Sudden neurosensorial deafness in Bell’s Palsy
Summary Three cases of sudden neurosensorial deafness in Bell’s Palsy have been presented. In the first case the deafness and the
facial palsy were on contralateral sides. There were no signs of disturbances of sense of taste or lacrymation in any of them.
We are of the opinion that this combination is suggestive of the existence of a common factor playing a major role in the
pathogenesis of these conditions and as the local vascular disturbance is generally regarded as the chief mechanism, involved
in Bell’s Palsy, probably a similar spasmodic lesion in the labyrinthine vessels might be responsible for sudden deafness.
Content Type Journal ArticleDOI 10.1007/BF03047487Authors
T. Gopichand, Kurnool Medical College KurnoolE. Ramakrishna Reddy, Kurnool Medical College......
POSTED 06/26/2009 at 04:38 AM --
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Facial nerve schwannoma
A 23-year-old Taiwanese female presented with intermittent twitching of the left eyelid and progressive left facial weakness for 10 months. Physical examination revealed grade II facial palsy on her left side. A white to pinkish mass with blood vessels on its surface was found behind the left intact tympanic membrane (). Contrast-enhanced coronal MRI showed that the main tumor, about 2 × 1 cm in size, arose from the second genu and the mastoid segment of the facial nerve (). An extended transmastoid approach was used to expose the tumor by microscope. (Source: Otolaryngology - Head and Neck Surgery)...
POSTED 06/25/2009 at 09:01 AM --
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Antiviral Agents May Not Be Helpful for Treatment of Bell's Palsy
A systematic review and meta-analysis shows that adding an antiviral agent to corticosteroids for treatment of Bell's palsy is not associated with improved recovery of facial movement function. Medscape Medical News (Source: Medscape Medical News Headlines)...
POSTED 06/18/2009 at 08:27 AM --
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Predictors of facial palsy after surgery for benign parotid disease: Multivariate analysis of 626 operations
The objective was to identify the risk factors for, and incidence of, facial palsy following conservative parotidectomy.Conservative parotidectomies for benign diseases (N = 626) were studied retrospectively. The risk factors for postoperative facial palsy were determined by univariate and multivariate analyses of variables related to patient demographics, comorbid illnesses, and characteristics of the operation.The rate of transient facial palsies was 23.16% following parotidectomy. Significant risk factors for transient facial palsy were diabetic mellitus (odds ratio [OR] 1.727 [95% CI: 1.062-2.810]) and extended surgery (OR 3.049 [95% CI: 2.058-4.515]). Only the type of surgery was found to have a statistically significant causal relation with permanent facial palsy (p = .017).Comorbid ......
POSTED 06/16/2009 at 06:00 PM --
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Bell's palsy preceding Parkinson's disease: A case-control study
We investigated the association of Bell's palsy (BP) with the subsequent risk of Parkinson's disease (PD) using a case-control study design. We matched 196 incident cases of PD in Olmsted County, MN, to 196 general population controls with same age (±1 year) and sex, and we reviewed the complete medical records of cases and controls in a medical records-linkage system to detect BP. Six of the 196 patients with PD and none of the 196 controls were diagnosed with BP before PD (exact binomial probability, P = 0.02). The median age at occurrence of BP was 49.5 years (range, 15-84 years) and the median time between BP and the onset of PD was 27.5 years (range, 2-54 years). The findings were similar using a standardized incidence ratio (SIR) approach, but were not statistically significant. Thi......
POSTED 06/15/2009 at 11:00 PM --
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Antivirals in Bell's Palsy Not Justified (CME/CE)
TORONTO (MedPage Today) -- Treating Bell's palsy by adding an antiviral drug to corticosteroids isn't justified by the evidence, according to a systematic review and meta-analysis of published studies. (Source: MedPage Today Neurology)...
POSTED 06/15/2009 at 03:17 PM --
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Correlates of degree of nerve involvement in early Bell's palsy
Conclusions:
The degree of nerve involvement in early Bell's palsy correlates positively with age and negatively with corticosteroid use. (Source: BMC Neurology)...
