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Facial palsy

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https://www.readbyqxmd.com/read/29774172/moebius-syndrome-with-hypoglossal-palsy-syndactyly-brachydactyly-and-anisometropic-amblyopia
#1
Muhammad Hassaan Ali, Samreen Jamal, Muhammad Ather Rashid, Usman Javaid, Nadeem Hafeez Butt
Moebius syndrome is a rare cause of congenital facial and abducens palsy.  It is sometimes associated with musculoskeletal abnormalities and other cranial nerve palsies. Genetics and ischemic insults to the fetus are considered to be the cause of this syndrome. We report here a 12-year-old female patient who was presented to us with poor cosmesis of her face, with associated decreased vision and lagophthalmos in her left eye. She didn't have any signs of exposure keratopathy in the affected eye. Her best-corrected vision was 20/20 and 20/60 in right and left eyes respectively...
March 16, 2018: Curēus
https://www.readbyqxmd.com/read/29765830/long-term-facial-nerve-outcomes-after-microsurgical-resection-of-vestibular-schwannomas-in-patients-with-preoperative-facial-nerve-palsy
#2
Michael A Mooney, Benjamin Hendricks, Christina E Sarris, Robert F Spetzler, Kaith K Almefty, Randall W Porter
Objectives  This study aimed at evaluating facial nerve outcomes in vestibular schwannoma patients presenting with preoperative facial nerve palsy. Design  A retrospective review. Setting  Single-institution cohort. Participants  Overall, 368 consecutive patients underwent vestibular schwannoma resection. Patients with prior microsurgery or radiosurgery were excluded. Main Outcome Measures  Incidence, House-Brackmann grade. Results  Of 368 patients, 9 had confirmed preoperative facial nerve dysfunction not caused by prior treatment, for an estimated incidence of 2...
June 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/29764779/patients-over-60-years-of-age-have-poor-prognosis-in-facial-nerve-decompression-surgery-with-preserved-ossicular-chain
#3
Norio Kondo, Yukie Yamamura, Manabu Nonaka
OBJECTIVE: We report our retrospective study of the recovery rate of auditory ossicles preserved facial nerve decompression surgery via the transmastoid approach in cases of both an electroneurography score of < 10% and a Yanagihara score of ≤8 in Bell's palsy and Ramsay Hunt syndrome. MATERIALS AND METHODS: We retrospectively reviewed 47 patients who we were able to follow-up for more than 6 months following the onset of palsy. The recovery rate was defined by the Japan Society for Facial Nerve Research or the Yanagihara score...
April 2018: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/29756726/-neonatal-facial-palsy-identification-of-herpes-simplex-virus-1-in-cerebrospinal-fluid-case-report
#4
Simón Lubián López, Juan J Pérez Guerrero, Patricia Salazar Oliva, Isabel Benavente Fernández
Neonatal facial palsy is very uncommon and is generally diagnosed at birth. We present the first published case of neonatal facial palsy with identification of herpes simplex virus 1 in cerebrospinal fluid. A 35-day-old male was presented at the Emergency Department with mouth deviation to the left and impossibility of full closure of the right eye. There were no symptoms of infection or relevant medical history. Physical examination was compatible with peripheral facial palsy. Studies performed at admission were normal (blood count, biochemical analysis and coagulation blood tests and cerebrospinal fluid analysis)...
June 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29756618/intraparotid-facial-nerve-schwannoma-two-case-reports-and-a-review-of-the-literature
#5
M Simone, E Vesperini, C Viti, A Camaioni, L Lepanto, F Raso
Schwannomas are rare benign tumours that arise from Schwann cells. The most known and studied is the intracranial vestibular schwannoma, even if it is not the most frequent. More often schwannomas arise from peripheral sensitive nerves, and the vagous is most involved among the cranial nerves. Intraparotid schwannomas account for just 10% of all facial involvement, so they are an extremely rare localisation. At present, there are less than 100 cases described in the literature. We performed a retrospective analysis of parotidectomy in two Italian hospitals and present two cases of intraparotid schwannoma and a review of the literature...
