About the right facial palsy of Charles Bell: was Sir Charles Bell himself really affected by facial paralysis? - Comment on 'peripheral facial palsy in the past. Contributions from Avicenna, Nicolaus Friedreich and Charles Bell'

Objective: To report 4 different neurological complications of H1N1 virus vaccination. Method: Four patients (9, 16, 37 and 69 years of age) had neurological symptoms (intracranial hypertension, ataxia, left peripheral facial palsy of abrupt onset, altered mental status, myelitis) starting 4-15 days after H1N1 vaccination. MRI was obtained during the acute period. Results: One patient with high T2 signal in the cerebellum interpreted as acute cerebellitis; another, with left facial palsy, showed contrast enhancement within both internal auditory canals was present, however it was more important in the right side; one patient showed gyriform hyperintensities on FLAIR with sulcal effacement in the right fronto-parietal region; and the last one showed findings compatible with thoracic myelitis. Conclusion: H1N1 vaccination can result in important neurological complications probably secondary to post-vaccination inflammation. MRI detected abnormalities in all patients.

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

International Journal of Medical and Surgical Sciences ◽

10.32457/ijmss.v7i4.642 ◽

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.

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Peripheral facial palsy in the past: contributions from Avicenna, Nicolaus Friedreich and Charles Bell

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2008000500035 ◽

2008 ◽

Vol 66 (3b) ◽

pp. 765-769 ◽

Cited By ~ 10

Author(s):

Luiz Antonio de Lima Resende ◽

Silke Weber

Keyword(s):

Middle Ages ◽

Facial Palsy ◽

Historical Documents ◽

Human Race ◽

The Past ◽

Peripheral Facial Palsy ◽

History Of ◽

Clinical Description ◽

The Middle Ages

This study provides historical documents of peripheral facial palsy from Egypt, Greece and Rome, through the middle ages, and the renaissance, and into the last four centuries. We believe that the history of peripheral facial palsy parallels history of the human race itself. Emphasis is made on contributions by Avicenna and Nicolaus Friedreich. Controversies about the original clinical description by Charles Bell are also discussed.

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A young lady with right peripheral facial palsy

Hong Kong Journal of Emergency Medicine ◽

10.1177/1024907919840171 ◽

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.

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

BMJ Case Reports ◽

10.1136/bcr-2020-237146 ◽

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.

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Metal spark perforation of the tympanic membrane with deafness and facial paralysis

The Journal of Laryngology & Otology ◽

10.1017/s0022215100099916 ◽

1986 ◽

Vol 100 (6) ◽

pp. 699-700 ◽

Cited By ~ 9

Author(s):

J. Stage ◽

T. Vinding

Keyword(s):

Inner Ear ◽

Tympanic Membrane ◽

Facial Paralysis ◽

Facial Palsy ◽

Rare Case ◽

Thermal Injury ◽

Peripheral Facial Palsy

AbstractAn exteremely rare case of traumatic thermal injury of the middle and inner ear with deafness and irreversible peripheral facial palsy is presented. The accident was caused by a metal spark perforating the tympanic membrane during welding.

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Isolated peripheral-type facial palsy due to the central lesion:two-case reports

10.21203/rs.2.9279/v1 ◽

2019 ◽

Author(s):

jiwei jiang ◽

Xiuli Shang

Keyword(s):

Facial Palsy ◽

Case Reports ◽

Internal Capsule ◽

High Signal ◽

Posterior Limb ◽

High Risk Factors ◽

Peripheral Facial Palsy ◽

Intensity Lesion ◽

Peripheral Type ◽

The Right

Abstract Background Isolated peripheral facial palsy (P-FP) can lead to lesions involving the inferomedial tegmentum of the pons. However, cases with P-FP in result of a medullary lesion have rarely been reported and result from a paraventricular lesion have never been reported before. Cases presentation We described a 63-year-old man presenting with isolated P-FP due to ipsilateral pontomedullary infarction. Brain diffusion MRI revealed a hyper-intense signal on the left dorsolateral portion of the upper medulla and pontomedullary junction. And then we experienced a 77-year-old man presenting with lateral paraventricular infarction who showed contralateral peripheral type facial palsy. Brain diffusion-weighted image(DWI) showed a high-signal intensity lesion in the right lateral paraventricule and part of the posterior limb of the right internal capsule. Conclusions These two cases caution that a central nervous etiology should be considered in patients with P-FP, especially if they have high risk factors of cerebral infarction.

