Acupuncture Benefits a Pregnant Patient Who Has Bell's Palsy: A Case Study
The Journal of Alternative and Complementary Medicine , Vol. 0, No. 0. (Source: The Journal of Alternative and Complementary Medicine)...
POSTED 08/25/2010 at 10:00 PM --
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A rare case of pontomedullary infarction presenting with peripheral-type facial palsy
Abstract: Ipsilateral facial palsy (FP) of the peripheral-type can result from lesions involving the inferomedial tegmentum of the pons. However, cases of a medullary lesion with peripheral-type FP have rarely been reported. The authors experienced an 83-year-old man with a pontomedullary infarction who presented with ipsilateral peripheral-type FP. Brain diffusion MRI revealed a hyper-intense signal on the left dorsolateral portion of the upper medulla and pontomedullary junction. This case suggests that clinicians should take into account the possibility of a central lesion and brainstem infarction, even when patients present with peripheral-type FP. (Source: Auris, Nasus, Larynx)...
POSTED 08/10/2010 at 03:12 AM --
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Acupuncture for Bell's palsy.
CONCLUSIONS: The quality of the included trials was inadequate to allow any conclusion about the efficacy of acupuncture. More research with high quality trials is needed.
PMID: 20687071 [PubMed - in process] (Source: Cochrane Database of Systematic Reviews)...
POSTED 08/06/2010 at 08:33 PM --
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Long-term changes in cerebellar activation during functional recovery from transient peripheral motor paralysis.
Authors: Smit A, van der Geest J, Metselaar M, van der Lugt A, Vanderwerf F, De Zeeuw C
Localized altered cerebellar cortical activity can be associated with short-term changes in motor learning that take place in the course of hours, but it is unknown whether it can be correlated to long-term recovery from transient peripheral motor diseases, and if so, whether it occurs concomitantly in related brain regions. Here we show in a longitudinal fMRI study of patients with unilateral Bell's palsy that increases in ipsilateral cerebellar activity follow the recovery course of facial motor functions over at least one and a half years. These findings hold true for changes in brain activity related to both oral and peri-orbital activation, even though these processes are differentially mediate......
POSTED 08/03/2010 at 06:00 PM --
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Greater petrosal nerve schwannomasâanalysis of four cases and review of the literature
We report on four cases of GPN schwannomas and discuss the surgical approach for their removal. Four patients
with GPN schwannomas underwent surgery at Keio University Hospital. We present the pre- and postoperative clinical findings
and describe the structures around the GPN schwannomas as observed during the surgery. Histological sections were performed
around the GPN using Massonâs trichrome stain to elucidate the membrane structures. Three patients presented with xerophthalmia,
and one with facial palsy, hearing disturbance, and generalized convulsions. Contrast-enhanced magnetic resonance images revealed
tumors in the temporal lobe. Bone-window computed tomography showed erosion of the anterior petrous apex. During the operation,
the temporal lobe was retracted epidurally. The......
POSTED 07/28/2010 at 12:40 PM --
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Recurrent Pleomorphic Adenoma: Results of Surgical Treatment
Conclusion Surgery is recommended in pleomorphic adenoma recurrence because of the high rate of carcinoma ex pleomorphic adenoma (16.1%).
Nevertheless, a definitive facial paralysis â¥grade III rate of 11.3% is reported after multiple nerve dissection. New recurrence
after surgery is less frequent if the initial treatment for pleomorphic adenoma is total parotidectomy.
Content Type Journal ArticleCategory Head and Neck OncologyDOI 10.1245/s10434-010-1173-2Authors
Marc Makeieff, CHU Department of Head and Neck Surgery Montpellier FrancePierfrancesco Pelliccia, CHU Department of Head and Neck Surgery Montpellier FranceFlavie Letois, CHU Department of Medical Information Montpellier FranceGrégoire Mercier, CHU Department of Medical Information Montpellier FranceSebas......
POSTED 07/20/2010 at 03:01 AM --
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Patient with pontine warning syndrome and bilateral posterior internuclear ophthalmoplegia: case report
Conclusions:
1) Pontine warning syndrome may be underestimated and understudied. 2) Posterior internuclear ophthalmoplegia is a rare clinical sign in cerebrovascular diseases, while it can help to locate a brainstem lesion rather than an internal capsular one. 3) Blood pressure lowing administration may be improper for patients with pontine warning syndrome. (Source: BMC Neurology)...
POSTED 06/27/2010 at 06:00 PM --
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Prognostic factors for the incidence and recovery of delayed facial nerve palsy after vestibular schwannoma resection.