February 2018: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/29756241/long-term-outcomes-and-prognosis-in-submandibular-gland-malignant-tumors-a-multicenter-study
#6
Davide Lombardi, Remo Accorona, Arnaud Lambert, Giuseppe Mercante, Ruxandra Coropciuc, Alberto Paderno, Davide Lancini, Giuseppe Spriano, Piero Nicolai, Vincent Vander Poorten
OBJECTIVES/HYPOTHESIS: Submandibular gland tumors (SMGTs) are rare and characterized by heterogeneity in histologic profiles. The aim of the present study was to retrieve data on submandibular gland (SMG) malignancies and identify factors influencing survival. STUDY DESIGN: Retrospective study. METHODS: A multicenter, retrospective study on patients who underwent primary surgery for SMGTs at three referral centers was performed. RESULTS: Among 204 patients with SMGTs, 50 (24...
May 14, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29755898/an-unusual-presentation-of-kikuchi-fujimoto-disease-with-recurrent-subdural-effusion
#7
Sara Shahid, Syed H Alam, Indira Hadley
A 24-year-old man complained of a right temporal headache for four weeks. The patient denied any trauma or previous anticoagulation use. He also reported tender right facial swelling. His physical exam was unrevealing except for right cranial nerve (CN) VI palsy, right parotid enlargement, and cervical adenopathy. Laboratory findings were significant for mild leukopenia at 3300 cells/uL. The computed tomography (CT) scan obtained showed a chronic left subdural effusion with a 4 mm midline shift and confirmed right parotid enlargement and cervical lymphadenopathy...
March 10, 2018: Curēus
https://www.readbyqxmd.com/read/29754136/unravelling-the-nerds-syndrome
#8
Achintya Dinesh Singh, Tejas Menon Suri, Rakesh Kumar Jagdish, Uma Kumar
A 22-year-old man presented with symmetric polyarthritis, pruritus and deviation of angle of mouth to the right side since the last 7 years. His symptoms were persistent despite receiving ayurvedic medications and symptomatic therapy. Examination revealed dry skin, cutaneous nodules, xanthelasma, periarticular non-tender swellings, pitting oedema of hands and feet and lower motor neuron type right facial palsy. Haematological investigations revealed eosinophilia and skin biopsy had cutaneous eosinophilic infiltration...
May 12, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29749909/letter-to-the-editor-delayed-facial-palsy-after-microvascular-decompression-for-hemifacial-spasm
#9
Jian Cheng, Heng Zhang, Ding Lei
No abstract text is available yet for this article.
May 11, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29743772/atypical-neurological-manifestations-of-chikungunya-fever-two-case-reports
#10
Subodh Kumar Mahto, Pulin Kumar Gupta, Akanksha Singh, Ramesh Chand Meena
Chikungunya fever (CHIK) is an arboviral disease which is transmitted by a mosquito bite ( Aedes aegypti ). Fever, polyarthralgia, and maculopapular rash are hallmark clinical manifestations of this disease. These manifestations are self-liming and complete recovery is seen in most of the cases. However, atypical and lethal complications such as myocarditis, hepatitis, Guillain-Barre syndrome (GBS), and meningoencephalitis have been reported in few cases of CHIK. We hereby report two cases of chikungunya infection where rare and atypical manifestations of CHIK, i...
April 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29741741/microsurgical-resection-of-glomus-jugulare-tumors-with-facial-nerve-reconstruction-3-dimensional-operative-video
#11
Duarte N C Cândido, Jean Gonçalves de Oliveira, Luis A B Borba
Paragangliomas are tumors originating from the paraganglionic system (autonomic nervous system), mostly found at the region around the jugular bulb, for which reason they are also termed glomus jugulare tumors (GJT). Although these lesions appear to be histologically benign, clinically they present with great morbidity, especially due to invasion of nearby structures such as the lower cranial nerves. These are challenging tumors, as they need complex approaches and great knowledge of the skull base. We present the case of a 31-year-old woman, operated by the senior author, with a 1-year history of tinnitus, vertigo, and progressive hearing loss, that evolved with facial nerve palsy (House-Brackmann IV) 2 months before surgery...