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Ramsay Hunt's Syndrome in Pediatric Age

Journal of Pediatric Neurology ◽

10.1055/s-0040-1722618 ◽

2021 ◽

Author(s):

Marta Ribeiro Silva ◽

Lídia Leite ◽

Filipa Peixoto Sousa ◽

Ricardo Maré ◽

Teresa Pontes

Keyword(s):

Facial Palsy ◽

Antiviral Treatment ◽

Gadolinium Contrast ◽

Varicella Zoster ◽

Peripheral Facial Palsy ◽

Csf Analysis ◽

Seventh Cranial Nerve ◽

Blurry Vision ◽

The Right ◽

The Brain

AbstractThe Ramsay Hunt's syndrome (RHS), caused by the reactivation of the varicella-zoster virus (VZV), is an infrequent cause of peripheral facial palsy in the pediatric patients. A 16-year-old adolescent boy presented with headache, right earache, and signs of lower motor neuron type facial palsy. He was medicated with deflazacort. Four days later, he developed blurry vision in the right eye, gait imbalance, and vesicular lesions in the right ear with decreased ipsilateral hearing acuity. A diagnosis of RHS was considered. Cerebrospinal fluid (CSF) analysis showed pleocytosis, as well as VZV DNA. Magnetic resonance imaging of the brain identified abnormal uptake of gadolinium contrast in the right seventh cranial nerve, reinforcing the diagnosis. The patient was treated with acyclovir (14 days) and prednisone, with progressive clinical improvement. We emphasize the importance of recognizing this syndrome in patients with facial palsy, since the early antiviral treatment significantly improves the prognosis.

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Neonatal Cerebellar Hemorrhage and Facial Nerve Palsy: An Unusual Association

American Journal of Perinatology Reports ◽

10.1055/s-0040-1715162 ◽

2020 ◽

Vol 10 (03) ◽

pp. e262-265

Author(s):

Caterina Coviello ◽

Giulia Remaschi ◽

Sabrina Becciani ◽

Simona Montano ◽

Iuri Corsini ◽

...

Keyword(s):

Facial Palsy ◽

Cerebellar Hemisphere ◽

Cranial Ultrasound ◽

Cerebellar Hemorrhage ◽

Peripheral Facial Palsy ◽

Traumatic Birth ◽

Hemorrhagic Lesion ◽

Term Newborns ◽

Intraventricular Bleeding ◽

The Right

AbstractCerebellar hemorrhage is rare in term newborns and is most often seen after traumatic birth. Lifelong sequelae include motor and cognitive impairment. We report the uncommon case of a late preterm infant born by spontaneous delivery who showed right peripheral facial palsy at 24 hours of life. Cranial ultrasound showed lateral ventricles dilatation and a diffuse hyperechoic round lesion in the right cerebellar hemisphere. The computed tomography scan confirmed a hemorrhagic lesion in the right cerebellar hemisphere and in the vermis with midline shift and intraventricular bleeding. Ommaya reservoir was inserted and used for a few days. The facial palsy gradually recovered to a complete remission after 6 weeks. Follow-up examinations at 12 and 18 months evidenced infant's delayed motor function, hyperreflexia, tremors, and speech delay.

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COMMONWEALTH Forum: The Politics of Science or the Science of Politics

Commonwealth ◽

10.15367/com.v19i1.136 ◽

2017 ◽

Vol 19 (1) ◽

Author(s):

John Arway

Keyword(s):

Public Policy ◽

Natural Resource ◽

Factual Information ◽

The Past ◽

Difference Of Opinion ◽

History Of ◽

The Right ◽

Scientific Facts ◽

Environmental Agency ◽

Laws And Regulations

The challenges of including factual information in public policy and political discussions are many. The difficulties of including scientific facts in these debates can often be frustrating for scientists, politicians and policymakers alike. At times it seems that discussions involve different languages or dialects such that it becomes a challenge to even understand one another’s position. Oftentimes difference of opinion leads to laws and regulations that are tilted to the left or the right. The collaborative balancing to insure public and natural resource interests are protected ends up being accomplished through extensive litigation in the courts. In this article, the author discusses the history of environmental balancing during the past three decades from the perspective of a field biologist who has used the strength of our policies, laws and regulations to fight for the protection of our Commonwealth’s aquatic resources. For the past 7 years, the author has taken over the reins of “the most powerful environmental agency in Pennsylvania” and charted a course using science to properly represent natural resource interests in public policy and political deliberations.

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