Potential association between recurrent facial nerve palsy and migraines

2020 ◽  
Vol 134 (9) ◽  
pp. 822-825
Author(s):  
G Kontorinis ◽  
A Tyagi
Keyword(s):  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Case Series ◽  
Contralateral Side ◽  
Tertiary Referral Centre ◽  
Potential Association ◽  
Motor Neuron Facial Nerve ◽  
Prospective Case Series

AbstractObjectiveThis study aimed to investigate the possible association between recurrent facial nerve palsy and migraines.MethodThis study was a prospective case series with a two-year follow-up at an academic, tertiary referral centre and included patients with at least four episodes of recurrent lower motor neuron facial nerve palsy. All patients underwent standardised diagnostic tests.ResultsFour patients fulfilled the inclusion criteria. The patients were all female with an average age at presentation of 40.75 years (range, 33–60 years) and an average age at the initial episode of 14 years (range, 12–16 years). The number of episodes varied between six and nine. All patients had at least one episode of facial nerve palsy on the contralateral side. Two patients were diagnosed and treated for migraine with aura remaining asymptomatic following prophylactic medication for migraines.ConclusionThe results raise the possibility of an association between recurrent facial nerve palsy and migraines. Prospective studies in patients with even fewer episodes of facial nerve palsy could shed more light on this association.

scholarly journals Facial Nerve Palsy in COVID-19-Associated Mucormycosis Patients: A Case Series

Cureus ◽  
2021 ◽  
Author(s):  
Rupa Mehta ◽  
Nitin M Nagarkar ◽  
Krishna Sasanka KSBS ◽  
Sree Sudha TY ◽  
Ripu Daman Arora ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Case Series

scholarly journals Isolated Lower Motor Neuron Facial Nerve Palsy in a Patient of Varicella: A Case Report

2020 ◽  
Vol 58 (224) ◽  
Author(s):  
Sanjiv Choudhary ◽  
Ankita Srivastava ◽  
Soumya Narula
Keyword(s):  
Facial Nerve ◽  
Motor Neuron ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Indian Subcontinent ◽  
Neurological Complications ◽  
Lower Motor Neuron ◽  
Cutaneous Lesions ◽  
Oral Corticosteroids ◽  
Motor Neuron Facial Nerve

Varicella or chickenpox is usually regarded as a self-limiting disease, but occasionally it may leadto irreversible neurological complications. Isolated lower motor neuron facial nerve palsy is a rarecomplication of varicella, with very few cases reported from the Indian subcontinent. We report onesuch case, where the patient developed facial palsy after healing of cutaneous lesions and recoveredcompletely with oral corticosteroids.

scholarly journals Nervus intermedius dysfunctions after vestibular schwannoma surgery: a prospective clinical study

2019 ◽  
Vol 131 (2) ◽  
pp. 555-560 ◽  
Author(s):  
Hussam Metwali ◽  
Katja Kniese ◽  
Babak Kardavani ◽  
Venelin Gerganov ◽  
Madjid Samii
Keyword(s):  
Facial Nerve ◽  
Prospective Study ◽  
Vestibular Schwannoma ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Nasal Secretion ◽  
Prospective Clinical Study ◽  
Taste Sensation ◽  
Nervus Intermedius

OBJECTIVEThe purpose of this prospective study was to evaluate the dysfunction of the nervus intermedius (NI) after vestibular schwannoma (VS) surgery. The authors present a clinically feasible method for this purpose.METHODSIn this prospective study, the authors included 30 patients who underwent surgery at the International Neuroscience Institute between May 2014 and February 2017 for resection of VS. The patients’ taste sensation was examined using taste strips. Lacrimation was tested using the Schirmer I test. The clinical evaluation was performed before surgery and repeated at 2 weeks and at 6 months after surgery as well as during the follow-up, which extended up to 2 years. The authors tested the correlation between the NI dysfunctions and the House-Brackmann grade of facial nerve palsy.RESULTSThe taste sensation was lost on the side of surgery in 2 patients (6.6%) and decreased in 4 patients (13.3%). The disturbance of taste sensation was not statistically correlated with dysfunctions of the motor portion of the facial nerve. The taste impairment resolved in 4 patients within 6 months, but 2 patients suffered from persistent loss of the taste sensation on the side of surgery during the follow-up. In 23 patients (76.6%), the baseline lacrimation was lower on the side of surgery, and it was significantly correlated with outcome for dysfunctions of the motor portion of the facial nerve. During the follow-up, baseline lacrimation improved in correlation with the improvement in the dysfunctions of the motor portion of the facial nerve. None of the patients reported change in salivation or nasal secretion.CONCLUSIONSThe NI can be affected after VS surgery. The disturbance of baseline lacrimal secretion was correlated with dysfunctions of the motor portion of the facial nerve. However, the disturbance of the taste sensation was not correlated with the grade of facial nerve palsy. Dysfunctions of the NI should be evaluated and separately reported while analyzing facial nerve outcome after VS surgery.

