Recurrent bilateral peripheral facial palsy

1989 ◽  
Vol 103 (1) ◽  
pp. 117-119 ◽  
Author(s):  
N. Stahl ◽  
T. Ferit
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Common Finding ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Peripheral Facial Palsy ◽  
Local Disease ◽  
Idiopathic Facial Palsy

AbstractFacial nerve paralysis is a common otolaryngological diagnosis. Recurrent unilateral peripheral facial palsy is found in about 7 per cent of the cases. Simultaneous bilateral facial palsy is relatively uncommon and occurs in 0.3–2.0 per cent of cases of facial palsy. Recurrent. simultaneous, bilateral, idiopathic facial palsy to the best of our knowledge has never been reported. A case of recurrent, simultaneous, bilateral, idiopathic facial palsy is presented. No evidence of systemic or local disease was found in both attacks of peripheral facial palsies. The association with states of stress is the only common finding between the two attacks.

scholarly journals Facial nerve paralysis as first sign of metastatic breast cancer to the temporal bone

2018 ◽  
Vol 146 (11-12) ◽  
pp. 685-688
Author(s):  
Miljan Folic ◽  
Dragoslava Djeric
Keyword(s):  
Breast Cancer ◽  
Bone Metastasis ◽  
Breast Carcinoma ◽  
Facial Nerve ◽  
Temporal Bone ◽  
Facial Palsy ◽  
Metastatic Breast ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Peripheral Facial Palsy

Introduction. Facial nerve paralysis originates from various factors, although in most cases etiology is idiopathic. Temporal bone metastases are quite rare, but should still be suspected in cases when congenital disorders, inflammatory disease, infection or trauma are excluded as cause of facial palsy. We present an unusual case of facial nerve paralysis as the initial sign of temporal bone metastasis of breast carcinoma and discuss diagnostic pitfalls. Case outline. A 70-year-old patient presented with facial nerve palsy, severe otalgia, hearing loss and vertigo. Patient underwent steroid treatment 6 months earlier due to peripheral facial palsy with complete neurological resolution. CT scan revealed osteolytic lesion of the right temporal bone with extension into the parietal bone and soft-tissue. Additional examination confirmed ductal breast carcinoma and osteolysis of the ribs and vertebrae. After four months, the patient with metastatic breast carcinoma to the temporal bone died despite chemotherapy. Conclusion. Temporal bone metastasis of breast cancer is very rare condition with poor prognosis. Late diagnosis and inadequate management of breast cancer are factors that contribute to the temporal bone metastasis formation. Temporal bone metastasis should be excluded in elderly patients, both with and without any history of malignancy, especially in cases of peripheral facial palsy refractory to treatment.

S230 – MRI Findings in Delayed Facial Palsy after Stapedectomy

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P152-P152 ◽  
Author(s):  
Marc Cohen ◽  
Claudia Kirsch ◽  
Abie Mendelsohn ◽  
Akira Ishiyama
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Facial Palsy ◽  
Rare Complication ◽  
Internal Auditory Canal ◽  
Facial Nerve Paralysis ◽  
Mri Findings ◽  
Nerve Paralysis ◽  
Oral Corticosteroids ◽  
Magnetic Resonance Imaging Mri

Objectives 1) To retrospectively review the pathophysiology and radiologic features of delayed facial palsy after stapedectomy. 2) To discuss the management strategy of this unusual problem. Methods 450 stapedectomies performed at our institution were retrospectively reviewed from 1997 to 2007. A total of 2 patients in this series developed a delayed facial paralysis postoperatively. The clinical presentation, radiographic characteristics on magnetic resonance imaging (MRI), and the management of these patients are presented. Results A total of 2 patients out of 450 stapedectomies within a 10-year period developed the rare complication of delayed facial paralysis (postoperative days 12 and 41, respectively). Both patients developed rapidly progressive complete facial nerve paralysis preceded by periauricular pain and dysguesia. No sign of infection was present in the operated ear. MRI with gadolinium of the internal auditory canal demonstrated gadolinium enhancement of the labyrinthine portion of the facial nerve as seen in Bell's palsy. Both patients were treated with oral corticosteroids and antiviral medications. Subsequent imaging revealed decreased enhancement of the facial nerve with complete resolution of facial paralysis. Conclusions In the rare complication of delayed facial paralysis after stapedectomy, MR imaging is a useful diagnostic tool to dictate the treatment strategy. Delayed facial paralysis following stapedectomy can be treated medically when the MRI scan demonstrates enhancement of the facial nerve in the labyrinthine segment.

