ABC
Approccio pratico al bambino con paralisi periferica del nervo faciale
Acute peripheral facial nerve palsy in children
Giorgio Cozzi1, Emanuela Aru2, Angelika Velkoski3, Aldo Skabar4, Egidio Barbi1
1SC di Pediatria d’Urgenza e Pronto Soccorso Pediatrico, IRCCS Materno-Infantile “Burlo Garofolo”, Trieste; 2Universitŕ di Cagliari
3Universitŕ di Trieste; 41SC di Neuropsichiatria Infantile, IRCCS Materno-Infantile “Burlo Garofolo”, Trieste
Dicembre 2015 - pagg. 639 -643
Abstract
Acute peripheral facial nerve palsy in children has an incidence of 20 new cases per
100,000 children/year. The diagnosis is essentially clinical. The etiology of the condition
remains unknown in most cases. Useful blood tests are full blood count and Borrelia
serology. Radiological imaging should not be performed at first in all children with acute
peripheral facial nerve paralysis. Particular attention should be paid to the eye care, in
consideration of the inability to close the eye. Steroid therapy reduces the risk of incomplete
neurological recovery and the risk of the onset of synkinesis. Evidence does not
support the routinary use of antiviral therapy. The prognosis of acute peripheral nerve
palsy is excellent, irrespective of pharmacological therapy.
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Corrispondenza: giorgiocozzi@gmail.com