POSTED 06/06/2009 at 11:00 PM --
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Acupuncture for Bell's Palsy
The Journal of Alternative and Complementary Medicine , Vol. 0, No. 0. (Source: The Journal of Alternative and Complementary Medicine)...
POSTED 06/05/2009 at 11:48 AM --
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Molecular genetic screening of MBS1 locus on chromosome 13 for microdeletions and exclusion of FGF9, GSH1 and CDX2 as causative genes in patients with Moebius syndrome.
Authors: Uzumcu A, Karaman B, Toksoy G, Uyguner ZO, Candan S, Eris H, Tatli B, Geckinli B, Yuksel A, Kayserili H, Basaran S
Moebius syndrome is a rare disorder primarily characterized by congenital facial palsy, frequently accompanied by ocular abduction anomalies, and occasionally associated with orofacial, limb and musculoskeletal malformations. Abnormal development of cranial nerves V through XII underlines the disease pathogenesis. Although some investigations suggested that a causative gene may lie on 13q12.2-q13, there have been no molecular studies targeting possible microdeletions in this region to date. In the present study, we performed microdeletion analyses on 13q12.11-q13 in nine patients, and sequenced three candidate genes in nineteen patients for functional relevance an......
POSTED 05/18/2009 at 06:00 PM --
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[Correspondence] Is antiviral medication for severe Bell's palsy still useful?
Bell's palsy is the most common cause of peripheral facial paralysis, and treatment needs to be started as soon as possible after the onset of paralysis. Treatments include corticosteroids to reduce swelling and antiviral drugs to combat infection with the herpes simplex virus, which is a possible cause of the disorder. In their article, Engström and colleagues aimed to compare the efficacy of the corticosteroid prednisolone and the antiviral drug valaciclovir for treating facial paralysis. Consistent with the conclusion of an earlier trial, Engström and colleagues concluded that early treatment with prednisolone alone shortened the time to facial recovery and that valaciclovir did not affect recovery. Commenting on the results of Engström and colleagues, Gilden wrote “the pendulum ha......
POSTED 05/11/2009 at 11:00 PM --
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[Correspondence] Is antiviral medication for severe Bell's palsy still useful? – Authors' reply
We thank de Ru, van Benthem, and Janssen for their comments in response to our article. Our aim was to include a large number of patients, including those who initially had mild palsy and those who initially had severe palsy. Of 827 patients graded with the Sunnybrook scale, 590 (71%) had a Sunnybrook score greater than 25 points (mild-to-moderate palsy) at baseline and 237 (29%) had a score of 0 to 25 points (severe palsy). With House–Brackmann grading (829 patients), 584 (70%) had grades II to IV (mild-to-moderate palsy) and 245 (30%) had grades V to VI (severe palsy). The mean House–Brackmann grading at baseline for the 210 patients treated with prednisolone plus placebo was 3·7 (SD 1·1) and 3·8 (1·1) in the 206 patients who received prednisolone plus valaciclovir. The mean scor......
POSTED 05/11/2009 at 11:00 PM --
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[Correspondence] Is antiviral medication for severe Bell's palsy still useful? – Author's reply
de Ru and colleagues ask whether myself and Tyler, and Engström and colleagues, have lost sight of the important question of whether “recovery rate can be improved in patients [with Bell's palsy] who have only a small probability of spontaneous recovery”; they even state that they believe the pendulum still remains in a position that favours combination therapy and conclude that such patients should be treated with a combination of steroids and antivirals rather than steroids alone. (Source: Lancet Neurology)...
