Differential Diagnosis of Acute Facial Paralysis

2014 ◽  
Keyword(s):  
Differential Diagnosis ◽  
Facial Paralysis

Facial Paralysis in Children: Differential Diagnosis

1981 ◽  
Vol 89 (5) ◽  
pp. 841-848 ◽  
Author(s):  
Mark May ◽  
Thomas J. Fria ◽  
Frank Blumenthal ◽  
Hugh Curtin
Keyword(s):  
Hearing Loss ◽  
Differential Diagnosis ◽  
Herpes Zoster ◽  
Facial Paralysis ◽  
Positive Family History ◽  
Pseudobulbar Palsy ◽  
Slow Progression ◽  
Facial Edema ◽  
Physical Findings ◽  
Fissured Tongue

The differential diagnosis in 170 patients between birth and 18 years of age is reviewed. There are a number of obvious physical findings and historical features that allow one to make a diagnosis rather quickly. Pain, vesicles, a red pinna, vertigo, and sensorineural hearing loss suggest herpes zoster oticus. Slow progression beyond three weeks, recurrent facial paralysis involving the same side, facial twitching, weakness, or no return of function after six months indicate a neoplasm. Bilateral simultaneous facial paralysis indicates a cause other than Bell's palsy, such as Guillain-Barré syndrome, pseudobulbar palsy, sarcoidosis, and leukemia. Recurrent facial paralysis associated with a fissured tongue, facial edema, and a positive family history should suggest Melkersson-Rosenthal syndrome.

Hypertension as a Cause of Facial Paralysis

PEDIATRICS ◽  
1972 ◽  
Vol 50 (1) ◽  
pp. 171-171
Author(s):  
Saul D. Roskes
Keyword(s):  
Differential Diagnosis ◽  
Facial Paralysis ◽  
Review Paper ◽  
Severe Hypertension ◽  
Facial Canal ◽  
Peripheral Facial Paralysis ◽  
Initial Manifestation ◽  
High Level ◽  
Hypertension In Children

The review paper by Drs. Manning and Adour on facial paralysis in childhood was illuminating in terms of differential diagnosis. However, one very important consideration in the assessment of children who present with peripheral facial paralysis is the possibility that it may be the initial manifestation of severe hypertension in children. It is presumed that the paralysis is due to hemorrhage within the facial canal. Because hypertension in childhood very frequently has an etiology which is surgically or medically remediable the index of suspicion for its presence must be maintained at a high level.

scholarly journals Differential Diagnosis Approach to Bilateral Peripheral Facial Paralysis: A Case Report

2016 ◽  
Vol 22 (4) ◽  
pp. 196-198 ◽  
Author(s):  
Nihan Hande Akçakaya ◽  
Meltem Hale Alpsan Gökmen ◽  
Yeşim Gülşen Parman ◽  
Feza Deymeer ◽  
Piraye Oflazer
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Facial Paralysis ◽  
Peripheral Facial Paralysis ◽  
Diagnosis Approach

Facial Paralysis: Traumatic Neuromas Vs. Facial Nerve Neoplasms

1988 ◽  
Vol 98 (1) ◽  
pp. 53-59 ◽  
Author(s):  
Carl Snyderman ◽  
Mark May ◽  
Michael A. Berman ◽  
Hugh D. Curtin
Keyword(s):  
Differential Diagnosis ◽  
Facial Nerve ◽  
Facial Paralysis ◽  
Middle Ear ◽  
Clinical Presentation ◽  
Neural Tissue ◽  
Diagnosis And Treatment ◽  
Radiographic Appearance ◽  
Middle Ear Disease

Traumatic neuromas (TN) are benign proliferations of neural tissue that may occur without disruption of the facial nerve. The clinical presentation, as well as the radiographic appearance, may suggest neoplastic involvement of the facial nerve. Histologically, they may closely resemble neurilemomas (Schwannomas) or neurofibromas. Three cases of TN of the facial nerve associated with facial paralysis are presented here. Unlike previously reported cases, these tumors were not associated with chronic inflammatory middle ear disease. TN must be considered in the differential diagnosis and treatment of facial paralysis.

Cranial hyperostosis and hearing loss (A new syndrome?)

1986 ◽  
Vol 100 (10) ◽  
pp. 1187-1193
Author(s):  
W. H. Moesker ◽  
R. A. Tange
Keyword(s):  
Hearing Loss ◽  
Differential Diagnosis ◽  
Facial Paralysis ◽  
Middle Ear ◽  
Musculoskeletal Disease ◽  
Mother And Daughter ◽  
Skeletal Disorder ◽  
Hereditary Conditions

SummaryWe present two patients, mother and daughter, with a skeletal disorder of the skull, hearing loss and in one of them recurrent facial paralysis. In one patient middle ear exploration was performed. The malleus and incus were found to be fixed in the epitympanum.The differential diagnosis is discussed. We reviewed all known hereditary conditions with hearing loss and musculoskeletal disease but we could not accept any of these diagnoses for our patients.

Imaging in the Differential Diagnosis of Facial Paralysis

1994 ◽  
pp. 367-367
Author(s):  
A. Kumar ◽  
M. Mafee ◽  
M. Dailey
Keyword(s):  
Differential Diagnosis ◽  
Facial Paralysis

scholarly journals A case report of atypical Ramsay-Hunt Syndrome presented with severe vertigo and vomiting

2021 ◽  
Vol 38 (4) ◽  
pp. 693-695
Author(s):  
Kemal KEF
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Herpes Zoster ◽  
Physical Examination ◽  
Facial Paralysis ◽  
External Auditory Canal ◽  
Peripheral Facial Paralysis ◽  
Skin Changes ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome

Ramsay-Hunt Syndrome (Herpes zoster oticus) is often characterized by severe ear pain, vesicles on external auditory canal or auricula and peripheral facial paralysis. However, the patient in this case presented to the clinic with dizziness, pain in the ear and vomiting. During the physical examination there was no vesicles and no evidence of skin changes found around the auricula that were typical for Ramsay Hunt syndrome. The patient did not have facial paralysis. If there is an unexpected severe ear pain accompanying vertigo, Ramsay Hunt syndrome should be considered in the differential diagnosis even if there is no rash or facial paralysis.

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