Gd-DPTA Enhanced MRI in Bell's Palsy and Herpes Zoster Oticus: An Overview and Implications for Future Studies

AbstractThe possible involvement of depression on cellular immunity in reactivation of varicella-zoster virus (VZV) in herpes zoster oticus was investigated. The subjects comprised 59 cases of herpes zoster oticus, 33 cases of herpes zoster sine herpete (ZSH) with facial paralysis, and 205 cases of Bell's palsy. The transformation rate of lymphocytes to phytohaemagglutinin in herpes zoster oticus tended to be lower than that in Bell's palsy. In skin tests with purified protein derivatives of tuberculin, the positivity rate in herpes zoster oticus was significantly lower than that in Bell's palsy (p<0.015). In skin tests using VZV antigen, the positivity rate in herpes zoster oticus and ZSH were significantly lower than that of Bell's palsy (p<0.001 andp<0.015, respectively). Thus, it was noted that cellular immunity, especially specific cellular immunity against VZV, was significantly depressed in herpes zoster oticus and ZSH. We consider that depression of specific cellular immunity plays an important role in triggering reactivation of VZV and onset of these diseases.

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MR Imaging in Bell's Palsy and Herpes Zoster Oticus: Correlation with Clinical Findings

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1998.39.3.461 ◽

1998 ◽

Vol 39 (3) ◽

pp. 461

Author(s):

Jung Ho Kwon ◽

Jong Hyun Mo ◽

Sung Hee Moon ◽

Sang Sun Lee ◽

Yang Hee Park ◽

...

Keyword(s):

Herpes Zoster ◽

Mr Imaging ◽

Bell’S Palsy ◽

Clinical Findings ◽

Bell's Palsy ◽

Herpes Zoster Oticus

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Bell’s palsy and herpes zoster oticus

Current Treatment Options in Neurology ◽

10.1007/s11940-000-0039-5 ◽

2000 ◽

Vol 2 (5) ◽

pp. 407-416 ◽

Cited By ~ 12

Author(s):

Mark J. Morrow

Keyword(s):

Herpes Zoster ◽

Bell’S Palsy ◽

Bell's Palsy ◽

Herpes Zoster Oticus

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Gadolinium-Enhanced MRI and Positron Emission Tomography in Bell’s palsy: A Preliminary Report

The Facial Nerve ◽

10.1007/978-3-642-85090-5_118 ◽

1994 ◽

pp. 327-329

Author(s):

M. Engström ◽

L. Jonsson ◽

K.-Å. Thuomas ◽

A. Lilja ◽

M. Bergström

Keyword(s):

Positron Emission Tomography ◽

Preliminary Report ◽

Bell’S Palsy ◽

Emission Tomography ◽

Bell's Palsy ◽

Enhanced Mri ◽

Positron Emission

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Hemiparesis and Bell's palsy following brachial plexus herpes zoster

JAMA ◽

10.1001/jama.252.8.1012 ◽

1984 ◽

Vol 252 (8) ◽

pp. 1012-1012 ◽

Cited By ~ 1

Author(s):

P. G. Economou

Keyword(s):

Herpes Zoster ◽

Brachial Plexus ◽

Bell’S Palsy ◽

Bell's Palsy

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Efficacy of electrotherapy in Bell’s palsy treatment: A systematic review

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-171031 ◽

2020 ◽

Vol 33 (5) ◽

pp. 865-874

Author(s):

Elena Guadalupe Burelo-Peregrino ◽

Marisol Salas-Magaña ◽

Pedro Iván Arias-Vázquez ◽

Carlos Alfonso Tovilla-Zarate ◽

Deysi Yadira Bermudez-Ocaña ◽

...

Keyword(s):

Systematic Review ◽

Web Of Science ◽

Bell’S Palsy ◽

Bell's Palsy ◽

Future Studies ◽

Therapeutic Method ◽

Facial Muscles ◽

Number Of Individuals ◽

Present Systematic Review

BACKGROUND: Up to now there is not enough evidence that supports the use of electrotherapy in the treatment of Bell’s palsy. OBJECTIVE: Through a systematic review, we aimed to verify whether the use of electrotherapy is effective for treating Bell’s palsy or peripheral paralysis. METHODS: Publications were searched in PubMed, EBSCO and Web of Science. The present systematic review included studies that analyzed the electrotherapy as a therapeutic method for treating individuals with Bell’s palsy, in order to recover the function of facial muscles. RESULTS: Seven studies involving a total of 131 cases and 113 controls were included in this systematic review. In the studies analyzed, patients received electrotherapy combined with other treatments such as hot-wet facial napkins, massages and muscle reeducation. Although the effect of electrotherapy alone was not evaluated, the use of electrotherapy combined with other treatments produced a significant improvement in the individuals evaluated. CONCLUSIONS: Due to the diverse methodologies used and the small number of individuals included in the studies, we could not fully prove the efficacy of electrotherapy for treating Bell’s Palsy. Future studies with larger samples and homogenous populations should be performed to obtain conclusive results.

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