Bogorad's syndrome

Overview said, crocodile tears syndrome, reflex tears taste. Pathology Disease (1) associated with congenital lateral rectus palsy crocodile tears because of this syndrome outreach neurons in the nucleus or nuclear Abnormal saliva secretion and pontine nuclear caused abnormal differentiation of congenital tendency to tears. Following the outbreak of facial paralysis early crocodile tears nature of this syndrome is scar tissue within the lacrimal and salivary glands fiber cross-, When chewing stimulate salivary glands caused fiber peripheral fibers of the lacrimal gland stimulation. (3) After the facial paralysis or nerve resection shallow rocks after crocodile tears syndrome found in the skull base fracture, herpes few weeks later, Because of this trauma in salivary glands fiber regeneration after the wrong direction and into the lacrimal gland about it. Clinical manifestations chewing or strong smell of food into the mouth caused unilateral reflex tears, mechanical stimulation or food without chewing not cause tears. Also at the affected patients crying tears not negative. Differential diagnosis (1) of congenital eye muscle paralysis (congenital ophthal moplegi a externa) once more in health, most of the genetic developmental disorder, See outreach nuclear nerve hypoplasia or saliva secretion pons nuclear abnormal differentiation. At this point see crocodile tears apart from the levy, there extraocular rectus palsy symptoms, such as eye ipsilateral limited outreach, Head often to the role of muscle paralysis lateral direction. (2) peripheral facial paralysis (peripheral facial paralysis) disease All lesions ipsilateral facial muscle paralysis, Bell's common levy, eyes closed when the paralysis side eyeball Upward Flow (or transfer within) on the exposed cornea with the sclera; paralysis of the eye and the side contralateral not the same level over the opposite side shift Pupil level higher than normal; ipsilateral platysma not contraction; Shen She contralateral to the shift; Back-side paralysis 2 / 3 Taste emerging obstacles, poor reflexes; lacrimal gland and saliva secretion decreased or disappeared. Crocodile tears syndrome appeared in facial paralysis after a few weeks or a few months. In addition, there are other sequels shape of facial spasm, the facial muscles of the Joint Movement (appetite generated close their eyes, close their eyes when the altercation platysma raised or contraction). (3) Bell's facial paralysis (Bell's facial paralysis) is accompanied by Bel l The levy's surrounding facial paralysis and will have nothing to do with the consumption of simple tears, and the crocodile tears levy easily confused. It is the result of the Ministry of duct Horner's muscular weakness, since nasal tear outflow will be hampered. (4) auriculotemporal syndrome this is the parotid gland injury after surgery and the symptoms, performance of eating temporal and cheek flushes and sweating, tears, runny nose. Always accompany the side facial pain.