scholarly journals Peripheral nerve involvement in Bell's palsy

1984 ◽  
Vol 42 (4) ◽  
pp. 341-345 ◽  
Author(s):  
J. A. Bueri ◽  
L. G. Cohen ◽  
Marcela E. Panizza ◽  
Olga P. Sanz ◽  
R. E. P. Sica
Keyword(s):  
Peripheral Nerve ◽  
Facial Nerve ◽  
Motor Nerve ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Motor Nerve Conduction ◽  
Nerve Involvement ◽  
Peripheral Nerve Involvement ◽  
Conduction Velocities ◽  
The Right

A group of patients with Bell's palsy were studied in order to disclose the presence of subclinical peripheral nerve involvement. 20 patients, 8 male and 12 female, with recent Bell's palsy as their unique disease were examined, in all cases other causes of polyneuropathy were ruled out. Patients were investigated with CSF examination, facial nerve latencies in the affected and in the sound sides, and maximal motor nerve conduction velocities, as well as motor terminal latencies from the right median and peroneal nerves. CSF laboratory examination was normal in all cases. Facial nerve latencies were abnormal in all patients in the affected side, and they differed significantly from those of control group in the clinically sound side. Half of the patients showed abnormal values in the maximal motor nerve conduction velocities and motor terminal latencies of the right median and peroneal nerves. These results agree with previous reports which have pointed out that other cranial nerves may be affected in Bell's palsy. However, we have found a higher frequency of peripheral nerve involvement in this entity. These findings, support the hypothesis that in some patients Bell's palsy is the component of a more widespread disease, affecting other cranial and peripheral nerves.

Peripheral nerve involvement in acute Bell's palsy

1988 ◽  
Vol 102 (5) ◽  
pp. 447-448 ◽  
Author(s):  
F. Abdel-Baki ◽  
H. Moghazi ◽  
A. Eassa ◽  
F. Talaat
Keyword(s):  
Facial Nerve ◽  
Motor Nerve ◽  
Bell’S Palsy ◽  
Conduction Delay ◽  
Bell's Palsy ◽  
Motor Nerve Conduction ◽  
Bony Canal ◽  
Peripheral Nerve Involvement ◽  
Motor Nerves ◽  
Autoimmune Aetiology

Motor nerve conduction studies were carried out on the ipsilateral and contralateral ulnar nerves (arm and forearm segments) in 20 patients presenting with unilateral acute Bell's palsy. In seven of these cases (35%), there was motor conduction delay in one or more segments of the ulnar nerve. The present study confirms the hypothesis that Bell's palsy has a viral or autoimmune aetiology resulting in a generalized polyneuropathy or mononeuritis multiplex. Paralysis is clinically more manifest in the facial nerve than other motor nerves; this is because of the peculiar anatomical course of the facial nerve inside a bony canal.

Distribution of Facial Nerve Conduction Velocities in Patients with Bell’s Palsy

1994 ◽  
pp. 514-516 ◽  
Author(s):  
M. Aoyagi ◽  
O. Saito ◽  
H. Tojima ◽  
H. Maeyama ◽  
Y. Koike
Keyword(s):  
Facial Nerve ◽  
Nerve Conduction ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Conduction Velocities

scholarly journals Prevalence and Characteristics of Polyneuropathy in Atypical Parkinsonian Syndromes: An Explorative Study

2021 ◽  
Vol 11 (7) ◽  
pp. 879
Author(s):  
Rachel Rohmann ◽  
Eva Kühn ◽  
Raphael Scherbaum ◽  
Lovis Hilker ◽  
Saskia Kools ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Motor Nerve ◽  
Symptom Burden ◽  
Parkinsonian Syndromes ◽  
Explorative Study ◽  
Nerve Involvement ◽  
Neuropathic Symptom ◽  
Peripheral Nerve Involvement ◽  
Non Motor Symptoms ◽  
Early Features

(1) Background: Peripheral nerve involvement is increasingly recognized in Parkinson’s disease (PD). Although non-motor symptoms and postural instability are early features of atypical parkinsonian syndromes (APS), peripheral neuropathies in APS have not been addressed in detail thus far. Therefore, the aim of this study was to investigate the prevalence and characteristics of polyneuropathies (PNP) in multiple system atrophy (MSA) and progressive supranuclear palsy (PSP), as representative syndromes of APS. (2) Methods: In total, 8 MSA and 6 PSP patients were comprehensively analyzed regarding subjective, clinical (motor and non-motor) and paraclinical PNP features using nerve conduction studies and high resolution nerve ultrasounds (HRUS). (3) Results: A total of 87.5% of MSA and 66.7% of PSP patients complained of at least one neuropathic symptom, with electrophysiological confirmation of PNP in 50.0% of both, MSA and PSP patients. PNP symptom severity in PSP and motor nerve amplitude in MSA were associated with compromised motor function. Morphologic nerve examination by HRUS showed few alterations according to the axonal type of PNP. (4) Conclusions: The overall high PNP symptom burden may be partially credited to the significant prevalence of electrophysiologically diagnosed PNP, and impact motor aspects of APS. The findings of this exploratory study reinforce further investigations on a larger scale, in order to elucidate peripheral nerve involvement and the underlying pathophysiological mechanisms of APS.

