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HOME > ÇÐȸ°£Ç๰ >
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Cranial Nerve Involvement in Leprosy |
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Hah, Yong Ma, Chung, Sang Lip#, and Kim, Nan Hee## |
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Institute for leprosy research, K.L.C.A., Dept. of Dermatology, School of Medicine, Kyungpook National University#, and The Leprosy Mission##, Korea |
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1992 |
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25 |
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21 |
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33 |
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M. leprae is the only bacterium invades peripheral nerves, and the bacilli travel intra-axonally like fish migrating stream and evolve ascending neuritis. Central nervous system is known as a inviolable organ in leprosy and, a old term "Bulbar palsy" became a lapse memory. We experienced six cases considered as cranial nerves be invaded, five diagnosed as neural relapse and one as untreated BT Leprosy with neuritis. 1. On analysis of revealed symptoms, facial nerve(¥¶), glossopharyngeal none(?) and trigeminal nerve(¥´) are obviously involved and, vagus nerve(X) and hypoglossus nerve are suspected as well. 2. All manifested symptoms are acute and incontrollable with drugs such as prednisolone or pain killers and, recovered by anti-leprosy drug administration for about two years respectively. 3. On effectiveness of rifampicin, no difference is noticed between daily administration and that of intermittently given. |
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