scholarly journals Intratemporal Facial Nerve Paralysis- A Three Year Study

2016 ◽  
Vol 24 (2) ◽  
pp. 94-99
Author(s):  
Anirban Ghosh ◽  
Sankar Prasad Bera ◽  
Somnath Saha
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Bell’S Palsy ◽  
Facial Nerve Paralysis ◽  
Bell's Palsy ◽  
Prospective Longitudinal Study ◽  
Nerve Paralysis ◽  
Excellent Outcome ◽  
Stapedial Reflex ◽  
Prospective Longitudinal

Introduction This study on intratemporal facial paralysis is an attempt to understand the aetiology of facial nerve paralysis, effect of different management protocols and the outcome after long-term follow-up. Materials and Methods A prospective longitudinal study was conducted from September 2005 to August 2008 at the Department of Otorhinolaryngology of a medical college in Kolkata comprising 50 patients of intratemporal facial palsy. All cases were periodically followed up for at least 6 months and their prognostic outcome along with different treatment options were analyzed. Result Among different causes of facial palsy, Bell’s palsy is the commonest cause; whereas cholesteatoma and granulation were common findings in otogenic facial palsy. Traumatic facial palsies were exclusively due to longitudinal fracture of temporal bone running through geniculate ganglion. Herpes zoster oticus and neoplasia related facial palsies had significantly poorer outcome. Discussion Otogenic facial palsy showed excellent outcome after mastoid exploration and facial decompression. Transcanal decompression was performed in traumatic facial palsies showing inadequate recovery. Complete removal of cholesteatoma over dehiscent facial nerve gave better postoperative recovery. Conclusion The stapedial reflex test is the most objective and reproducible of all topodiagnostic tests. Return of the stapedial reflex within 3 weeks of injury indicates good prognosis. Bell’s palsy responded well to conservative measures. All traumatic facial palsies were due to longitudinal fracture and 2/3rd of these patients showed favourable outcome with medical therapy.

scholarly journals Ionophoresis and LASER applications in facial nerve palsy

2019 ◽  
Vol 10 (Vol 10 No. 4) ◽  
pp. 551-554
Author(s):  
Cristina Octaviana DAIA ◽  
Ștefana CROITORU ◽  
Ioana CAZACU ◽  
Ruxandra SCUTUROIU ◽  
Octaviana DAIA ◽  
...  
Keyword(s):  
Complete Remission ◽  
Facial Nerve ◽  
Temporomandibular Joint ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Combined Application ◽  
Number Of Patients