Conclusions Although patients with DFP did not exhibit any distinguishable characteristics when compared with patients without postoperative facial palsy, our analysis identified significant differences in patients with palsy presenting immediately postoperatively. Further study of patients with DFP should be undertaken to predict its incidence following VS resection.
PMID: 20578799 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery)...
POSTED 06/24/2010 at 06:00 PM --
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New facial nerve disorders topic
A new facial nerve disorders topic is now available, including all high quality evidence on Bell's Palsy. (Source: NLH Specialist Library for ENT and Audiology Latest News)...
POSTED 06/21/2010 at 04:36 AM --
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Intraoperative Monitoring of Motor Evoked Potential for the Facial Nerve Using a Cranial Peg-Screw Electrode and a âThreshold-levelâ Stimulation Method
Skull BaseDOI: 10.1055/s-0030-1261270ABSTRACTTranscranial motor evoked potential (MEP) for the facial nerve (facial MEP) has been recognized as a good method for quantitative monitoring of facial nerve function in skull base surgery. To improve the feasibility and safety of facial MEP monitoring, a peg-screw electrode and a “threshold-level” method were investigated. From 2007 to 2009, intraoperative facial MEP monitoring with the peg-screw electrode and threshold-level method was successfully achieved in 26 of 29 patients who underwent surgery for the posterior fossa extra-axial tumor. The relationship between the change in the facial MEP threshold level and the postoperative function of the facial nerve was analyzed in 23 patients who had no facial palsy preoperatively. There......
POSTED 06/12/2010 at 08:15 AM --
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Bell's palsy: a manifestation of prediabetes?
Conclusions [ndash] In this study we found that prediabetes is frequently associated with facial palsy. We propose to perform a 2h-OGTT in patients with peripheral facial palsy and normal fasting glycaemia. HOMA-index should be evaluated in obese facial palsy patients. (Source: Acta Neurologica Scandinavica)...
POSTED 06/08/2010 at 06:00 PM --
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Facial Nerve Paralysis After Cervical Traction.
Authors: So EC
So EC: Facial nerve paralysis after cervical traction.Cervical traction is a frequently used treatment in rehabilitation clinics for cervical spine problems. This modality works, in principle, by decompressing the spinal cord or its nerve roots by applying traction on the cervical spine through a harness placed over the mandible (Olivero et al., Neurosurg Focus 2002;12:ECP1). Previous reports on treatment complications include lumbar radicular discomfort, muscle injury, neck soreness, and posttraction pain (LaBan et al., Arch Phys Med Rehabil 1992;73:295-6; Lee et al., J Biomech Eng 1996;118:597-600). Here, we report the first case of unilateral facial nerve paralysis developed after 4 wks of intermittent cervical traction therapy. Nerve conduction velocity examination r......
POSTED 06/06/2010 at 06:00 PM --
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Effect of acupuncture combined with blood-letting by a three-edged needle on 50 cases of Bell's palsy at the acute stage.
Authors: Zhao JP, Piao YZ, Wang J
OBJECTIVE: To observe clinical effects of acupuncture combined with blood-letting by a three-edged needle for treating Bell's palsy of wind-heat syndrome at the acute stage. METHODS: One hundred patients were randomly divided into a treatment group (50 cases) treated by acupuncture plus blood-letting and a control group (50 cases) treated by simple acupuncture. Four courses of treatments were given in both groups. The main symptoms and signs were observed and clinical effects evaluated with scores after one week, 2 weeks and one month of treatments respectively. RESULTS: After treatment, the scores for symptoms and signs were significantly different from those before treatment in both groups (P<0.05 or P<0.01). After one month of treatment, the i......
POSTED 05/31/2010 at 06:00 PM --
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Using Cochrane reviews for oral diseases
Conclusion: We hope this article will give readers information on the work of the Cochrane Oral Health Group and insight into the diversity of reviews in oral diseases. The reviews are successfully being used to change practice and as background for the funding of large-scale clinical trials. (Source: Oral Diseases)...
POSTED 05/29/2010 at 06:00 PM --
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Case of erythrophagocytosis in a patient with mantle cell lymphoma and cold agglutinin disease
A 28-year-old woman was admitted in hospital because of fever, chills and oral ulcers lasting for 10 days. A year before admission she had a mass in her breast that was diagnosed as mantle cell lymphoma after surgical resection. Afterwards she underwent chemotherapy. In her physical examination, the body temperature was 39°C and cervical and inguinal lymphadenopathy and edema in lower extremities were palpated. Herpetic like ulcers in lips and mouth were observed. During 1 month of hospitalization she had recurrent epistaxis and Bell's palsy (). (Source: Leukemia Research)...
