scholarly journals Peripheral facial paralysis as presenting symptom of COVID-19 in a pregnant woman

2020 ◽  
Vol 13 (8) ◽  
pp. e237146
Author(s):  
Rita Figueiredo ◽  
Vera Falcão ◽  
Maria João Pinto ◽  
Carla Ramalho
Keyword(s):  
Pregnant Woman ◽  
Facial Nerve ◽  
Facial Paralysis ◽  
Facial Palsy ◽  
Viral Infections ◽  
Neurological Symptoms ◽  
Term Pregnancy ◽  
Peripheral Facial Paralysis ◽  
Peripheral Facial Palsy ◽  
Nerve Disease

Acute facial nerve disease leading to peripheral facial paralysis is commonly associated with viral infections. COVID-19 may be a potential cause of peripheral facial paralysis and neurological symptoms could be the first and only manifestation of the disease. We report a case of a term pregnancy diagnosed with COVID-19 after presenting with isolated peripheral facial palsy.

scholarly journals Use of low level laser therapy (LLLT) as an adjunct in treatment with combined therapies in patients with Peripheral Facial Palsy (PFP)

2020 ◽  
pp. 1-12
Author(s):  
Mildren Baeza Castillo ◽  
Rodrigo Quivira ◽  
Cristian Bersezio Miranda
Keyword(s):  
Minimally Invasive ◽  
Facial Nerve ◽  
Laser Therapy ◽  
Facial Paralysis ◽  
Facial Palsy ◽  
Low Level Laser Therapy ◽  
Low Level ◽  
Low Level Laser ◽  
Peripheral Facial Palsy ◽  
Level Laser

Peripheral Facial Palsy is a neurological disorder that has motor and sensory consequences and affects the facial nerve. It causes alterations in the action of the muscles of the face, in the secretion of saliva, tears, and in the sense of taste. The objective of this publication is to report a case in which a treatment with minimally invasive combined therapies was performed together with the use of low-level laser therapy, in a 52-yearold female patient. With relevant medical history, referred for aesthetic evaluation and with unresolved moderate facial paralysis. She was subjected to laser therapy with wavelength (808 nm) and an energy of 3 Joules per session on the affected side, supplemented with Botulinum Toxin Type A, on the healthy side. The treatment of peripheral facial paralysis with minimally invasive combined therapies has proven to be a useful therapeutic tool for facial sequelae. In turn, low-level laser photobiomodulation therapy is promising as an adjunct in the nerve repair process, which would allow functional recovery of the facial nerve in the medium and long term.

scholarly journals A young lady with right peripheral facial palsy

2019 ◽  
Vol 26 (6) ◽  
pp. 379-380
Author(s):  
James Siu Ki Lau ◽  
Puisy Yau Ng Chan ◽  
Pui Gay Kan
Keyword(s):  
Intracranial Pressure ◽  
Facial Paralysis ◽  
Clinical Features ◽  
Facial Palsy ◽  
Sudden Onset ◽  
Young Lady ◽  
Increased Intracranial Pressure ◽  
Peripheral Facial Paralysis ◽  
Peripheral Facial Palsy ◽  
Common Diagnosis

A common diagnosis to patients with sudden onset of peripheral facial paralysis is Bell’s palsy. However, when there are other clinical features, such as increased intracranial pressure or bidirectional nystagmus, one must consider central causes. This report illustrates the importance of detailed observation and identification of nystagmus in arriving at an accurate clinical diagnosis.

scholarly journals Congenital unilateral facial palsy revealing a facial nerve agenesis: a case report and review of the literature

2019 ◽  
Vol 5 (1) ◽  
pp. 20180029
Author(s):  
Yaotse Elikplim Nordjoe ◽  
Ouidad Azdad ◽  
Mohamed Lahkim ◽  
Laila Jroundi ◽  
Fatima Zahrae Laamrani
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Temporal Bone ◽  
Facial Paralysis ◽  
Facial Palsy ◽  
Rare Condition ◽  
Review Of The Literature ◽  
Moebius Syndrome ◽  
Temporal Bone Ct

Facial nerve aplasia is an extremely rare condition that is usually syndromic, namely, in Moebius syndrome. The occurrence of isolated agenesis of facial nerve is even rarer, with only few cases reported in the literature. We report a case of congenital facial paralysis due to facial nerve aplasia diagnosed on MRI, while no noticeable abnormality was detected on the temporal bone CT.

