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Paralisis facial

Federico Failach Navar r o
Residente en Medicina Inter na
Univer sidad del Sinú
DEFINICION




                     VII PAR




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
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
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
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
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
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
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
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
CLASIFICAR




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
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
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
Paralisis facial

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Paralisis facial

  • 1. Paralisis facial Federico Failach Navar r o Residente en Medicina Inter na Univer sidad del Sinú
  • 2. DEFINICION VII PAR 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
  • 3. 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
  • 4. 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
  • 5. 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
  • 6. 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
  • 7. 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
  • 8. 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
  • 9. 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
  • 10. CLASIFICAR 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
  • 11. 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
  • 12. 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