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Facial palsy

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https://www.readbyqxmd.com/read/28722232/rapidly-growing-cystic-vestibular-schwannoma-with-sudden-onset-facial-palsy-ten-years-after-subtotal-excision
#1
Manjunath Dandinarasaiah, Golda Grinblat, Sampath Chandra Prasad, Abdelkader Taibah, Mario Sanna
An elderly male patient diagnosed with a right-sided cystic vestibular schwannoma (CVS) at our center underwent a translabyrinthine approach with a subtotal excision to preserve the facial nerve (FN). The tumor grew slowly for the first 9 years but in the subsequent 2 years grew rapidly, with the patient developing a FN paralysis. Using the previous approach, a second surgery was done and the tumor was excised, leaving behind a sheath of tumor on the facial and lower cranial nerves. This case demonstrates that CVSs show unpredictable growth patterns and need to be followed up for a longer period of time...
July 19, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28720403/gradenigo-s-syndrome-a-case-of-a-common-infection-with-uncommon-consequences
#2
Matthew Vitale, Misra Amrit, Rajan Arora, Julie Lata
Acute otitis media is a common diagnosis encountered by emergency medicine providers. With appropriate antibiotic treatment, patients with otitis media, in general, have minimal long-term sequela from their underlying infection (Limb et al., 2017 [1]). However, untreated cases can develop life-threatening complications that require prompt intervention. We report a case of an 8-year-old that developed Gradenigo's syndrome, a condition characterized by the triad of otitis media, facial pain in the distribution of the trigeminal nerve, and abducens nerve palsy (Yeung and Lustig, 2016; Janjua et al...
July 5, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28713629/abducent-nerve-palsy-after-microballoon-compression-of-the-trigeminal-ganglion-case-report
#3
Cassiano Marchi, Paulo Henrique Pires de Aguiar, Ana Maria Moura, Giovanna Matricardi, Carolina Utsunomya Muniz, Rogério Aires, Flávia Gehrke, Natally Santiago, Samuel Simis
BACKGROUND: Trigeminal neuralgia (TN) is the most common type of facial neuralgia with incidence of 26.8/100,000 person year. In general, this scenario is characterized by a lancinating, unilateral, paroxysmal pain in the area of the fifth cranial nerve. Several treatment methods, including the injection of ethyl alcohol or butyl alcohol into the ganglion, the glycerol injection into the trigeminal cistern, peripheral nerve divisions, the radiofrequency thermocoagulation of the preganglionic fibers, and radiosurgery has been used for TN...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28708795/proposal-of-a-video-recording-system-for-the-assessment-of-bell-s-palsy-methodology-and-preliminary-results
#4
Simonetta Monini, Franco Marinozzi, Francesca Atturo, Fabiano Bini, Silvia Marchelletta, Maurizio Barbara
HYPOTHESIS: To propose a new objective video-recording procedure to assess and monitor over time the severity of facial nerve palsy. BACKGROUND: No objective methods for facial palsy (FP) assessment are universally accepted. METHODS: The face of subjects presenting with different degrees of facial nerve deficit, as measured by the House-Brackmann (HB) grading system, was videotaped after positioning, at specific points, 10 gray circular markers made of a retroreflective material...
July 13, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28705842/facial-palsy-and-atrial-fibrillation-a-special-case-of-ramsay-hunt-syndrome
#5
Fares Ayoub, Dhruv Mahtta, Roland-Austin Federico, Michael Kaufmann
Ramsay Hunt syndrome (herpes zoster oticus) is a rare complication of latent Varicella Zoster virus infection. It can be complicated by permanent hearing loss, loss of taste and postherpetic neuralgia. Although Ramsay Hunt syndrome most prominently involves the facial nerve, a number of other cranial nerves can be involved such as the vestibulocochlear, glossopharyngeal and the vagus nerve. We report on a case of Ramsay Hunt syndrome with cranial polyneuritis complicated by atrial fibrillation. Vagal involvement as evidenced by physical examination and MRI findings was present in our patient...
July 13, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28705754/progression-of-lyme-disease-to-bell-s-palsy-despite-treatment-with-doxycycline
#6
Luis A Marcos, Zengmin Yan
A 54 year-old healthy woman presented to the emergency department with a right sided facial paralysis. About 3 weeks ago, she woke up and noticed an attached engorged tick in her right lower extremity. A week later, she noticed a mild to moderate right jaw pain which progressed to a severe right facial pain so she visited her doctor. On physical, II to XII cranial nerve examination was unremarkable. Doppler ultrasound did not show any vascular abnormalities in temporal artery. Her inflammatory markers were within normal limits (C-reactive protein:0...
