Differential diagnosis of recurrent or bilateral peripheral facial palsy

2012 ◽  
Vol 126 (8) ◽  
pp. 833-836 ◽  
Author(s):  
D M Oosterveer ◽  
C P Bénit ◽  
E L L M de Schryver
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Differential Diagnosis ◽  
Case Report ◽  
Facial Palsy ◽  
Positive Family History ◽  
The Other ◽  
Specific Diagnosis ◽  
Peripheral Facial Palsy ◽  
Patient Diabetes

AbstractObjective:To describe the differential diagnosis of recurrent or bilateral peripheral facial palsy.Method:Case report and literature review.Results:Two patients with recurrent, alternating, peripheral facial palsy are described. In both patients, additional investigation was performed to search for a specific diagnosis. In the first patient, only a positive family history was found, indicating a possible familial susceptibility. In the other patient, diabetes mellitus and hypertension were identified as risk factors.Conclusion:There is an important and extensive differential diagnosis of recurrent or bilateral facial palsy. However, in a large proportion of patients the cause remains unknown.

scholarly journals When Uncontrolled Diabetes Mellitus and Severe COVID-19 Converge: The Perfect Storm for Mucormycosis

2021 ◽  
Vol 7 (4) ◽  
pp. 298
Author(s):  
Teny M. John ◽  
Ceena N. Jacob ◽  
Dimitrios P. Kontoyiannis
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Clinical Features ◽  
The Other ◽  
Diabetic Patients ◽  
Epidemiological Factors ◽  
Uncontrolled Diabetes ◽  
Diagnostic Certainty ◽  
Patients With Diabetes ◽  
Perfect Storm

Mucormycosis (MCR) has been increasingly described in patients with coronavirus disease 2019 (COVID-19) but the epidemiological factors, presentation, diagnostic certainty, and outcome of such patients are not well described. We review the published COVID-19-associated mucormycosis (CAMCR) cases (total 41) to identify risk factors, clinical features, and outcomes. CAMCR was typically seen in patients with diabetes mellitus (DM) (94%) especially the ones with poorly controlled DM (67%) and severe or critical COVID-19 (95%). Its presentation was typical of MCR seen in diabetic patients (mostly rhino-orbital and rhino-orbital-cerebral presentation). In sharp contrast to reported COVID-associated aspergillosis (CAPA) cases, nearly all CAMCR infections were proven (93%). Treating physicians should have a high suspicion for CAMCR in patients with uncontrolled diabetes mellitus and severe COVID-19 presenting with rhino-orbital or rhino-cerebral syndromes. CAMR is the convergence of two storms, one of DM and the other of COVID-19.

Unusual cerebral venous thrombosis presenting with peripheral facial palsy: A case report

2013 ◽  
Vol 333 ◽  
pp. e269-e270
Author(s):  
A. Tufekci ◽  
S. Kirbas ◽  
S. Cakmak ◽  
A. Kirbas ◽  
A. Kanat
Keyword(s):  
Case Report ◽  
Venous Thrombosis ◽  
Facial Palsy ◽  
Cerebral Venous Thrombosis ◽  
Peripheral Facial Palsy

Auditory brain stem evoked potentials in patients suffering from peripheral facial nerve palsy and diabetes mellitus

1986 ◽  
Vol 100 (6) ◽  
pp. 629-634 ◽  
Author(s):  
J. Ben-David ◽  
R. Gertner ◽  
L. Podoshin ◽  
M. Fradis ◽  
H. Pratt ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Evoked Potential ◽  
Facial Nerve Palsy ◽  
Auditory Brainstem ◽  
Peripheral Facial Palsy ◽  
Auditory Brain Stem ◽  
Peripheral Facial Nerve Palsy ◽  
Diabetic Person

AbstractForty-two patients affected by acute idiopathic peripheral facial palsy (AIPFP) underwent auditory brainstem evoked potential (ABEP) investigation in order to further our understanding of the nature of facial palsy. Twenty-two of these patients suffered from diabetes mellitus. Our results indicate that the AIPFP of the diabetic person may be considered as a preliminary sign of diabetic peripheral neuropathy.

A case report of facial nerve palsy associated with chickenpox

1994 ◽  
Vol 108 (8) ◽  
pp. 676-678 ◽  
Author(s):  
Yoshiharu Watanabe ◽  
Minoru Ikeda ◽  
Nobuo Kukimoto ◽  
Mutsumi Kuga ◽  
Hiroshi Tomita
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Facial Palsy ◽  
Poor Prognosis ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
English Literature ◽  
Infection Route ◽  
Peripheral Facial Palsy ◽  
Route Of Infection

AbstractWe examined a very unusual patient who developed peripheral facial palsy with chickenpox. A survey of the English literature revealed that eight such patients had been reported, but the period between the appearance of the vesicles of varicella and the facial nerve palsy ranged from five days before to 16 days after the eruption development. We presume that the route of infection was neurogenous in patients who had palsy after the appearance of the eruptions, but haematogenous in patients who had palsy before the appearance of vesicles. The two patients whose infection route was presumed to be haematogenous, had a poor prognosis.

scholarly journals Prevalence and risk factors of glaucoma among the population of Ganja city, Azerbaijan

2017 ◽  
Vol 98 (1) ◽  
pp. 125-128
Author(s):  
K F Agaeva ◽  
N O Mamedova ◽  
T F Nabiev
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Intraocular Pressure ◽  
Family History ◽  
Urban Population ◽  
Study Groups ◽  
The Other ◽  
Morbidity Rate ◽  
Patient Work ◽  
Work Up

