Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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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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Bibliografia

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Corrispondenza: giorgiocozzi@gmail.com