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Bell palsy

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https://www.readbyqxmd.com/read/28631535/high-resolution-magnetic-resonance-imaging-for-exposing-facial-nerve-zonal-vulnerability-to-microbleeds-a-rare-cause-of-facial-palsy
#1
Charlie Chia-Tsong Hsu, Dalveer Singh, Trevor William Watkins, Gigi Nga Chi Kwan, Sachintha Hapugoda
Background We report a case of hypertensive microbleeds strategically located at the attached segment (AS) and root entry zone (REZ) at the left facial nerve causing facial paralysis. Case Report A 60-year-old woman presented with sudden onset left facial paralysis. Medical history was significant for poorly controlled hypertension secondary to bilateral adrenal hyperplasia (primary hyperaldosteronism). The patient was initially treated for presumptive Bell's palsy. Subsequent magnetic resonance imaging of the brain and internal auditory canal showed two microbleeds at the left cerebellopontine angle...
January 1, 2017: Neuroradiology Journal
https://www.readbyqxmd.com/read/28606298/-melkersson-rosenthal-syndrome-in-a-young-man
#2
Elisabeth Lauritzen, Andreas P Schjellerup Jørkov
A 24-year-old man presented with orofacial swelling, peripheral facial palsy and fissured tongue. Apart from a previous episode of peripheral palsy, he had no history of illness. Biopsy of the lip, blood tests, magnetic resonance imaging of the head and lumbar puncture showed no pathology. He received systemic prednisone for ten days, and follow-up showed sparse improvement in facial movements. The patient could have been misdiagnosed with Bell's palsy, but the symptoms rather indicated a case of Melkersson-Rosenthal syndrome...
June 12, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28589061/importance-of-thorough-physical-examination-a-lost-art
#3
Talal Asif, Amena Mohiuddin, Badar Hasan, Rebecca R Pauly
Several recent studies have described a deterioration in physical examination skills among modern physicians. Reasons hypothesized for this change are improvements in technology and time constraints. Poor physical exam skills are a noteworthy threat to patient safety as they can lead to incorrect as well as missed diagnoses, causing delays in timely implementation of life-saving treatments. Here, we present a case of extensive acute embolic strokes secondary to infective endocarditis. The patient was initially misdiagnosed as having Bell's palsy due to incorrect physical examination...
May 2, 2017: Curēus
https://www.readbyqxmd.com/read/28566979/eagle-s-syndrome-with-facial-palsy
#4
Mohammed Al-Hashim, Nasser Al-Jazan, Abdulrahman Abdulqader, Mohammed Al-Ghamdi
Eagle's syndrome (ES) is a rare disease in which the styloid process is elongated and compressing adjacent structures. We describe a rare presentation of ES in which the patient presented with facial palsy. Facial palsy as a presentation of ES is very rare. A review of the English literature revealed only one previously reported case. Our case is a 39-year-old male who presented with left facial palsy. He also reported a 9-year history of the classical symptoms of ES. A computed tomography scan with three-dimensional reconstruction confirmed the diagnoses...
May 2017: Journal of Family & Community Medicine
https://www.readbyqxmd.com/read/28539869/correct-the-smile-of-a-child-by-neuromuscular-facilitation-technique-an-interesting-case-report
#5
Vencita Priyanka Aranha, Asir John Samuel, Kanimozhi Narkeesh
Bell's palsy (BP) in children is a rare case with no documented evidence regarding its rehabilitation management. Till date, individuals with BP are being treated with electrical stimulation are proportionately greater than other conventional means such as facial exercise and massage. These conventional modes of treatment have proved to have less incidence of synkinesis with more benefits. Here, we report a case of a 7-year-old boy diagnosed clinically to have right idiopathic facial nerve paralysis, who underwent 14 days of facial proprioceptive neuromuscular facilitation exercises along with facial therapeutic massage...
April 2017: International Journal of Health Sciences
https://www.readbyqxmd.com/read/28539154/you-re-the-flight-surgeon
#6
(no author information available yet)
Frayser MR. You're the flight surgeon: Bell's palsy. Aerop Med Hum Perform. 2017; 88(6):601-604.
June 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28521149/long-term-outcomes-of-external-femoral-derotation-osteotomies-in-children-with-cerebral-palsy
#7
Sylvia Õunpuu, Matthew Solomito, Katharine Bell, Kristan Pierz
External femoral derotation osteotomy (FDO) is an orthopaedic intervention to correct increased femoral anteversion and associated excessive internal hip rotation and internal foot progression during gait in children with cerebral palsy. The resulting functional issues may include clearance problems and hip abductor lever-arm dysfunction. The purpose of this study was to evaluate long-term gait outcomes of FDO. Twenty ambulatory patients (27 sides) with cerebral palsy who underwent pre-operative (P0) and a one year post-operative (P1) gait analysis as part of the standard of care had a second post-operative analysis (P2) approximately 11 years post-surgical intervention...
