AI Article Synopsis
- An electroneuromyogram (ENMG) of the facial nerve helps determine the type and severity of nerve damage in peripheral facial palsy, influencing prognosis.
- Initial assessments should take place in the second week, with follow-up evaluations at three, six, and twelve months for cases of severe axonal damage.
- Stable results between six and twelve months may suggest damage stability and the possibility of palliative surgery, while ENMG also aids in managing trigeminal damage and identifying conditions like hemifacial spasm.
Article Abstract
In case of peripheral facial palsy, electroneuromyogram of the facial nerve provides an indication of the nature (myelinic and/or axonal) and severity of nerve damage, thereby facilitating establishment of a prognosis, which is favorable for myelin damage, and guarded for severe axonal damage. The initial examination must be carried out during the second week. In case of severe axonal damage, examination results can be monitored at the third, and more particularly the sixth and the twelfth months. Stable neurophysiological data between the sixth and the twelfth months signal damage stability and open the way to possible palliative surgery. In the event of trigeminal damage, neurophysiological exploration furthers analysis of temporal muscle innervation. ENMG can confirm and precisely indicate peripheral hemifacial spasm.
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| http://dx.doi.org/10.1016/j.anplas.2015.07.001 | DOI Listing |
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