Monday, September 08, 2008
Latest Bell's Palsy Medical and Health News Headlines

Bell's Palsy Medical and Health News Headlines

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Acute bilateral facial palsy and wegener's disease.
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Acute bilateral facial palsy and Wegener's disease.

Otolaryngol Head Neck Surg. 2008 Sep;139(3):476-7

Authors: Magliulo G, Parrotto D, Alla FR, Gagliardi S

PMID: 18722238 [PubMed - in process]

(Source: Otolaryngology - Head and Neck Surgery)...
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POSTED 08/31/2008 at 05:13 AM --


Independent role of hypertension in bell's palsy: a case-control study
Eur Neurol 2008;60:253-257 (DOI:10.1159/000151701) (Source: Karger Publishers)... MORE...
POSTED 08/29/2008 at 04:11 AM --


Effect of acupuncture in a patient with 7-year-history of bell's palsy
The Journal of Alternative and Complementary Medicine , Vol. 0, No. 0: 1-7. Abstract Objectives: To demonstrate the effect of acupuncture in a child with chronic Bell's palsy of 7 years duration. Subject: A 15-year-old girl had Bell's palsy for 7 years and did not respond to steroid treatment in the acute phase. On examination, ... (Source: The Journal of Alternative and Complementary Medicine)... MORE...
POSTED 08/23/2008 at 10:42 AM --


Monitoring vaccine safety using case series cumulative sum charts.
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Monitoring vaccine safety using case series cumulative sum charts.

Vaccine. 2008 Aug 21;

Authors: Musonda P, Hocine MN, Andrews NJ, Tubert-Bitter P, Farrington CP

We adapt the self-controlled case series method for routine surveillance of vaccine safety using cumulative sum (CUSUM) charts. The CUSUM surveillance method we propose is applicable for detecting associations that arise in a short pre-determined risk period following vaccination. The performance of the case series CUSUM is investigated through simulations. We illustrate the method using retrospective analyses of influenza vaccine and Bell's palsy, and MMR vaccine and febrile convulsions.

PMID: 18723063 [PubMed - as supplied by publisher]

(Source: Vaccine)...
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POSTED 08/20/2008 at 11:00 PM --


[research papers] facial nerve motor-evoked potential monitoring during skull base surgery predicts facial nerve outcome
Objective: To determine whether monitoring facial nerve motor-evoked potentials (FNMEPs) elicited by transcranial electrical stimulation during skull base tumour surgery is useful for predicting facial nerve outcome. Methods: This study analysed FNMEP findings in 26 patients with skull base tumours. Corkscrew electrodes positioned at C3 or C4 and Cz were used to deliver supramaximal stimuli (180–550 V). FNMEPs were recorded from the orbicularis oculi and oris muscles. The correlation between the final-to-baseline FNMEP ratio and postoperative facial nerve function was examined. Results: Postoperative facial nerve function correlated significantly with the FNMEP ratios in the orbicularis oculi (p = 0.004) and orbicularis oris (p<0.001) muscles. An FNMEP ratio of <50% consistently predicted immediate postoperative facial palsy, although the degree of palsy differed among patients. All patients had satisfactory facial nerve function (House and Brackmann grades I and II) postoperatively if the FNMEP ratio remained at >50%. Conclusions: Intraoperative FNMEP monitoring can be useful for predicting facial nerve function after skull base surgery. This new method is a valuable adjunct to conventional facial nerve monitoring. (Source: Journal of Neurology, Neurosurgery & Psychiatry)... MORE...
POSTED 08/14/2008 at 11:00 PM --


