临床传统医学和药理学（英文）2025，Vol.6Issue(3)：16-21,6.DOI:10.1016/j.ctmp.2025.200235
针刺改善AICA生理结构异常致神经水肿的周围性面瘫:病例报道
Acupuncture alleviates peripheral facial paralysis caused by structural anomalies of the anterior inferior cerebellar artery inducing neural edema:A case report
摘要
Abstract
Background:Peripheral facial paralysis(PFP)caused by neurovascular structural anomalies frequently triggers an inflammatory cascade,leading to facial nerve edema.Standard treatments like corticosteroids usually don't work very well,while acupuncture shows special benefits in treating PFP. Objective:This report discusses a case where acupuncture was used to treat hormone-insensitive PFP caused by swelling of the facial nerve due to an unusual physical structure of the right anterior inferior cerebellar artery(AICA).The goal is to improve clinicians' diagnosis and treatment accuracy for this possible cause and to highlight acupuncture's therapeutic effect. Methods:We used the cranial magnetic resonance imaging(MRI)to clarify the etiology of hormone-insensitive PFP and formulated an acupuncture treatment plan.The acupuncture treatment restored the facial nerve's func-tion after seven sessions.We performed a cranial MRI again to observe the facial nerve edema and its relationship with the surrounding vascular structures. Result Before acupuncture treatment,the patient's head MRI showed that the right AICA and the right facial nerve had a"U-shaped"abnormal physiological structure,and the local edema of the facial nerve was obvious.The left AICA had a cross interaction with the facial nerve and the auditory nerve in the inner ear canal.After 7 times of acupuncture treatment,the facial nerve function of the patient recovered,and reexamination of the head MRI showed that the local edema significantly subsided. Conclusion:PFP which is caused by facial nerve edema resulting from abnormal neurovascular physiological structures is insensitive to hormonal therapy.Acupuncture can be used to promote the resolution of the edema and the restoration of facial nerve function.关键词
周围性面瘫/小脑下前动脉/生理结构异常/神经水肿/针刺Key words
Peripheral facial paralysis/Inferior anterior cerebellar artery/Physiological structural abnormalities/Nerve edema/Acupuncture引用本文复制引用
吕鑫炫,金巍,张沛云,吕召顺,祝萍,李立红..针刺改善AICA生理结构异常致神经水肿的周围性面瘫:病例报道[J].临床传统医学和药理学（英文）,2025,6(3):16-21,6.基金项目
This work was supported by Zhejiang Key Reasearch Projects of Tra-ditional Chinese Medicine(Grant No.GZY-ZJ-KJ-24016[to LHL]). （Grant No.GZY-ZJ-KJ-24016[to LHL]）