Aim. To determine prevalence of glaucoma among adult urban population on example of Ganja city of the Azerbaijan Republic.Methods. In city polyclinics primary examination was performed in 6585 people that makes 3% of adults of the population. Among the examined patients the indications for thorough in-patient work-up were determined in 250 patients. The diagnosis of glaucoma was confirmed in 220 patients (90 males and 130 females). The prevalence of glaucoma was determined (in % of the examined patients). The patients were divided into groups according to their gender, age, education, family history, presence of eye and internal diseases. A group with the lowest prevalence of glaucoma was chosen as a reference, and the other groups were termed as study groups for the assessment of relative risk of glaucoma development.Results. Glaucoma was revealed in 2.7±0.28% of males and 3.9±0.34% of females (p <0.05). Morbidity rate in women is higher compared to men. Risk factors of glaucoma are: intraocular pressure >21 mm Hg - 3.8±0.24%, compromised family history - 4.7±0.27%, diabetes mellitus - 3.66±0.24%, myopia - 5.7±0.3%, cataract - 10.0±0.4%, arterial hypertension - 11.9±0.4%. General morbidity rate of glaucoma among patients older than 20 years old is 3.45±0.23%. The lowest prevalence of glaucoma was determined among people of 20-29 years old (0.9±0.22%; 95% confidence interval 0.40-1.33). Prevalence of glaucoma increases with age of the examined patients. Statistically significant increase of prevalence of glaucoma is detected among population aged 40 years or older (3.3±0.49% of people aged 40-49 years) and reaches its maximum among people aged 60-69 years (12.2±1.56%).Conclusion. Prevalence of glaucoma among population of Ganja aged 20 years and older is comparatively high; differentiated monitoring of intraocular pressure with risk factors taken into account is reliable for early detection of glaucoma.

scholarly journals A rare case of acquired infantile Bell’s palsy

2021 ◽  
Vol 8 (7) ◽  
pp. 1316
Author(s):  
Lakshmi Mulinja ◽  
Thanzir Mohammed ◽  
Varun Govindarajan ◽  
Mallesh Kariyappa
Keyword(s):  
Case Report ◽  
Facial Palsy ◽  
Rare Case ◽  
Bell’S Palsy ◽  
Acute Onset ◽  
Spontaneous Resolution ◽  
Bell's Palsy ◽  
Peripheral Facial Palsy ◽  
Oral Corticosteroids ◽  
Viral Illness

Bell’s palsy, an acute onset, acquired, isolated peripheral facial palsy, usually follows a viral illness, is common disorder post infancy to adolescence. It has a favourable prognosis with spontaneous resolution, or with use of oral corticosteroids. Its presentation in early infancy is very unusual, as in our case report of 3 month old infant with an ovoid mass lesion in parotid, which disappeared after therapy with corticosteroids with no residual deficit.

scholarly journals A study to evaluate scope of preventive strategies in modifiable risk factors of hypertension

2018 ◽  
Vol 5 (11) ◽  
pp. 4849
Author(s):  
Medha Mathur ◽  
Navgeet Mathur
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Risk Factor ◽  
Family History ◽  
Positive Family History ◽  
High Morbidity ◽  
Modifiable Risk Factors ◽  
Preventive Strategies ◽  
Hypertensive Patients ◽  
Lack Of Exercise

Background: Hypertension is a vascular disorder associated with high morbidity and mortality. Risk factor prevention plays key role in control of the non-communicable diseases. Current study was conducted to assess prevalence of risk factors related to hypertensive patients.Methods: This cross-sectional study was conducted for the period of six months (January to June 2018). Total 672 hypertensive patients were included in this study and subjected to evaluation of modifiable risk factors like obesity, lack of exercise, smoking, dyslipidemia and pre-existing diabetes mellitus along with non-modifiable risk factors like positive family history and age.Results: On risk factor evaluation of 672 hypertensive patients it was found that 601(89.4%) patients had lack of exercise, 210 (31.2%) patients had dyslipidemia, 190 (28.2%) patients were smokers, 164 (24.4%) patients had diabetes mellitus before emergence of hypertension, 132 (19.6%) patients were obese and 498 (74.1%) patient had age more than 60 years, 94 (13.9%) patients had family history of hypertension.Conclusions: High prevalence of risk factors for this non-communicable disease in Indian community is alarming. Dealing with modifiable risk factors by health education, promotion of exercise, favourable life style, dietary modifications, cessation of smoking, screening programmes for early detection of deranged blood pressure, blood sugar, lipid profile can be effective preventive strategies.

scholarly journals Redundancy Is of No Good; Iatrogenic Hypervitaminosis D: A Rare Case of Persistent Vomiting Due to Hypercalcemia

2019 ◽  
Vol 12 ◽  
pp. 117954761982868 ◽  
Author(s):  
Muhammad Ishaq Ghauri ◽  
Syeda Beenish Bareeqa ◽  
Amir Riaz ◽  
Ajeet Kumar
Keyword(s):  
Diabetes Mellitus ◽  
Differential Diagnosis ◽  
Case Report ◽  
Rare Case ◽  
Correct Diagnosis ◽  
Clinical Suspicion ◽  
Persistent Vomiting ◽  
Hypervitaminosis D ◽  
First Case ◽  
Time Of Presentation

Introduction: Iatrogenic or physician-induced hypervitaminosis D is a rare cause of persistent vomiting. To the best of our knowledge, this is the first case report on iatrogenic hypervitaminosis D presenting with persistent vomiting in Pakistan. Case Report: We report a rare case of continual vomiting for 15 days in a 48-year-old woman of Pakistani descent. She was a known case of diabetes mellitus for 8 years, which was well controlled at the time of presentation. Conclusions: The correct diagnosis of our patient was based on clinical suspicion, appropriate lab tests, and deliberation of the differential diagnosis. It is important to consider hypervitaminosis D as a cause of persistent vomiting if no other obvious is apparent.

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