SU1416127A1 - Method of treatment of neuritis of the facial nerve - Google Patents

Abstract

This invention relates to neurology and otolaryngology. The purpose of the invention is the elimination of hyperakusis. Dehydration therapy is carried out for 3 days. Then, metacin and proerin are subcutaneously injected, and a day later prozerin is administered intratubally. The appearance of the acoustic reflex is noted on days 10-18 of treatment.

Description

This invention relates to medicine, in particular, to neurology, otolaryngology.

The purpose of the invention is to eliminate gi Nerakueis.

Example 1. Ill. F., 1: 9 years old, was in the ENT clinic 1 of the LMI named after A.A. I.P. Pavlova from 26.12.86 to 01.01.87, with diagnosis: Bell's palsy on the left. Sick 4 days, complaints of skewed face, feeling strong. Low sounds in the left ear. On examination, the patient revealed a typical picture of the left-sided peripheral paresis of the facial nerve and, according to impedance audiometry, the loss of the acoustic reflex on the left (hyperacusis). During the first 3 days (26,27 and 28,12), dehydration ), With J30.12.87, 0.5 mg of cetacin and 20 mg / 1.0 mg of pro-erin were administered subcutaneously subcutaneously. 01/05/87, the dose was increased to 0.75 mg metacin and 1.5 mg procerin. From 02.01.87, procerin was introduced intratubally every other day in a volume of 1.0 ml of a 0.05% aqueous solution in a quantity of 4 procedures. Discharged from the clinic; Nicky after 13 days with a full clinical recovery; the appearance of hyperacosis; by the time of the discharge, the acoustic reflex was complete on day 10 after treatment.

PRI mme R 2. Bolna S., 47, entered the ENT clinic with a diagnosis of Bell's palsy on the right. Ill 7 days. Complaints of skewed face, numbness of the right half. Zyka, to the feeling of strong low sounds in the right ear. On examination, a typical picture of the right-sided peripheral paresis of the facial nerve, according to impedance audiometry, is the complete loss of the acoustic reflex on the right. During the first 4 days, dehydration was carried out (lasix IV), from 03/01/87 0.5 mg of metacin was administered subcutaneously and after 20 minutes 1.0 mg of prozerin, teach

If the patient had a good effect on the treatment, the dose did not increase further. From 01/06/87, a course of intratubar administration of prozerin in 1.0 ml of a 0.05% aqueous solution was started every other day in the amount of 4 procedures. Discharged from the clinic on the 14th day with full clinical recovery. According to impedance audiometry, acoustic reflex for wils on the 12th day

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Hyperacusis was not present at the time of discharge.

Example 2. Ill F ,, 75 years old, was admitted to the ENT clinic with a diagnosis of Bell's palsy on the left, hypertensive disease. Sick 9 days. Complaints of skewed face, sensation, strong low sounds in the left ear. On examination, there is a typical peripheral paresis of the left facial nerve, according to impedance audiometry, a loss of acoustic reflex on the left. During the first 3 days (27,28,29, 10), dehydration was performed (lasix v / v), 0.5 mg of metacin and 1.0 mg of proserin were injected subcutaneously from 1./11, from 8./11 0.75 mg of metacin and 1.5 mg of prozerin, from 13./11 1.0 mg of metacin and 2.0 mg of proserin. C 3./11 started a course of intratube administration of prozerin 1.0 mg of a 0.05% solution in the amount of 5 procedures: 3/11, 5/11, 7/11, 9/11, 11/11. Discharged on the 17th day with a full clinical recovery, the acoustic reflex of vils on the 14th day, at the time of discharge, the effects of hyperacusis were absent.

Sick M., 50 years old, was admitted to the ENT clinic with a diagnosis of infectious-allergic neuritis of the right facial nerve. Ill 7 days. Complaints of skewed face, the feeling of strong low sounds in the right ear. On examination, typical peripheral paresis of the right facial nerve, according to impedance audiometry, is the loss of an acoustic reflex on the right. During the first 3 days (21, 22, 23./11), dehydration (lasix v / v) was performed, with 25./10 subcutaneously 0.5 mg of metacin was administered subcutaneously and after 20 minutes liO mg rubber, from 30./10 , 75 mg metacin and 1.5 mg rubber with 14 days 1.0 mg metacin and 2.0 mg prozerin. From 29./10 the course of intratube administration of prozerin 1.0 ml of a 0.05% solution was started in the amount of 5 procedures: 29/0, 31./10, 01./11, 05./11. Discharged on day 21 with complete clinical recovery, according to impedance audiometry, the acoustic reflex was observed on day 18, and by the time of discharge, hyperacusis was absent.

Example 4. Patient 3, 39 years old, was admitted to the ENT clinic with Bell's palsy on the right. Ill 5 day. Complaints of distorted face and the feeling of strong low-frequency sounds in the right ear. When viewed from a typical peripheral paresis of the right facial muscles. According to impedance audiometry, the loss of the acoustic reflex on the right. 13./12, 14./12, 15./12 dehydration was carried out (laxix 40 mg B / w). From 16./12, 0.5 mg of metacine was administered subcutaneously and after 20 min 10 mg of prozerin, from 20./12 the dose was increased to 0.75 mg of metacin and 1.5 mg of proserin. 20./12, the first tympanopuncture was performed, 1.0 ml of a 0.05% prozerin solution was injected and, after normalization of the otoscopic pattern on 24./12, a similar analogy to the tympanum puncture was performed. Discharged on day 14 with full

clinical recovery, the acoustic reflex appeared on day 14, there were no cases of hyperacusis at the time of discharge.

The treatment by the proposed method was carried out in 25 patients with the elimination of hyperacusis in all cases.

Claims (1)

Invention Formula A method of treating neuritis of the facial nerve, including dehydration therapy followed by the administration of prozerin and metacin, characterized in that, in order to eliminate hyperacusis, prozerin is additionally administered through the auditory tube or by tympanopuncture.