POSTED 05/11/2009 at 11:00 PM --
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Acyclovir for Bell's palsy
Bell's palsy often occurs idiopathically, with no identifiable etiologic agent, although trauma, compression, infection, and inflammatory or metabolic disorders are known to produce it. Herpes simplex virus (HSV) is the most frequently identified cause of inflammation, but several viruses have been suspected. This neuropathy of the peripheral seventh cranial nerve is usually unilateral, but can affect either side of the face. Bell's palsy can be complete or partial. The onset is generally rapid and is described as numbness or stiffness, although no sensory loss actually occurs. The diagnosis is based on a focused physical examination to rule out other conditions. The best treatment remains undetermined, with up to two thirds of patients recovering spontaneously. Two cases managed with an a......
POSTED 04/30/2009 at 11:00 PM --
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PR08NERVE TO MASSETER – THE KEY TO RELIABLE RESULTS IN FACIAL REANIMATION
Conclusions: The nerve to masseter provides a highly reliable source of innervation for free muscle transfers and direct nerve transfer in older adults and children. (Source: ANZ Journal of Surgery)...
POSTED 04/26/2009 at 11:00 PM --
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Patient satisfaction after lid loading in facial palsy
Abstract Paralytic lagophthalmos is treated by pretarsal implantation of eyelid weights consisting either of rigid gold weights or
flexible platinum chains. Functional results being good, subjective patient satisfaction has been examined only by a small
number of studies. The aim of our study, conducted by means of a questionnaire, was to assess subjective patient satisfaction
after implantation of different eyelid implants. Questionnaires were sent to 42 patients treated by pretarsal implantation
of a gold weight (group 1) and 51 patients with a pretarsally fixed platinum chain (group 2). In total, 46 response sheets
were evaluated (16 × gold weight, 30 × platinum chain) and the results were compared. In group 1, 75% of patients were very
satisfied t......
POSTED 04/26/2009 at 12:46 AM --
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Advanced Educational Courses in Plastic Surgery
On the cover of the print issue of the journal is a notice in the top right hand corner drawing attention to a series of courses in Plastic Surgery which are to be held over the next few years in the Manchester Conference Centre, Manchester, UK. These courses are aimed for both the trainees in the specialty and for fully qualified specialists. The courses are going to be lecture-based with presentations from leading international experts, who will be reflecting on the most up-to-date surgical techniques and developments in surgical skills. The first course is focused on head and neck oncology and facial palsy. Further details of the courses can be found at the URL shown in . (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)...
POSTED 04/24/2009 at 04:21 AM --
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Rapid diagnosis and successful drug therapy of primary parotid tuberculosis in the pediatric age group: a case report and brief review of the literature
We describe the case of a 13-year-old female who presented with right parotid swelling with facial palsy. Computerized tomography, aspiration cytology, PCR differentiation, culture sensitivity, and drug therapy led to complete resolution. A literature review revealed case reports suggesting a trend towards a conservative approach. (Source: International Journal of Infectious Diseases)...
POSTED 04/22/2009 at 05:58 AM --
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Childhood Hepatitis A Virus Infection Complicated by Bell's Palsy
(Source: Clinical Pediatrics)...
POSTED 04/14/2009 at 11:00 PM --
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IMAGES IN NEUROLOGY: Bilateral Facial Palsy in Neuroborreliosis
(Source: Archives of Neurology)...
POSTED 04/12/2009 at 11:00 PM --
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Histopathological temporal bone study of the metastatic rhabdomyosarcoma
We describe the histopathological temporal bone findings of metastatic rhabdomyosarcoma in the patient with hearing loss and facial nerve paralysis. A 45-year-old female was admitted to the hospital with a mass of the left tibia. Surgical operation was performed and the pathological diagnosis was alveolar rhabdomyosarcoma. She showed left facial palsy and bilateral hearing loss. She was pronounced dead because of respiratory arrest caused by multiple metastases including meningeal metastasis after 14 months of total clinical course. Histological examination of the temporal bone revealed that the VII and VIII cranial nerves were involved by tumor cells in the internal auditory canal, and that the organ of Corti was damaged. In addition, the membranous labyrinth showed labyrinthitis. No rema......
POSTED 03/31/2009 at 11:00 PM --
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