Background and aim of the study. The aim of this article is to present the functional gain of the specific rehabilitation program in patients with facial nerve paralysis, irrespective of etiology, following a complex physiotherapeutic treatment, consisting of the combined application of ionophoresis and LASER. Material and Method. We performed a retrospective analysis of 26 patients having their consent and The Theaching Emergency Hospital “Bagdasar-Arseni” (TEHBA) ethics Committee’s approval, N.O. 683/21.02.2019. The patients were admitted to the Neuro-Muscular Rehabilitation Clinic Division of TEHBA between April 2011 and March 2019. The patients were over the age of 18, diagnosed with facial nerve palsy and received physiotherapy consisting of the combined application of: ionophoresis with 1% potassium iodide, applied to positive electrode, preauricular, and the negative electrode, retroauricular, for 20 minutes and LASER, to the temporomandibular joint on the affected part, 4 points : radiant exposure per dose 3 J/cm2, frequency 5 Hz, probe area 1 cm2, power 62 mW, for 10 sessions and two sets of the same formula at the temporomandibular joint on the opposite side. Results. From the etiological point of view, the study included an equal number of patients with peripheric facial palsy (PFP) and with central facial palsy (CFP), respectively 13 in each group. Overall, at least 1 patient in 2 had a positive response to physiotherapy. In the patients with PFP, 77% of patients responded to the treatment and 46% had complete remission. In the patients with CFP, only 30% responded to treatment and only one had complete remission. Approximately half of the patients did not have any adverse reactions (46%), while the rest showed temporary erythema (46%), or local tingling sensation over a variable period of time (8%). Conclusion. Applying the combination of ionophoresis and LASER as physiotherapic treatment is particularly effective in peripheric facial nerve paresis. The method is safe and well tolerated, therefore we propose its use in this type of pathology. Key words: Laser therapy, facial nerve paralysis, ionophoresis,

Facial Nerve Paralysis Following Endovascular Embolization: A Case Report and Review of the Literature

2020 ◽  
pp. 000348942096661
Author(s):  
Austin Y. Feng ◽  
Michael C. Jin ◽  
Sandy Wong ◽  
Jon-Paul Pepper ◽  
Robert Jackler ◽  
...  
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Facial Palsy ◽  
Rare Complication ◽  
Relevant Literature ◽  
Complete Recovery ◽  
Endovascular Embolization ◽  
Additional Treatment ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis

Objective: We report a case of facial nerve paralysis post-endovascular embolization of a sigmoid sinus dural arterio-venous fistula from initial presentation to current management and discuss the merits of observation versus decompression through a systematic review of relevant literature. Patient: 61 F with right facial palsy Intervention: Following a single intravenous dexamethasone injection with oral steroids over 2 months, patient was observed with no additional treatment other than Botox chemodenervation and facial rehabilitation. Outcome and Results: The patient initially presented with complete right facial palsy (HB 6/6). Post-op CT imaging indicated Onyx (ev3, Irvine, California, USA) particles present at the geniculate segment of the facial nerve. Observation was chosen over surgical intervention. At the most current follow up of 8 months, facial function has improved substantially (HB 2/6). Conclusion: Facial palsy is a serious, though rare, complication of transarterial endovascular embolization. With our case report and literature review, we highlight not only how conservative observation is the recommended treatment, but also that facial nerve recovery should be expected to reach near complete recovery, but not sooner than in 3 months.

EFFECTIVENESS OF NUEROMUSCULAR RE EDUCATION TECHNIQUE TO REDUCE FACIAL DISABILITY IN PATIENTS WITH BELL'S PALSY

2021 ◽  
pp. 78-80
Author(s):  
Singam Siva Sankar ◽  
Pasala Gopikrishna
Keyword(s):  
Facial Palsy ◽  
Conventional Therapy ◽  
Bell’S Palsy ◽  
Cranial Neuropathy ◽  
Facial Nerve Paralysis ◽  
Bell's Palsy ◽  
Nerve Paralysis ◽  
Peripheral Facial Palsy ◽  
Seventh Cranial Nerve ◽  
Group A

BACKGROUND AND OBJECTIVES: Facial nerve paralysis, because of the dysfunctional problems that can occur at the level of a very special part of the patients body, who gives their personality needs special consideration. Peripheral facial palsy is the most frequent cranial neuropathy, and can origin from various kinds of damage to the seventh cranial nerve. Idiopathic facial palsy or Bell's palsy is the most frequent cause of facial paralysis occurs in 15 - 30 Persons per 100,000 per year. METHODS: 30 subjects having facial disability who full lled with the inclusion criteria and randomly assigned. Group A and B with 15 subjects in each group. Group A subjects are treated with conventional therapy and Group B subjects are treated with Neuromuscular reeducation techniques for 4 weeks. The outcome of this intervention was measured with Facial Disability Index (FDI). These recorded before and after the session of 4 weeks of intervention. RESULTS: Statistical analysis of the data revealed that within group comparison both groups showed signicant reduction of facial disability in conventional therapy and Neuromuscular re-education. CONCLUSION: Finally the study concluded that 4 weeks of training program with Neuromuscular re-education showed signicant improvement when compared to conventional therapy.

