have auditory changes, tongue 2