Reversible Peripheral Facial Nerve Palsy During Airplane Travel

2020 ◽  
Vol 91 (8) ◽  
pp. 679-681
Author(s):  
Kristina Mikuš ◽  
Katarina Ivana Tudor ◽  
Goran Pavliša ◽  
Damir Petravić

BACKGROUND: Facial baroparesis is reversible palsy of the facial nerve that may occur due to a pressure change in the middle ear when ascending in an airplane or during scuba diving. The objective is to present a rare case of facial paresis during airplane travel.CASE REPORT: We report a 49-yr-old female patient who presented with a 30-min episode of transient right facial paresis with loss of taste during airplane travel. Brain magnetic resonance imaging (MRI) showed a small left parietal developmental venous anomaly, extensive inflammation of the paranasal sinuses, which were almost completely obstructed with thickened mucosa and mastoid cell secretion bilaterally. Nasal decongestants and antibiotics were prescribed. No new neurological signs or symptoms were noticed.DISCUSSION: Reversible facial baroparesis due to the pressure change in the middle ear should be considered in cases where present medical history includes ascent/airplane takeoff or prolonged diving and should not be mistaken for transitory ischemic attack.Mikuš K, Tudor KI, Pavliša G, Petravić D. Reversible peripheral facial nerve palsy during airplane travel. Aerosp Med Hum Perform. 2020; 91(8):679–681.

2019 ◽  
Vol 266 (10) ◽  
pp. 2488-2494 ◽  
Author(s):  
Julia Zimmermann ◽  
Sarah Jesse ◽  
Jan Kassubek ◽  
Elmar Pinkhardt ◽  
Albert C. Ludolph

2012 ◽  
Vol 68 (2) ◽  
pp. 74-74 ◽  
Author(s):  
Valentina Fioravanti ◽  
Giulia Vinceti ◽  
Annalisa Chiari ◽  
Elena Canali ◽  
Paolo Frigio Nichelli ◽  
...  

1984 ◽  
Vol 61 (2) ◽  
pp. 405-406 ◽  
Author(s):  
Eduardo Fernandez ◽  
Roberto Pallini ◽  
Giulio Maira

✓ A simple technique is described for protecting the cornea in patients with peripheral facial nerve palsy while waiting for recovery of nerve function. The application of an adhesive strip to the superior eyelid permits opening and closing of the eye, and provides good protection of the cornea.


Author(s):  
James Ramsden

Hearing loss must be divided into conductive hearing loss (CHL) and sensorineural hearing loss (SNHL). CHL is caused by sound not reaching the cochlear (abnormality of the ear canal, tympanic membrane, middle ear, or ossicles), whereas SNHL is a condition affecting the cochlear or auditory (eighth cranial) nerve. Hearing loss may be accompanied by other cardinal signs of ear disease, such as pain or discharge from the ear, vertigo, facial nerve palsy, and tinnitus, which guide the diagnosis. This chapter describes the approach to the patient with hearing loss.


2019 ◽  
Vol 43 (3) ◽  
pp. 155-164 ◽  
Author(s):  
Eeva Mäkelä ◽  
Hanna Venesvirta ◽  
Mirja Ilves ◽  
Jani Lylykangas ◽  
Ville Rantanen ◽  
...  

2008 ◽  
Vol 101 (6) ◽  
pp. 435-439
Author(s):  
Shujiro Minami ◽  
Seiichi Shinden ◽  
Naoki Oishi ◽  
Taku Yamashita ◽  
Koichiro Wasano

2018 ◽  
Vol 7 (1) ◽  
pp. 1-5
Author(s):  
Anna Rzepakowska ◽  
K Rybak ◽  
Kazimierz Niemczyk ◽  
P Rybak

Idiopathic facial nerve palsy, called also Bell palsy, can be a challenge for clinicians if a pregnant woman reports symptoms of facial paresis. The incidence of Bell's paralysis in pregnant women is almost three times higher than in the non-pregnant women's age group. The problem is the lack of guidelines for the treatment of idiopatic facial nerve palsy in this group of patients. In randomized studies, but without participation of pregnant women, greater efficacy was found in the return of nerve function after early treatment with corticosteroids than with other methods. The dilemma concerning therapy is intensified by the fact that the prognosis regarding the return of facial nerve function in pregnant women is significantly worse than in the remaining population and the weakness of facial muscles is yet diagnosed in a young woman. In the article we present the example of a patient consulted in our department and the review of current literature. We introduce recommendations for the treatment of pregnant women with facial nerve palsy. There are discussed benefits, advised medicines, doses, necessary precautions and potential side effects of corticosteroids, which are the only ones that have proven efficacy in the treatment of Bell's paralysis in pregnant women.


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