July 10, 2017: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/28704636/partial-superficial-superficial-and-total-parotidectomy-in-the-management-of-benign-parotid-gland-tumors-a-10-year-prospective-study-of-205-patients
#7
Panagiotis Stathopoulos, Dimosthenis Igoumenakis, William P Smith
PURPOSE: The aim of this report is to present an overview of the authors' experience in treating parotid gland tumors for a period of 10 years. This report describes patients' demographics, surgical outcomes, and complications and discusses the management of benign disease with particular emphasis on the importance of facial nerve dissection. PATIENTS AND METHODS: A total of 205 consecutive patients with different parotid gland tumors underwent surgery at Northampton General Hospital (Northampton, UK) from October 2000 to November 2010...
June 23, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28695159/an-11-year-old-boy-with-ear-pain-and-facial-palsy
#8
Abdul R Shahein, Walid Ballourah, Blake C Papsin, Carolyn E Beck
No abstract text is available yet for this article.
2017: Global Pediatric Health
https://www.readbyqxmd.com/read/28694647/headache-facial-palsy-and-diplopia-an-unusual-presentation-of-ruptured-distal-anterior-cerebral-artery-aneurysm
#9
Sushant Sahoo, Chhitij Srivastava
No abstract text is available yet for this article.
July 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28694636/delayed-facial-palsy-after-microvascular-decompression-report-of-two-cases
#10
G Lakshmi Prasad, Vinod Kumar, Girish Menon
Microvascular decompression (MVD) is a novel surgical procedure predominantly performed for treating trigeminal neuralgia (TN) and hemifacial spasm (HS). Multiple studies have proven the long-term success of MVD for both these conditions. The most common complications of MVD reported include chemical meningitis, facial hypesthesia, cerebrospinal fluid leak, facial paresis, and hearing loss. Delayed facial palsy (DFP) is an uncommon complication mostly noted in MVD for HS and after the removal of acoustic tumors...
July 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28694633/facial-diplegia-as-initial-manifestation-of-acute-myelomonocytic-leukemia-with-isolated-trisomy-47-xy-11-14-46-xy-6
#11
Josef Finsterer, Michael Panny
Bilateral peripheral facial palsy (facial diplegia) has been repeatedly reported as a neurologic manifestation of acute myeloid leukemia but has not been reported as the initial clinical manifestation of myelomonocytic leukemia. A 71-year-old male developed left-sided peripheral facial palsy being interpreted and treated as Bell's palsy. C-reactive protein (CRP) and leukocyte count 4 days later were 2.5 mg/l and 16 G/l, respectively. Steroids were ineffective. Seven days after onset, he developed right-sided peripheral facial palsy...
July 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28690993/2q37-deletion-syndrome-confirmed-by-high-resolution-cytogenetic-analysis
#12
Eun-Kyung Cho, Jinsup Kim, Aram Yang, Sung Yoon Cho, Dong-Kyu Jin
Chromosome 2q37 deletion syndrome is a rare chromosomal disorder characterized by mild to moderate developmental delay, brachydactyly of the third to fifth digits or toes, short stature, obesity, hypotonia, a characteristic facial appearance, and autism spectrum disorder. Here, we report on a patient with 2q37 deletion presenting with dilated cardiomyopathy (DCMP). Congenital heart malformations have been noted in up to 20% of patients with 2q37 deletions. However, DCMP has not been reported in 2q37 deletion patients previously...
June 2017: Annals of Pediatric Endocrinology & Metabolism
https://www.readbyqxmd.com/read/28689170/late-outcomes-of-gold-weights-and-platinum-chains-for-upper-eyelid-loading
#13
We Fong Siah, Sonali Nagendran, Petrina Tan, Syed Mustafa Ali Ahmad, Andre S Litwin, Raman Malhotra
AIM: To identify late outcomes of gold weights (GWs) and platinum chains (PCs) for upper eyelid loading in the management of lagophthalmos. METHODS: A retrospective case series of upper eyelid GWs and PCs at a single centre over a 10-year period (2004-2013). Two independent, blinded assessors graded standard photographs for any weight-related morbidity (poor upper eyelid contour, weight prominence and migration). RESULTS: Primary upper eyelid loading (high-tarsal technique) was performed in 154 eyelids of 136 patients (facial nerve palsy, n=99; non-paralytic, n=37)...