Idiopathic familial facial nerve paralysis

2000 ◽  
Vol 114 (2) ◽  
pp. 132-134 ◽  
Author(s):  
W. A. Clement ◽  
A. White
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Facial Palsy ◽  
Facial Nerve Paralysis ◽  
Unknown Aetiology ◽  
Nerve Paralysis ◽  
Minimal Residual

A 26-year-old man was seen one day after developing a left facial palsy of unknown aetiology. He had previously had a left facial palsy at age 14 and a right facial palsy at 19, both with minimal residual paresis. Both his mother and grandmother have had facial palsies. The role of hereditary influences in idiopathic facial paralysis, as well as the treatment of this condition, is discussed.

scholarly journals Simultaneous Bilateral Facial Nerve Paralysis in a 4-Year-Old Child: A Rare Occurrence

2019 ◽  
Vol 2 (02) ◽  
pp. 76-80
Author(s):  
Madhuri Mehta ◽  
Vani Krishana Gupta ◽  
Aniketh Pandurangi ◽  
Navroz Mehta
Keyword(s):  
Facial Nerve ◽  
Facial Expressions ◽  
Facial Palsy ◽  
Cranial Nerve ◽  
Complete Resolution ◽  
Facial Nerve Paralysis ◽  
Rare Occurrence ◽  
Nerve Paralysis ◽  
Facial Musculature ◽  
Eye Closure

AbstractParalysis of the facial nerve (cranial nerve VII) is a relatively uncommon entity in children. It not only results in weakness of the facial musculature affecting the facial expressions, eye closure, and oral competence, but also causes psychological and emotional trauma to the child and parents. Unilateral palsy is usually idiopathic, whereas bilateral palsy usually has an underlying cause. We report a case of a 4-year-old girl who presented to us with simultaneous facial nerve paralysis where the second side was involved within 7 days of the first, before its complete resolution. Evaluation of the patient and the possible etiologies of bilateral facial palsy have been discussed further.

scholarly journals Role of topodiagnostic tests in evaluation of facial nerve palsy in head injury

2020 ◽  
Vol 6 (10) ◽  
pp. 1874
Author(s):  
Manish Munjal ◽  
Hem Lata Badyal ◽  
Anju Mehndiratta ◽  
Shubham Munjal ◽  
Iti Bharadwaj ◽  
...  
Keyword(s):  
Head Injury ◽  
Facial Nerve ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Facial Nerve Paralysis ◽  
Acoustic Reflex ◽  
Nerve Paralysis ◽  
Medical College

<p class="Normal1"><strong>Background:</strong> Head injury with temporal bone trauma manifests with facial nerve palsy. The site of lesion can be assessed by various tests.</p><p class="Normal1"><strong>Methods: </strong>A retrospective study of 500 cases of head injury was undertaken to study the role of topodiagnostic tests in localising the site of lesion in 48 patients of facial palsy. The study was undertaken by the otology services of Dayanand medical college and hospital, Ludhiana during a period of one year.</p><p class="Normal1">Cases: 500 cases admitted with head injury were screened. The cases with facial nerve paralysis were then enrolled in the study.</p><p class="Normal1"><strong>Results: </strong>In 48 patients of facial palsy, taste sensation was diminished in 67% (21 cases); acoustic reflex absent in 86.8% (33 cases) and Schirmer’s test showed reduced lacrimation in 29.1% (14 cases).</p><p class="Normal1"><strong>Conclusions: </strong>The topodiagnostic tests do not always localise the site of lesion in head injury.</p>

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