scholarly journals Radiation Exposure and Bell’s Palsy: A Hypothetical Association

2017 ◽  
Author(s):  
M Khateri ◽  
S Cheraghi ◽  
A Ghadimi ◽  
H Abdollahi
Keyword(s):  
Peripheral Nerve ◽  
Facial Nerve ◽  
Radiation Exposure ◽  
Mobile Phones ◽  
Nerve Palsy ◽  
Bell’S Palsy ◽  
Wireless Devices ◽  
Bell's Palsy ◽  
Psychological Stressors

Bell’s palsy is an idiopathic peripheral nerve palsy involving the facial nerve. It accounts for 60 to 75% of all cases of unilateral facial paralysis. The main mechanisms to induce BP remain unclear, but infection, ischemic condition and immunodeficiency may contribute to the development of Bell’s palsy. Accumulating evidence has shown several factors can trigger the reactivation of latent HSV including psychological stressors, physical stressors and immunosuppression. Ionization and non-ionization radiations are of importance of physical stressors. Some data have shown radiation can reactivate HSVs. Based on preliminary studies showing radiation reactivation of HSVs, we aimed to hypothesize radiation (in both forms of ionization and non-ionization) may cause Bell’s palsy. In the future, the role of radiotherapy, radiofrequency radiation from mobile phones and wireless devices in HSV reactivation and Bell’s palsy should be investigated.

Ipsilateral Acoustic-Reflex Adaptation Testing for Detection of Facial-Nerve Pathology

1988 ◽  
Vol 53 (4) ◽  
pp. 378-382 ◽  
Author(s):  
Shlomo Silman ◽  
Carol A. Silverman ◽  
Stanley A. Gelfand ◽  
John Lutolf ◽  
Deborah J. Lynn
Keyword(s):  
Facial Nerve ◽  
Bell’S Palsy ◽  
The Other ◽  
Bell's Palsy ◽  
Acoustic Reflex ◽  
Eighth Nerve ◽  
Nerve Involvement ◽  
Seventh Nerve

Abnormal acoustic-reflex adaptation monitored in the same ear for both contralaterally and ipsilaterally presented tonal activators is reported in three cases. One case had Bell's palsy, whereas the other two cases had no clinically observable evidence of seventh-nerve involvement. These cases show that the existence of abnormal acoustic-reflex adaptation in the absence of Bell's palsy does not necessarily implicate the presence of eighth-nerve pathology.

Effect of long-term electrical stimulation on motor recovery and improvement of clinical residuals in patients with unresolved facial nerve palsy

2000 ◽  
Vol 122 (2) ◽  
pp. 246-252 ◽  
Author(s):  
Robert S. Targan ◽  
GAD Alon ◽  
Scott L. Kay
Keyword(s):  
Electrical Stimulation ◽  
Facial Nerve ◽  
Outcome Measures ◽  
Analysis Of Variance ◽  
Motor Nerve ◽  
Bell’S Palsy ◽  
Motor Recovery ◽  
Bell's Palsy ◽  
Variance Test

PURPOSE This study investigated the efficacy of a pulsatile electrical current to shorten neuromuscular conduction latencies and minimize clinical residuals in patients with chronic facial nerve damage caused by Bell's palsy or acoustic neuroma excision. SUBJECTS The study group included 12 patients (mean age 50.4 ± 12.3 years) with idiopathic Bell's palsy and 5 patients (mean age 45.6 ± 10.7 years) whose facial nerves were surgically sacrificed. The mean time since the onset of paresis/paralysis was 3.7 years (range 1–7 years) and 7.2 years (range 69 years) for the Bell's and neuroma excision groups, respectively. METHOD AND PROCEDURES Motor nerve conduction latencies, House-Brackmann facial recovery scores, and a 12-item clinical assessment of residuals were obtained 3 months before the onset of treatment, at the beginning of treatment, and after 6 months of stimulation. Patients were treated at home for periods of up to 6 hours daily for 6 months with a battery-powered stimulator. Stimulation intensity was kept at a submotor level throughout the study. Surface electrodes were secured over the most affected muscles. Groups and time factors were used in the analyses of the 3 outcome measures. RESULTS No statistical differences were found between the two diagnostic groups with respect to any of the 3 outcome measures. Mean motor nerve latencies decreased by 1.13 ms (analysis of variance test, significant P = 0.0001). House-Brackmann scores were also significantly lower (Wilcoxon signed rank test, P = 0.0003) after treatment. Collective scores on the 12 clinical impairment measures decreased 28.7 ± 8.1 points after 6 months [analysis of variance test, significant P = 0.0005). Eight patients showed more than 40% improvement, 4 better than 30%, and 5 less than 10% improvement in residuals score. CONCLUSION These data are consistent with the notion that long-term electrical stimulation may facilitate partial reinnervation in patients with chronic facial paresis/paralysis. Additionally, residual clinical impairments are likely to improve even if motor recovery is not evident.