July 8, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28688864/an-objective-assessment-of-botulinum-toxin-type-a-injection-in-the-treatment-of-post-facial-palsy-synkinesis-and-hyperkinesis-using-the-synkinesis-assessment-questionnaire
#14
Catriona Neville, Vanessa Venables, Margaret Aslet, Charles Nduka, Ruben Kannan
This study aimed to provide reliable and valid evidence that botulinum toxin type A (BTX-A) is a successful treatment for facial synkinesis in facial palsy by using the synkinesis assessment questionnaire (SAQ) tool. Fifty-one patients completed questionnaires pre- and post-BTX-A treatment over 103 cycles of treatment. Each patient was individually assessed and then treated according to their presenting symptoms with a dosage in each injection site of between 0.5 and 5 U of BTX-A. A two-tailed paired samples t-test was used to compare the scores for each question before and after treatment...
June 2, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28687918/a-retrospective-study-on-facial-nerve-schwannomas-a-disease-with-a-high-risk-of-misdiagnosis-and-hearing-loss
#15
Yu Li, Chunfu Dai
The objective is to increase awareness of facial nerve schwannomas (FNSs). Clinical data from 32 cases with FNSs who received surgical treatment from 2005 to 2015 were reviewed retrospectively. The clinical data included age, sex, presentations, duration, facial nerve function, temporal-bone high-resolution computed tomography (CT) and magnetic resonance imaging (MRI) findings, surgical approaches, and postoperative histopathological examination. 16 men and 16 women were included, aged 7-69 years. The average age at diagnosis was approximately 44 years...
July 7, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28687468/two-different-techniques-of-manufacturing-tmj-replacements-a-technical-report
#16
Marcin Kozakiewicz, Tomasz Wach, Piotr Szymor, Rafał Zieliński
INTRODUCTION: Presently, during the surgical treatment of the patients in maxillofacial surgery, one can use various medical implants. Moreover custom made implants are being used. Replacements may be fitted to the structure and shape of the human skull owing to CAD/CAM (custom aided design/manufacture) called customized implants. This study was aimed to report for the first time clinical material from which custom implants, using two different techniques, were manufactured to reconstruct the temporomandibular joint (TMJ)...
June 12, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28686948/posterior-communicating-artery-aneurysms-causing-facial-pain-a-comprehensive-review
#17
REVIEW
Javier Ros de San Pedro
Posterior communicating aneurysms are commonly associated with oculomotor nerve palsy. However, trigeminal nerve involvement among these aneurysms is a rare event with no previous analysis. In order to describe the main features of posterior communicating aneurysms causing trigeminal neuralgia (TGN-PComAAs) eight cases (six from the literature plus two more illustrative cases) were included in the present series. All cases were thoroughly studied in order to collect their epidemiological, radiological, clinical, therapeutic, pathogenic, and outcome data...
June 23, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28686376/-otoscopic-pitfall-the-congenital-cholesteatoma
#18
Karma Lambercy, Pauline Vinckenbosch, Céline Richard
The congenital cholesteatoma is a rare benign tumor whose diagnosis is mainly made during childhood. Otoscopic examination shows a white retrotympanic collection with or without hearing loss. In case of a late diagnosis, the disease will spread to the surrounding structures, leading to ossicules destruction, facial palsy, sensorineural hearing loss and vestibular dysfunction. Surgery is the therapeutic gold-standard, with different techniques chosen based on the cholesteatoma's extension. Patient should benefit from a long term medical and radiological (MRI) follow-up...
October 5, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28684285/a-higher-quality-of-life-with-cross-face-nerve-grafting-as-an-adjunct-to-a-hypoglossal-facial-nerve-jump-graft-in-facial-palsy-treatment
#19
Martinus M van Veen, Pieter U Dijkstra, Paul M N Werker
Nerve reconstructions are the preferred technique for short-standing facial paralysis, most commonly using the contralateral facial nerve or ipsilateral hypoglossal nerve. The hypoglossal nerve provides a strong motor signal, whereas the signal of a cross-face nerve graft is weaker but spontaneous. Spontaneity in facial expression is believed to be important for psychological wellbeing. Therefore, a combination of the two procedures incorporates the best of both: a strong motor signal and a spontaneous smile...
June 10, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28682021/causes-and-surgical-outcomes-of-lower-eyelid-retraction
#20
Kun Hae Kim, Ji Sun Baek, Saem Lee, Jung Hye Lee, Hye Sun Choi, Sung Joo Kim, Jae Woo Jang
PURPOSE: To investigate the causes of lower eyelid retraction and evaluate the outcomes of various surgical procedures. METHODS: We conducted a retrospective medical record review of patients who underwent lower eyelid retraction surgery performed by a single surgeon at Kim's Eye Hospital between 2006 and 2013. We investigated the causes of lower eyelid retraction, clinical history, characteristics, treatment, and surgical outcomes. Preoperative and postoperative margin reflex distance 2 and inferior scleral show were measured for each eyelid...
July 4, 2017: Korean Journal of Ophthalmology: KJO
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