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 Therapeutic Evaluation of Navan Nasya in Ardit W.S.R. to Facial Paralysis

2018 ◽  
Vol 8 (5) ◽  
pp. 284-287
Author(s):  
Neeraj Kanungo ◽  
Vijayata Kanungo
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Facial Palsy ◽  
Cellular Level ◽  
Facial Muscles ◽  
Therapeutic Evaluation ◽  
Permanent Loss

Ayurveda is sciences of medicine and health practicing anciently and it possessing effective methods for the treatment of various diseases. Ayurveda not only offer approaches for the management of curable diseases but also encompasses knowledge of incurable diseases. Panchakarma is one of the therapies of ayurveda which purify body and cleans all shrotas even at cellular level. Panchakarma therapy involves many sub therapies such as; Navannasya which is very useful in the management of various diseases such as; facial paralysis which involves weakness of facial muscles resulting from temporary or permanent loss of facial nerve. The study was planned to measure efficacy of navannasya in the treatment of Arditroga and it was found that navannasya gives good results in Ardit or facial paralysis. Some patient of cured effectively after the treatment with Navannasya. Keywords: Ayurveda, Ardit, Facial Palsy, Panchakarma, Navannasya.

Reinnervation by the contralateral facial nerve in patients with peripheral facial palsy

2011 ◽  
Vol 44 (6) ◽  
pp. 923-929 ◽  
Author(s):  
Jordi Casanova-Molla ◽  
Luci León ◽  
Carlos David Castillo ◽  
Josep Valls-Solé
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Peripheral Facial Palsy

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.

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 Melkersson-Rosenthal Syndrome: A Rare Cause of Recurrent Facial Nerve Palsy and Acute Respiratory Distress Syndrome

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Behiye Deniz Kosovali ◽  
Asiye Yavuz ◽  
Fatma Irem Yesiler ◽  
Mustafa Kemal Bayar
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Facial Nerve ◽  
Respiratory Distress ◽  
Facial Paralysis ◽  
Distress Syndrome ◽  
Facial Nerve Palsy ◽  
Ventilatory Support ◽  
Clinical Findings ◽  
Peripheral Facial Paralysis

Melkersson-Rosenthal Syndrome (MRS) is a rare disease characterized by persistent or recurrent orofacial oedema, relapsing peripheral facial paralysis, and furrowed tongue. Pathologically, granulomatosis is responsible for oedema of face, labia, oral cavity, and facial nerve. We present a patient with MRS admitted to our hospital with acute respiratory distress syndrome (ARDS). 45-year-old woman was admitted to an emergency department with dyspnea and swelling on her hands and face. She was intubated because of ARDS and accepted to intensive care unit (ICU). After weaning from ventilatory support, peripheral facial paralysis was diagnosed and steroid treatment was added to her therapy. On dermatologic examination, oedema on her face, pustular lesions on her skin, and fissure on her tongue were detected. The patient informed us about her recurrent and spontaneous facial paralysis in previous years. According to her history and clinical findings, MRS was diagnosed.

Facial Palsy, Radiographic and Other Workup Negative: FROWN

2020 ◽  
pp. 10.1212/CPJ.0000000000001020
Author(s):  
Jacqueline J Greene ◽  
Reza Sadjadi ◽  
Nate Jowett ◽  
Tessa Hadlock
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Malignant Tumors ◽  
Malignant Neoplasm ◽  
Acute Onset ◽  
Peripheral Facial Palsy ◽  
Facial Reanimation ◽  
Term Evaluation ◽  
Slow Onset

AbstractObjectives:Slow-onset peripheral facial palsy is far less common than acute-onset peripheral facial palsy and necessitates diagnostic evaluation for a benign or malignant tumors, or other less common etiologies. In the rare scenario when no clarifying etiology is discovered following long-term evaluation (no radiographic or hematologic abnormalities and an otherwise unremarkable evaluation), a diagnostic and management dilemma occurs. We present a series of patients with this possible new clinical entity: facial palsy, radiographic and other workup negative (FROWN), and propose a management strategy for this diagnosis of exclusion.Methods:A series of 3,849 patients presenting with facial palsy to a tertiary Facial Nerve Center was retrospectively assessed to identify those with progressive loss of facial function over at least 1 month. Exclusion criteria included history, physical or hematologic findings indicative of known diseases associated with facial palsy, and radiographic studies demonstrating a benign or malignant tumor.Results:Patients with slow-onset facial palsy constituted 5% (190 patients) of the cohort and were ultimately diagnosed with either a benign or malignant neoplasm or other facial nerve pathology. Fourteen patients with slow-onset facial palsy remained without a diagnosis following long-term evaluation and serial imaging. Eleven patients underwent dynamic facial reanimation surgery and facial nerve and muscle biopsy, with no clear histopathologic diagnosis.Conclusion:Patients with slow-onset facial palsy with negative radiographic and medical evaluations over several years may be characterized as having FROWN, an idiopathic and as yet poorly understood condition, which appears to be amenable to facial reanimation, but which requires further investigation as to its pathophysiology.

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