scholarly journals The Epidemiology and Management of Bell’s Palsy in the Sudan

2018 ◽  
Vol 12 (1) ◽  
pp. 827-836 ◽  
Author(s):  
Ahmed Hassan Kamil Mustafa ◽  
Ahmed Mohammed Sulaiman
Keyword(s):  
Facial Nerve ◽  
Bell’S Palsy ◽  
Facial Nerve Paralysis ◽  
Age Group ◽  
Bell's Palsy ◽  
Cross Sectional ◽  
Nerve Paralysis ◽  
Dental Hospital ◽  
The Face ◽  
The Right

Background: Bell’s palsy is an acute idiopathic facial nerve paralysis of sudden onset. It is the most common cause of lower motor neuron facial nerve paralysis with an annual incidence of 15-30 per 100,000. The objective of this work is to study the prevalence and the management of Bell’s palsy in the Sudan. A descreptive retrospective cross-sectional study was carried at Khartoum Teaching Dental Hospital, Khartoum General Teaching Hospital. In the retrospective, the records and files of 698 patients with Bell’s palsy, were reviewed in relation to age, gender, site, risk factors, season, and type of treatment. In addition, 48 patients with Bell’s palsy were evaluated using the House–Brackman scale in relation to the above-mentioned variables. Therefore, a total number of 746 cases were studied. Fifty five percent of them were females and the remaining 45% were males, around 38% of them were in the age group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of onset where 53.5% of the cases occurred. Steroids are the commonly prescribed drugs in majority of the cases, accounting for 47.3%. Study Design: The study is a retrospective cross sectional hospital based study. The study was carried out in Khartoum Teaching Dental Hospital and in the Physiotherapy Department of Khartoum Teaching General hospital. The files and records of the patients with Bell’s palsy in Khartoum Teaching Dental Hospital in the years 1/1/2004 -31/12/2008, and Khartoum Teaching General Hospital (physiotherapy department) in the years 2007- July 2009 (total number 746). Results: A total number of 746 cases were studied . Fifty five percent of them were females and the remaining 45% were male. Around 38% of them were in the group 21-40 year. Fifty seven percent of the patients were affected on the right side of the face. Winter was the commonest season of the onset where 53.5% of the cases occurred. Conclusion: The study showed predominance of females. A peak incidence was seen in the age group 21-40 years. A predilection was found for the right side of face.

scholarly journals Bell's palsy: а literature reference and own clinical case

2021 ◽  
pp. 83-87
Author(s):  
D.S. Khapchenkova ◽  
◽  
S.О. Dubyna ◽  
K.Yu. Yena ◽  
◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Expressions ◽  
Muscle Weakness ◽  
Clinical Case ◽  
Bell’S Palsy ◽  
Motor Nucleus ◽  
Bell's Palsy ◽  
Facial Muscles ◽  
The Face ◽  
The Right

Bell's palsy is an acute peripheral paralysis of the facial nerve of unknown etiology. The facial nerve is the seventh cranial nerve. One part of the facial nerve is the motor fibers that innervate the facial muscles. The facial nerve emerges from the brain between the posterior edge of the pons and the medulla oblongata with two roots. The main motor nucleus is responsible for the voluntary control of facial muscles. There are central and peripheral paresis of the facial nerve. Central paresis occurs during а stroke. Peripheral paresis (unilateral muscle weakness of the entire half of the face) develops when the facial nerve is affected from the motor nucleus to the exit from the stylomastoid foramen. Among the various localizations of damage to the peripheral part of the facial nerve, the most common is Bell's palsy as a result of edema and compression of the nerve in the bone canal. Clinical symptoms of facial nerve neuropathy are characterized by acute paralysis or paresis of facial muscles: smoothed skin fold on the affected side of the face; swelling of the cheeks; an inability to close the eyelid, Bell's symptom; facial muscle weakness. The degree of damage is determined by the House Brackmann scale. Treatment with glucocorticosteroids, antiviral drugs, physiotherapy procedures. Purpose — to present a clinical case of a patient with Bell's palsy as an example of delayed diagnosis, treatment and, as a result, long-term restoration of the facial muscles functions. Clinical case. The boy after suffering from the flu, began to complain of acute ear pain, vomiting, lack of movement in the right half of the face, dizziness, insomnia. Asymmetry of the face, lack of movement of the right side of the face, inability to completely close the right eye, a symptom of sailing on the right, muscle weakness were revealed during examination. The general condition of the patient improved, facial expressions were restored, sleep was normalized after hormonal, metabolic therapy, physiotherapy procedures. Conclusions. The article describes a case of inflammation of the facial nerve or Bell's palsy in a teenager who developed on the background of the flu. Timely diagnosis and treatment of the above pathology is the key to a satisfactory prognosis for the restoration of facial expressions, prevention of negative consequences of the the disease. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: facial nerve, Bell's palsy, flu, inflammation.

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