家族性原发性周围性面神经麻痹,国内报道甚少。笔者诊治一个家族,计4例患者,现报道如下。例1先证者张某某,男,21岁,8年前因左眼流泪、不能闭合,伴吐字不清1天就诊。检查:神志清楚合作,表情呆滞,说话欠连贯。左额部皱纹消失,左眼闭合不全,流泪,眼球活动度不受限,无震颤。左鼻唇沟消失,左口角下垂,不能做鼓腮等动作。舌居中,无震颤,伸舌 Familial primary peripheral facial paralysis, few reports. I diagnosed a family, including 4 patients, are reported below. Example 1 Proof Zhang Moumou, male, 21 years old, 8 years ago because of left eye tears, can not be closed, with spit word 1 day treatment. Check: conscious cooperation, dull expression, speech inconsistent. Left forehead wrinkles disappear, left eye closure insufficiency, tears, eye movement is not limited, no tremor. Left nasolabial groove disappears, left mouth drooping, can not do drum gills and other movements. Central tongue, no tremor, tongue extension