POSTED 05/21/2010 at 08:21 AM --
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Erratum to: Patient satisfaction after lid loading in facial palsy
Content Type Journal ArticleCategory ErratumDOI 10.1007/s00405-010-1267-2Authors
Thomas Schrom, Helios Clinics Bad Saarow Department of Otorhinolaryngology Pieskower StraÃe 33 15526 Bad Saarow GermanyA. Buchal, Charité, Universitätsmedizin Berlin Campus Mitte Department of Otorhinolaryngology Schumannstr. 20/21 10117 Berlin GermanyS. Ganswindt, Helios Clinics Bad Saarow Department of Otorhinolaryngology Pieskower StraÃe 33 15526 Bad Saarow GermanyS. Knipping, Martin Luther University Halle Wittenberg Department of Otorhinolaryngology, Head and Neck Surgery Magdeburger Str. 12 06097 Halle Germany
Journal European Archives of Oto-Rhino-LaryngologyOnline ISSN 1434-4726Print ISSN 0937-4477 (Source: European Archives of Oto-Rhino-Laryngology)...
POSTED 05/12/2010 at 02:42 AM --
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Is the width of the labyrinthine portion of the fallopian tube implicated in the pathophysiology of Bell's palsy?: A prospective clinical study using computed tomography
The pathogenetic mechanisms underlying Bell's palsy remain obscure, despite the extensive relevant research. Magnetic resonance imaging (MRI) studies have strongly indicated that facial nerve edema cannot be regarded as the sole etiologic factor, because it might persist long after full clinical recovery, or might be demonstrated in the clinically unaffected side or healthy controls. The aim of this study was to investigate the hypothesis that a narrow facial canal might be implicated in the pathophysiology of Bell's palsy.Prospective clinical study.A high-resolution computerized tomography of the temporal bone with 1-mm thick contiguous axial sections was performed in 25 patients with unilateral Bell's palsy. The width of the fallopian tube was measured at the meatal foramen and the middl......
POSTED 05/11/2010 at 06:00 PM --
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Influence of lip force on swallowing capacity in stroke patients and in healthy subjects.
Conclusion: In spite of no clinical signs of facial paresis, a pathological lip force (LF) will strongly influence swallowing capacity (SC). Stroke patients with impaired SC suffer a subclinical facial paresis. The results support earlier findings that LF training can be used to treat dysphagia. Objectives: Lip muscle training with an oral screen can improve both LF and SC in stroke patients, irrespective of the presence or absence of facial palsy. The aim was therefore to study the influence of LF on SC. Methods: This prospective study included 22 stroke patients, aged 38-90 years, with dysphagia, 12 with initial unilateral facial paresis and 45 healthy subjects, aged 25-87 years. All were investigated with a Lip Force Meter (LF100), and with an SC test. Results: A significant correlation......
POSTED 05/04/2010 at 06:00 PM --
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The first 50s: can we achieve acceptable results in vestibular schwannoma surgery from the beginning?
Conclusions The results demonstrate that with careful established educational plans in skull base surgery, excellent clinical and functional
results can be achieved even by young neurosurgeons.
Content Type Journal ArticleCategory Clinical ArticleDOI 10.1007/s00701-010-0672-zAuthors
Florian Roser, University of Tübingen Department of Neurosurgery Hoppe-Seyler-Str.3 72076 Tübingen GermanyMarcos S. Tatagiba, University of Tübingen Department of Neurosurgery Hoppe-Seyler-Str.3 72076 Tübingen Germany
Journal Acta NeurochirurgicaOnline ISSN 0942-0940Print ISSN 0001-6268 (Source: Acta Neurochirurgica)...
POSTED 05/04/2010 at 02:58 AM --
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Neurosarcoidosis presenting as an isolated intrasellar mass: case report and review of the literature.
Conclusion: If isolated neurosarcoidosis is diagnosed early it will save a costly and invasive work-up. Radiographic and laboratory studies may aid in diagnosis but no studies are pathognomonic. Neurosarcoidosis is diagnosed by a combination of imaging, diagnostic tests, and good clinical suspicion.
PMID: 20423690 [PubMed - in process] (Source: Clinical Neuropathology)...
POSTED 04/30/2010 at 11:52 AM --
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