Acute ophthalmoplegia (without ataxia) associated with anti-gq1b antibody
Background: Anti-GQ1b antibody has been found in Miller Fisher syndrome (MFS), Guillain-Barré syndrome (GBS) with ophthalmoplegia, Bickerstaff brainstem encephalitis (BBE), and acute ophthalmoplegia without ataxia (AO). The aim of this study was to determine the clinical features of AO associated with anti-GQ1b antibody. Methods: We retrospectively collected 34 patients with anti-GQ1b antibody syndrome. Of these patients, 31 patients had ophthalmoplegia. The patients with ophthalmoplegia were classified into MFS (n = 13), AO (n = 11), GBS with ophthalmoplegia (n = 6), and BBE (n = 1). We analyzed clinical features and patterns of external and internal ophthalmoplegia of AO, and neuro-ophthalmologic findings were compared with those of other anti-GQ1b syndromes with ophthalmoplegia. Results: AO was observed in 11 (32.4%) of the 34 patients with anti-GQ1b antibody. External ophthalmoparesis was present in all the patients and included mixed horizontal-vertical (n = 7), pure horizontal (n = 3), and pure vertical gaze palsy (n = 1). Binocular involvement was common, but unilateral ophthalmoparesis was also observed in 27.3%. Other findings included ptosis (n = 5, 45.5%) and internal ophthalmoplegia (n = 6, 54.5%). Other anti-GQ1b antibody syndromes had prominent neurologic signs including ataxia, weakness, and facial palsy in addition to ophthalmoplegia. The patterns of neuro-ophthalmologic findings did not differ between AO and other anti-GQ1b antibody syndromes with ophthalmoplegia. Conclusions: Acute ophthalmoplegia (AO) commonly occurs in anti-GQ1b antibody syndrome and manifests as various combinations of external and internal ophthalmoplegia. Internal ophthalmoplegia is fairly common and unilateral involvement may occur in AO. (Source: Neurology)... MORE...
POSTED 08/03/2008 at 11:00 PM --


Treatment options for patients with bell's palsy.
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Treatment options for patients with Bell's palsy.

Am Fam Physician. 2008 Aug 1;78(3):316, 319; author reply 319-20

Authors: Sickels M

PMID: 18714457 [PubMed - in process]

(Source: American Family Physician)...
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POSTED 07/31/2008 at 11:00 PM --


Treatment options for patients with bell's palsy.
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Treatment options for patients with Bell's palsy.

Am Fam Physician. 2008 Aug 1;78(3):316; author reply 319-20

Authors: Irani J

PMID: 18711945 [PubMed - in process]

(Source: American Family Physician)...
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POSTED 07/31/2008 at 11:00 PM --


Congenital unilateral facial palsy and internal auditory canal stenosis.
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Congenital unilateral facial palsy and internal auditory canal stenosis.

Pediatr Neurol. 2008 Aug;39(2):116-9

Authors: Lin KM, Huang CC, Leung JH

Congenital stenosis of the internal auditory canal is a rare clinical entity. The majority of patients exhibit sensorineural hearing loss, and preserve facial-nerve function. We present a patient who manifested congenital unilateral facial palsy and ipsilateral sensorineural hearing loss clinically. Neuroimaging demonstrated stenosis of the unilateral internal auditory canal and hypoplasia of the ipsilateral trigeminal, facial, and vestibulocochlear nerves, despite normal function of the trigeminal nerves. The functional prognosis of facial and vestibulocochlear nerves was poor, and cognitive development demonstrated borderline delay.

PMID: 18639756 [PubMed - in process]

(Source: Pediatric Neurology)...
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POSTED 07/22/2008 at 09:02 AM --


Temporary ectropion therapy by adhesive taping: a case study
Background: Various surgical procedures are available to correct paralytic ectropion, which are applied in irreversible facial paresis. Problems occur when facial paresis has an unclear prognosis, since surgery of the lower eyelid is usually irreversible. We propose a simple method to correct temporary ectropion in facial palsy by applying an adhesive strip. Methods: Ten patients with peripheral facial paresis and paralytic ectropion were treated with an adhesive strip to correct paralytic ectropion. We used aSteri-Stripsa (45 x 6.0 mm), which were taped on the carefully cleaned skin of the lower eyelid and of the adjacent zygomatic region until the prognosis of the paresis was clarified. In addition to the examiner's evaluation of the lower lacrimal point in the lacrimal lake, subjective improvement of the symptoms was assessed using a visual analogue scale (VAS, 1-10). Results: 9 patients reported a clear improvement of the symptoms after adhesive taping. There was a clear regression of tearing (VAS (median)=8; 1=no improvement, 10=very good improvement), the cosmetic impairment of the adhesive tape was low (VAS (median)=2.5; 1=no impairment, 10=severe impairment) and most of the patients found the use of the adhesive strip helpful. There was slight reddening of the skin in one case and well tolerated by the facial skin in the other cases. Conclusions: The cause and location of facial nerve damage are decisive for the type of surgical therapy. In potentially reversible facial paresis, procedures should be used that are easily performed and above all reversible without complications. Until a reliable prognosis of the paresis can be made, adhesive taping is suited for the temporary treatment of paralytic ectropion. Adhesive taping is simple and can be performed by the patient. (Source: BioMed Central)... MORE...
POSTED 07/20/2008 at 11:00 PM --