July 2017: Gait & Posture
https://www.readbyqxmd.com/read/28495416/invasive-fungal-rhinosinusitis-presenting-as-bell-s-palsy-in-a-kidney-and-liver-transplant-recipient
#8
Maggie Ming Yee Mok, Benjamin Xin Hao Fang, Bo Ying Choy, Tak Mao Chan
No abstract text is available yet for this article.
May 8, 2017: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/28467420/bell-s-palsy-and-influenza-h1n1-pdm09-containing-vaccines-a-self-controlled-case-series
#9
Leonoor Wijnans, Caitlin N Dodd, Daniel Weibel, Miriam Sturkenboom
BACKGROUND: An association between AS03 adjuvanted pandemic influenza vaccine and the occurrence of Bell's palsy was found in a population based cohort study in Stockholm, Sweden. To evaluate this association in a different population, we conducted a self-controlled case series in a primary health care database, THIN, in the United Kingdom. The aim of this study was to determine whether there was an increased risk of Bell's palsy following vaccination with any influenza vaccine containing A/California/7/2009 (H1N1)-like viral strains...
2017: PloS One
https://www.readbyqxmd.com/read/28457007/altered-axonal-excitability-properties-in-facial-palsy
#10
Timothy J Eviston, Lauren Sh Chong, Natalie Cg Kwai, Jonathan R Clark, Arun V Krishnan
Introduction - Axonal excitability measures give insight into the biophysical properties of peripheral nerve axons. This study applies these techniques to the study of facial palsy. Methods - 30 patients with established facial palsy due to unresolved Bell's palsy or herpes zoster (>6 months duration), tumour invasion of the facial nerve or traumatic facial nerve injury were assessed using facial nerve excitability techniques. Results - Full recordings were obtained in 23 patients (15 unrecovered Bell's palsy or herpes zoster, 5 trauma, 3 tumour related)...
April 29, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28432680/longitudinal-physical-activity-and-sedentary-behaviour-in-preschool-aged-children-with-cerebral-palsy-across-all-functional-levels
#11
Piyapa Keawutan, Kristie L Bell, Stina Oftedal, Robert S Ware, Richard D Stevenson, Peter S W Davies, Roslyn N Boyd
AIM: To investigate longitudinal changes of habitual physical activity (HPA) and sedentary time in children with cerebral palsy (CP) aged 1 year 6 months to 5 years across all functional abilities. METHOD: At study entry, 95 children (62 males, 33 females) were classified using the Gross Motor Function Classification System (GMFCS) at levels I (50), II (9), III (16), IV (6), and V (14). Physical activity was recorded on a total of 159 occasions at four possible time points: 1 year 6 months to 2 years; 2 years 6 months to 3 years; 4 years; and 5 years using ActiGraph for 3 days...
April 22, 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/28417103/effect-of-age-and-severity-of-facial-palsy-on-taste-thresholds-in-bell-s-palsy-patients
#12
Jung Min Park, Myung Gu Kim, Junyang Jung, Sung Su Kim, A Ra Jung, Sang Hoon Kim, Seung Geun Yeo
BACKGROUND AND OBJECTIVES: To investigate whether taste thresholds, as determined by electrogustometry (EGM) and chemical taste tests, differ by age and the severity of facial palsy in patients with Bell's palsy. SUBJECTS AND METHODS: This study included 29 patients diagnosed with Bell's palsy between January 2014 and May 2015 in our hospital. Patients were assorted into age groups and by severity of facial palsy, as determined by House-Brackmann Scale, and their taste thresholds were assessed by EGM and chemical taste tests...
April 2017: Journal of Audiology & Otology
https://www.readbyqxmd.com/read/28414663/not-another-acs-rule-out
#13
S Preston, R Nelson, M Watts, D Smith, T Dewenter, D Spruill
CASE: A 50 year old African-American woman with diabetes, hypertension, and hyperlipidemia presented with progressively worsening retro-sternal chest pain, exacerbated by activity and relieved by rest. She also endorsed a thirty-pound unintentional weight loss, and dysphagia. She was dysarthric with left-sided Bell's Palsy and a palpable left axillary lymph node. She had been evaluated at several hospitals in the previous months for similar typical chest pain. Her troponin values were normal, and an EKG showed T-wave inversions in leads I and aVL...
March 2017: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/28403702/bell-s-palsy-excluding-serious-illness-in-urgent-and-emergency-care-settings
#14
Sean Mower
Bell's palsy is a relatively benign condition that affects about 20 in every 100,000 patients a year, and in most cases the signs and symptoms resolve fully within around six months. The defining characteristic of the condition is a unilateral facial palsy, but this is also apparent in other conditions with a more serious prognosis, including strokes, some viral infections and tumours. This article reviews the literature on recognition of Bell's palsy, examines the underlying pathology, and compares it with other conditions associated with facial palsy...