May 8, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29734937/primary-skull-base-lymphoma-manifestations-and-clinical-outcomes-of-a-great-imitator
#12
John P Marinelli, Mara C Modzeski, John I Lane, Jamie J Van Gompel, Janalee K Stokken, Gita Thanarajasingam, Matthew L Carlson
Objectives Primary skull base lymphoma (PSBL) represents a rare manifestation of extranodal lymphoma. Presenting with nonspecific symptomatology and imaging findings, PSBL often masquerades as more common cranial base pathology and thus can present a diagnostic challenge. The objectives of this study were to characterize the manifestations and clinical outcomes of PSBL. Study Design Case series and chart review. Setting Tertiary referral center. Subjects and Methods Review of 48 patients with PSBL treated between 1994 and 2016...
May 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29731283/atypical-presentation-of-incomplete-kawasaki-disease-a-peripheral-facial-nerve-palsy
#13
Moises Rodriguez-Gonzalez, Ana Castellano-Martinez, Alvaro A Perez-Reviriego
BACKGROUND: Kawasaki disease (KD) is a multisystem vasculitic disease. Coronary artery aneurysms (CAAs) are the most important and life-threatening complication of KD. Various neurologic complications have been described to occur in 1-30% of patients with KD, but peripheral facial nerve palsy (FNP) is rare (0.9%). CASE REPORT: We describe a 5-month-old male infant who presented to us with unilateral left infranuclear FNP in the convalescent phase (day 18 of illness) of incomplete KD...
May 3, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29731052/a-38-year-old-woman-with-global-aphasia-and-migraine
#14
Jialei Yang, Xiaoyong Huang, Shimin Yin, Lei Wang, Mingyang Zhou
A 38-year-old right-handed woman presented to the hospital with subtle right facial palsy and global aphasia of 4 days' duration. She found that she had aphasia when she suddenly woke up at midnight and reported a headache lasting for several hours. She had no fever, vomiting, seizures, or limb paralysis. She had had migraines with an occasional visual aura for > 10 years. She was not taking any medication and was a nondrinker and nonsmoker. She had no other significant medical background and family history...
May 2018: Chest
https://www.readbyqxmd.com/read/29729463/radiosurgery-induced-anterior-inferior-cerebellar-artery-pseudoaneurysm-treated-with-trapping-and-bypass
#15
Motoyuki Umekawa, Hirotaka Hasegawa, Masahiro Shin, Mariko Kawashima, Seiji Nomura, Hirofumi Nakatomi, Nobuhito Saito
BACKGROUND: Stereotactic radiosurgery (SRS) is an established modality for the treatment of vestibular schwannomas (VSs). However, its long-term vascular complications have not been well-studied. Among the 360 patients who underwent SRS for VS in our institution and lived for >5 years thereafter, we identified only 1 patient who exhibited complication due to a late-onset aneurysm; thus, the incidence was roughly estimated to be 0.3%. CASE DESCRIPTION: The patient was a 78-year-old man who had undergone SRS for a right VS, and presented with right peripheral facial palsy 19 years later...
May 2, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29726829/childhood-sarcoidosis-presenting-as-recurrent-facial-palsy
#16
Gouri Rao Passi, Kriti Arora, Narendra Gokhale
BACKGROUND: Recurrent facial palsy in a patient merits investigation for underlying etiology. CASE CHARACTERISTICS: 8-year-old boy with erythematous itchy skin lesion and recurrent facial palsy. OBSERVATION: He had a past history of aseptic meningitis and nephrocalcinosis. Raised angiotensin converting enzyme levels, interstitial lung disease on CT chest, and non caseating granulomas on skin biopsy clinched the diagnosis of sarcoidosis. MESSAGE: Multisystem involvement and recurrent lower motor facial nerve palsy is a clinical clue for sarcoidosis...