[proportion of tau protein to phosphorylated tau protein csf levels in differential diagnosis of dementia.]
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[Proportion of tau protein to phosphorylated tau protein CSF levels in differential diagnosis of dementia.]

Nervenarzt. 2008 Jul 16;

Authors: Hort J, Vališ M, Waberzinek G, Taláb R, Glossová L, Bojar M, Vyhnálek M, Skoda D, Masopust J, Sťourač P

BACKGROUND: The diagnosis of Creutzfeldt-Jakob disease (CJD) is based on typical clinical features and can be supported by detection of 14-3-3 protein in the CSF. The present study suggests the importance of investigating this ratio of total tau protein to phosphorylated tau protein in differentiating CJD from other dementias. Thirty-one patients with Alzheimer's disease (AD) or frontotemporal dementia and four with definitive diagnoses of CJD were included in the study. METHODS AND MATERIAL: Results from baseline investigations were compared with those from an age-matched cognitively controlled group with Bell's palsy. Tau protein, phosphorylated tau protein, and beta amyloid were analyzed using a commercially available enzyme-linked immunosorbent assay; 14-3-3 protein was assessed by Western blotting. RESULTS AND CONCLUSION: A distinctly high proportion of total tau protein to phosphorylated tau protein in CSF was found in all patients diagnosed with CJD, even in those with negative 14-3-3 protein blot results. In contrast, marker analysis in patients with Alzheimer's dementia revealed the highest CSF ratio of beta amyloid to phosphorylated tau protein levels. These proteins are important diagnostic biomarkers for CJD, especially in patients with negative 14-3-3 protein findings.

PMID: 18626620 [PubMed - as supplied by publisher]

(Source: Der Nervenarzt)...
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POSTED 07/15/2008 at 11:00 PM --


Dialysis disequilibrium syndrome presenting as a focal neurological deficit
We report a patient suffering from chronic kidney disease who presented to us with severe pulmonary edema. His clinical, laboratory, and sonological parameters were suggestive of end-stage renal disease. Hemodialysis was initiated, and after 48 hours (3 sessions of hemodialysis) he became drowsy and a neurological examination revealed left upper limb monoplegia with left facial palsy. Urgent computerized tomography scan of the brain revealed diffuse hypodensity in the cerebral white matter bilaterally, and brain magnetic resonance imaging showed diffuse hyperintensity in the cerebral white matter bilaterally, right internal capsule and external capsule on fluid attenuated inversion recovery and T2 sequences (hypointense on T1 sequence). He made a gradual but complete neurological recovery and was discharged 2 weeks later with normal neurological status. A repeat brain magnetic resonance imaging on follow-up 6 weeks later revealed complete resolution of the white matter abnormalities. (Source: Hemodialysis International)... MORE...
POSTED 07/07/2008 at 11:00 PM --


A 17-year-old boy with facial palsy and hyperacusis.
Page: 646,674DOI: 10.1097/INF.0b013e31816bce9fAuthors: Malik, Zainab A. MD; Litman, Nathan MD (Source: The Pediatric Infectious Disease Journal)... MORE...
POSTED 07/03/2008 at 03:06 AM --


Isolated facial palsy in varicella
Rama Rao G Raghu, Amareswar A, Kishan Kumar Y Hari, Rani RadhaIndian Journal of Dermatology, Venereology and Leprology 2008 74(3):261-262 (Source: Indian Journal of Dermatology, Venereology and Leprology)... MORE...
POSTED 06/21/2008 at 03:11 PM --


