노인 환자에서 말초성 및 중추성 안면마비 감별의 중요성

• 영문명: Clinical Significance of Differentiating Peripheral and Central Facial Palsy in Older Patients
• 발행기관: 대한임상노인의학회
• 저자명: 채현민(Hyun Min Chae) 권두혁(Doo Hyuk Kwon)
• 간행물 정보: 『대한임상노인의학회지』제26권 제1호, 47~49쪽, 전체 3쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2025.04.30

국문 초록

The diagnosis of facial palsy in older patients is challenging due to age-related changes such as facial asymmetry and wrinkles, along with conditions such as hypertension and diabetes, which increase the risk of primary causes such as stroke that can mimic peripheral palsy. This case report describes the diagnostic difficulties in differentiating between peripheral and central facial palsy in a 78-year-old female with hypertension and diabetes. Although the initial clinical findings suggested peripheral Bell’s palsy, further imaging revealed a pontine infarction, confirming a primary cause. This case emphasizes the importance of comprehensive diagnostic evaluation, including magnetic resonance imaging, in older patients to avoid misdiagnosis and ensure timely treatment, especially in those with vascular risk factors. Appropriate differentiation between peripheral and central facial palsy is crucial to improve patient outcomes.

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키워드

Facial palsy Older patients Pontine infarction