顔面神経麻痺の後遺症(迷入再生回路)

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顔面神経麻痺の後遺症は症状が発症時と逆になってしまうことがよくある。例えば、発症時は口が右側に曲がっていたが、6か月後には逆の左側に口が曲がってしまうといったように。これは、迷入再生回路と呼ばれている。

その他にも、目と口の神経が逆につながる、一本の神経が二本の神経とつながる、二本の神経が一本の神経のようにくっついて再生してしまうなどがある。こういった間違えた再生をすると、目を閉じたつもりでも口が動く、口を動かすと目が閉じるなどといった普段では考えられない動きが現われてしまう。これは病的共同運動と呼ばれている。この病的共同運動を繰り返すと迷入再生回路は強化されてしまう。

従来の顔面神経麻痺の治療では大きく笑ったり、強く目を閉じたりなどとやっていたようだが、これは間違った回路を優位にしてしまう可能性があります。正しい診断を受け正しい治療を受けるかが人生を大きくかえてしまうといっても過言ではありません。特に顔のことですので。

後遺症が残りそうな場合はリハビリ科で早めの治療を受けましょう。顔面神経麻痺の治療は顔面の筋の強化ではなく、後遺症の予防や軽減です。

 

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