Isolated facial palsy in varicella
Rama Rao G Raghu, Amareswar A, Kishan Kumar Y Hari, Rani RadhaIndian Journal of Dermatology, Venereology and Leprology 2008 74(3):263-264 (Source: Indian Journal of Dermatology, Venereology and Leprology)... MORE...
POSTED 06/17/2008 at 05:18 PM --


Bell's palsy study wins rcgp/msd 2007 research paper of the year award
A study into the treatment of Bell's palsy has won the Royal College of General Practitioners (RCGP) and Merck Sharp & Dohme Limited (MSD) 2007 Research Paper of the Year Award. Now in its twelfth year, the award recognises an exceptional piece of original research relating to general practice or primary care that has been published in a peer reviewed journal during the preceding year. (Source: Neurology / Neuroscience News From Medical News Today)... MORE...
POSTED 06/13/2008 at 02:00 AM --


Spontaneous regression of an ebv-associated monoclonal large b cell proliferation in the mastoid of a young child following surgical biopsy
We report the spontaneous regression of an Epstein-Barr virus-associated monoclonal lymphoid proliferation in an immunocompetent child. A 2-year-old male with acute otitis media presented with a right-sided facial palsy secondary to acute mastoiditis. During mastoid decompression a polypoid mass, a histologically diffuse large B cell lymphoma, was found. Staging revealed localized disease. At surgical re-exploration 5 weeks later the disease had resolved. Retrospective serological testing was consistent with an acute Epstein-Barr viral infection and in situ hybridization of the tumour tissue was positive for Epstein-Barr RNA. Pediatr Blood Cancer © 2008 Wiley-Liss, Inc. (Source: Pediatric Blood and Cancer)... MORE...
POSTED 06/02/2008 at 11:00 PM --


Lancet comment: steroid and antiviral treatment for bell's palsy
The authors of this Comment article discuss the use of steroids and antivirals in the treatment of Bell’s palsy - an acute peripheral unilateral facial paralysis of unknown cause. They refer to research in this area with these drugs and note that there are no established guidelines in this area. The authors suggest a treatment protocol based on the current published work. (Source: NeLM Headline News)... MORE...
POSTED 05/29/2008 at 07:00 PM --


Effects of exercises on bell's palsy: systematic review of randomized controlled trials.
Page: 557DOI: 10.1097/MAO.0b013e31816c7bf1Authors: Cardoso, Jefferson Rosa *; Teixeira, Elsie Cobra +; Moreira, Michelle Damasceno *; Favero, Francis Meire ++; Fontes, Sissy Veloso ++; Bulle de Oliveira, Acary Souza ++ (Source: Otology & Neurotology)... MORE...
POSTED 05/29/2008 at 10:07 AM --


Necrotizing otitis externa: a painless reminder
Abstract  Necrotizing otitis externa is a necrotizing osteomyelitis of the skull base that predominantly affects diabetic and immunocompromised patients. Pseudomonas aeruginosa is the most frequently implicated organism. Patients present with severe otalgia, otorrhoea with or without facial palsy, or rarely, facial pain as a symptomatic feature. We report a case of necrotizing otitis externa presenting with totally painless otorrhoea and highlight the need for a high index of suspicion when treating patients with otitis externa. Content Type Journal ArticleCategory OtologyDOI 10.1007/s00405-008-0696-7Authors Daniel Thio, Royal Berkshire Hospital Department of Otolaryngology Reading RG1 5AN UKPhillip Reece, Royal Berkshire Hospital Department of Otolaryngology Reading RG1 5AN UKRory Herdman, Royal Berkshire Hospital Department of Otolaryngology Reading RG1 5AN UK Journal European Archives of Oto-Rhino-LaryngologyOnline ISSN 1434-4726Print ISSN 0937-4477 (Source: European Archives of Oto-Rhino-Laryngology)... MORE...
POSTED 05/28/2008 at 12:53 AM --


 

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