April 15, 2018: Indian Pediatrics
https://www.readbyqxmd.com/read/29722745/vertebral-artery-occlusion-causing-facial-colliculus-and-opalski-stroke-syndromes-simultaneously
#17
Saeed Alghamdi, Omar Ayoub, Nasser Alzahrani, Hussein Algahtani, Bader Shirah
Brainstem stroke syndromes refer to a group of vascular disorders that occur secondary to occlusion of small perforating arteries of the posterior circulation. Although such syndromes result in a characteristic clinical picture, they are challenging to localize. In practice, such syndromes are rarely seen in their pure form, and the clinical consequences of a given vascular lesion are probably less predictable than for arteries in the anterior circulation. If 2 or more brainstem strokes happen simultaneously, localization becomes much harder...
May 2018: Neurologist
https://www.readbyqxmd.com/read/29720355/outcome-of-facial-palsy-from-lyme-disease-in-prospectively-followed-patients-who-had-received-corticosteroids
#18
Gary P Wormser, Donna McKenna, Carol Scavarda, Carol Karmen
Although a short course of corticosteroid therapy has been shown to improve the outcome of idiopathic facial nerve palsy (Bell's palsy), it is unclear whether corticosteroids, in addition to antibiotic therapy, are beneficial, are harmful, or have no impact on the outcome of facial palsy from Lyme disease (LDFP). From 2011 through 2016, 14 patients with LDFP were enrolled into a prospective study to determine the outcome of Lyme disease over the ensuing 12 months. Eleven (78.6%) had received corticosteroids in addition to oral antibiotics and entered the study within 24 days after onset of the LDFP (median 14 days, range 2-24 days)...
April 4, 2018: Diagnostic Microbiology and Infectious Disease
https://www.readbyqxmd.com/read/29716529/severe-localised-granulomatosis-with-polyangiitis-wegener-s-granulomatosis-manifesting-with-extensive-cranial-nerve-palsies-and-cranial-diabetes-insipidus-a-case-report-and-literature-review
#19
James E Peters, Vivek Gupta, Ibtisam T Saeed, Curtis Offiah, Ali S M Jawad
BACKGROUND: Granulomatosis with polyangiitis (GPA, formerly Wegener's granulomatosis) is a multisystem vasculitis of small- to medium-sized blood vessels. Cranial involvement can result in cranial nerve palsies and, rarely, pituitary infiltration. CASE PRESENTATION: We describe the case of a 32 year-old woman with limited but severe GPA manifesting as progressive cranial nerve palsies and pituitary dysfunction. Our patient initially presented with localised ENT involvement, but despite treatment with methotrexate, she deteriorated...
May 1, 2018: BMC Neurology
https://www.readbyqxmd.com/read/29710024/-transient-recurrent-white-matter-lesions-in-x-linked-charcot-marie-tooth-disease-with-heterozygote-mutation-of-gjb1-gene-case-report-of-a-female-patient
#20
Makoto Takemaru, Yutaka Shimoe, Kota Sato, Akihiro Hashiguchi, Hiroshi Takashima, Masaru Kuriyama
A 32-year-old woman showed transient central type facial nerve palsy and bulbar symptoms. Brain MRI revealed high intensity signals in the cerebral white matter, splenium of corpus callosum, and posterior limb of internal capsule. Two elder brothers of the patient had distal dominant peripheral neuropathies in four limbs. In this family, the point mutation of GJB1 gene, encoding connexin 32, was revealed and X-linked Charcot-Marie-Tooth disease (CMTX1) was diagnosed. The presented case was a heterozygote of this mutation...
April 28, 2018: Rinshō Shinkeigaku, Clinical Neurology
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