Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제30권4호
  • /
  • Pages.345-348
  • /
  • 2004
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지

두개 파상풍의 치험례

CEPHALIC TETANUS : A CASE REPORT

  • 류승희 (전남대학교 치과대학 구강악안면외과학교실, 치의학연구소) ;
  • 서일영 (전남대학교 치과대학 구강악안면외과학교실, 치의학연구소) ;
  • 박홍주 (전남대학교 치과대학 구강악안면외과학교실, 치의학연구소) ;
  • 오희균 (전남대학교 치과대학 구강악안면외과학교실, 치의학연구소)
  • Ryu, Seung-Hee (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Seo, Il-Young (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Park, Hong-Ju (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Oh, Hee-Kyun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dental Science Research Institute, Chonnam National University)
  • 발행 : 2004.08.31
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초록

Cephalic tetanus is a rare subtype of tetanus in which trismus is a charateristic symptom. The paralysis of one or more cranial nerves can occur. The 7th cranial nerve is most frequently involved. It account for 1 to 3% of the tetanus and has a mortality of 15 to 30%. The incubation period is 1 to 14 days, and approximately two thirds of tetanus cases progress to generalized tetanus. Generally, the symptoms of cephalic tetanus can include : facial pain, trismus, dysphagia, muscle twitching spasms of the face and jaw (risus sardonicus), neck stiffness and malaise. We present a case of cephalic tetanus who 54-year male patient had trismus and dysphagia. There was no history of trauma. As there was a delay in diagnosis of cephalic tetanus, respiratory disorder and intermittent general spasm occurred. The patient was treated by injection of antibiotics, muscle relaxant, and human anti-tetanus immunoglobulin. His symptoms were disappeared, and he was discharged ambulatory.

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