April 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28396367/lyme-disease-and-bell-s-palsy-an-epidemiological-study-of-diagnosis-and-risk-in-england
#15
Lilli Cooper, Michael Branagan-Harris, Richard Tuson, Charles Nduka
BACKGROUND: Lyme disease is caused by a tick-borne spirochaete of the Borrelia species. It is associated with facial palsy, is increasingly common in England, and may be misdiagnosed as Bell's palsy. AIM: To produce an accurate map of Lyme disease diagnosis in England and to identify patients at risk of developing associated facial nerve palsy, to enable prevention, early diagnosis, and effective treatment. DESIGN AND SETTING: Hospital episode statistics (HES) data in England from the Health and Social Care Information Centre were interrogated from April 2011 to March 2015 for International Classification of Diseases 10th revision (ICD-10) codes A69...
May 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28375913/bell-s-palsy
#16
Stephen G Reich
PURPOSE OF REVIEW: Bell's palsy is a common outpatient problem, and while the diagnosis is usually straightforward, a number of diagnostic pitfalls can occur, and a lengthy differential diagnosis exists. Recognition and management of Bell's palsy relies on knowledge of the anatomy and function of the various motor and nonmotor components of the facial nerve. Avoiding diagnostic pitfalls relies on recognizing red flags or features atypical for Bell's palsy, suggesting an alternative cause of peripheral facial palsy...
April 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28359982/bidirectional-association-between-bell-s-palsy-and-anxiety-disorders-a-nationwide-population-based-retrospective-cohort-study
#17
Chih-Chieh Tseng, Li-Yu Hu, Mu-En Liu, Albert C Yang, Cheng-Che Shen, Shih-Jen Tsai
OBJECTIVE: Bell's palsy and anxiety disorders share numerous risk factors (e.g., immune response, ischemia, and psychological stress). However, there have been no studies on the bidirectional temporal association between the two illnesses. In this study, we used the Taiwan National Health Insurance Research Database (NHIRD) to test the bidirectional association between Bell's palsy and anxiety disorders. We hypothesized that patients with Bell's palsy would have an increased risk of subsequent anxiety disorders later in life and that, conversely, those with anxiety disorders would have an increased likelihood of developing Bell's palsy later in life...
June 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28349542/onset-of-bell-s-palsy-in-late-pregnancy-and-early-puerperium-is-associated-with-worse-long-term-outcomes
#18
Katie M Phillips, Alyssa Heiser, Robert Gaudin, Tessa A Hadlock, Nate Jowett
INTRODUCTION: The incidence of Bell's palsy (BP) is elevated in the late phases of pregnancy. Controversy exists as to whether pregnancy is a risk factor for worse outcomes in BP, and whether such outcomes are the result of factors intrinsic to pregnancy or the tendency to withhold medical therapy in this cohort. METHODS: Long-term facial function outcomes in cases of pregnancy-associated BP (PABP) were compared against outcomes in cases affecting nonpregnant adult women of child-bearing age by a blinded expert using the electronic clinician-graded facial function scale (eFACE) facial grading system...
March 27, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28337563/role-of-low-level-laser-therapy-added-to-facial-expression-exercises-in-patients-with-idiopathic-facial-bell-s-palsy
#19
Banu Ordahan, Ali Yavuz Karahan
The aim of the present study was to investigate the efficacy of low-level laser therapy in conjunction with conventional facial exercise treatment on functional outcomes during the early recovery period in patients with facial paralysis. Forty-six patients (mean age 41 ± 9.7 years; 40 women and 6 men) were randomized into two groups. Patients in the first group received low-level laser treatment as well as facial exercise treatment, while patients in the second group participated in facial exercise intervention alone...
May 2017: Lasers in Medical Science
https://www.readbyqxmd.com/read/28336681/accuracy-and-reliability-of-stroke-diagnosis-in-the-pediatric-emergency-department
#20
Mark T Mackay, Adriana Yock-Corrales, Leonid Churilov, Paul Monagle, Geoffrey A Donnan, Franz E Babl
BACKGROUND AND PURPOSE: Access to acute stroke interventions in the emergency department (ED) relies on correct clinical diagnosis. Our aims were to determine the accuracy and reliability of pediatric ED physician diagnosis of childhood stroke and other conditions presenting with brain attack symptoms. METHODS: Prospective study of consecutive children aged 1 month to 18 years presenting to the ED from June 2009 to December 2010 with focal neurological deficits...
March 23, 2017: Stroke; a Journal of Cerebral Circulation
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