scholarly journals Hypoglossal-Facial Anastomosis for Facial Nerve Reconstruction: Outcomes using the Side-to-End Surgical Technique

2020 ◽  
Author(s):  
Leonardo Gilmone Ruschel ◽  
Joel Sanabria Duarte ◽  
Jonathan De La Cruz ◽  
Kristel Back Merida ◽  
Gustavo Fabiano Nogueira ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Nerve Palsy ◽  
Hypoglossal Nerve ◽  
Facial Nerve Palsy ◽  
Nerve Transection ◽  
Nerve Reconstruction ◽  
Posterior Fossa Tumors ◽  
Swallowing Problems ◽  
Facial Nerve Reconstruction

Abstract Introduction The side-to-end hypoglossal-facial anastomosis (HFA) technique is an excellent alternative technique to the classic end-terminal anastomosis, because it may decrease the symptoms resulting from hypoglossal-nerve transection. Methods Patients with facial nerve palsy (House-Brackmann [HB] grade VI) requiring facial reconstruction from 2014 to 2017were retrospectively included in the study. Results In total, 12 cases were identified, with a mean follow-up of 3 years. The causes of facial paralysis were due to resection of posterior-fossa tumors and trauma. There was improvement in 91.6% of the patients (11/12) after the HFA. The rate of improvement according to the HB grade was as follows: HB III - 58.3%; HB IV - 16.6%; and HB II - 16.6%. The first signs of improvement were observed in the patients with the shortest time between the paralysis and the anastomosis surgery (3.5 months versus 8.5 months; p = 0.011). The patients with HB II and III had a shorter time between the diagnosis and the anastomosis surgery (mean: 5.22 months), while the patients with HB IV and VI had a longer time of paresis (mean: 9.5 months; p = 0.099). We did not observe lingual atrophy or changes in swallowing. Discussion and Conclusion Hypoglossal-facial anastomosis with the terminolateral technique has good results and low morbidity in relation to tongue motility and swallowing problems. The HB grade and recovery appear to be better in patients operated on with a shorter paralysis time.

scholarly journals Lower Motor Neuron Facial Nerve Palsy in a 4-month-old Infant Associated with Chicken Pox: A Case Report

2020 ◽  
Vol 2 (3) ◽  
pp. 107-108
Author(s):  
Ravikumar Payora ◽  
Manakkattu Thekke Peedikayil Mohammed ◽  
Kizhakke Veettil Radhamani
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Motor Neuron ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Lower Motor Neuron ◽  
Chicken Pox ◽  
Motor Neuron Facial Nerve

scholarly journals Melkersson-Rosenthal Syndrome with Orofacial Swelling and Recurrent Lower Motor Neuron Facial Nerve Palsy: A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Jerome Okudo ◽  
Yemi Oluyide
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Motor Neuron ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Lower Motor Neuron ◽  
Facial Swelling ◽  
Motor Neuron Facial Nerve ◽  
History Of ◽  
Multiple Treatments

Melkersson-Rosenthal Syndrome (MRS) is a rare otoneurologic condition, which is poorly understood and often underdiagnosed. Etiology and incidence are unclear, although infectious, inflammatory, and genetic causes have been implicated. Recurrent facial nerve palsy, facial swelling, and fissured tongue are the symptoms and signs of this condition. However, this triad is not typical in all patients as patients may present with one or more of the symptoms, which makes management of this condition difficult. Steroids may prove to be useful especially in patients who have facial nerve palsy. In this case report, we have described a 46 year-old Caucasian male who presented to the clinic for the evaluation of orofacial swelling and left facial deviation with a history of multiple treatments for recurrent lower motor neuron type facial nerve palsy.

Peripheral facial nerve palsy in children in a Borrelia high‐endemic area, a retrospective follow‐up study

2020 ◽  
Vol 109 (6) ◽  
pp. 1229-1235
Author(s):  
Sigurdur Arnason ◽  
Malou Hultcrantz ◽  
Anna Nilsson ◽  
Åsa Laestadius
Keyword(s):  
Facial Nerve ◽  
Endemic Area ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Follow Up Study ◽  
Peripheral Facial Nerve Palsy
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