scholarly journals Bell’s Palsy Associated with COVID-19 Infection: A Case Report

2021 ◽  
Vol 36 (5) ◽  
pp. e313-e313
Author(s):  
Zeinab Mohseni Afshar1*, ◽  
Arefeh Babazadeh ◽  
Mandana Afsharian ◽  
Siavash Vaziri ◽  
Soheil Ebrahimpour
Keyword(s):  
Ct Scan ◽  
Antiviral Agents ◽  
Ground Glass Opacity ◽  
Bell’S Palsy ◽  
Neurological Involvement ◽  
Nasolabial Fold ◽  
Bell's Palsy ◽  
Wide Range ◽  
Current Report

The COVID-19 has a wide range of symptoms. This novel infectious disease may also trigger a vast range of neurological involvements. The current report describes a case of COVID-19 complicated with Bell’s palsy. A 64-year-old woman with diabetes was admitted due to abrupt left hemifacial weakness. On examination, her left hemifacial expression ability was impaired so that her face seemed asymmetrical during smiling, and numbness around the left nasolabial fold was detected. Furthermore, her ability to wink was impaired, and her eyebrow drooped. A brain computed tomography (CT) scan did not show any abnormalities. A lung CT scan was performed, which demonstrated bilateral ground-glass opacity (GGO), along with RT-PCR results indicative of COVID-19. A diagnosis of Bell’s palsy in the setting of COVID-19 infection was made. She received antiviral agents and corticosteroids. At two week follow-up, her symptoms had improved. During the COVID-19 epidemic, any newly occurred neurological involvement raises the suspicion of COVID-19 infection.

Bell's Palsy: A Review of Treatment Using Antiviral Agents

2006 ◽  
Vol 40 (10) ◽  
pp. 1838-1842 ◽  
Author(s):  
Dario L Alberton ◽  
Peter J Zed
Keyword(s):  
Antiviral Agents ◽  
Bell’S Palsy ◽  
Bell's Palsy

scholarly journals The Spectrum of Electrophysiological Abnormalities in Bell's Palsy

2001 ◽  
Vol 28 (2) ◽  
pp. 130-133 ◽  
Author(s):  
Michael D. Hill ◽  
Gyl Midroni ◽  
Warren C. Goldstein ◽  
Shelley L. Deeks ◽  
Donald E. Low ◽  
...  
Keyword(s):  
Wide Spectrum ◽  
Blink Reflex ◽  
Bell’S Palsy ◽  
Population Based ◽  
Bell's Palsy ◽  
Clinical Criteria ◽  
Greater Toronto Area ◽  
Facial Emg ◽  
Wide Range ◽  
Routine Assessment

ABSTRACT:Background:As part of an investigation of a suspected "outbreak" of Bell's palsy in the Greater Toronto Area, a population-based sample of patients with Bell's palsy was investigated electrophysiologically to help understand the spectrum of abnormalities that can be seen in this setting.Methods:Two hundred and twenty-four patients were surveyed, of whom 91 underwent formal neurological assessment. Of the latter, 44 were studied electrophysiologically using standard techniques. Thirty-two of the 44 patients fulfilled clinical criteria for Bell's palsy.Results:A wide range of electrophysiological changes was observed. Blink responses were the most useful test showing diagnostic sensitivity of 81% and specificity of 94% compared to the contralateral control side. Needle electromyography was additionally helpful in only one patient of six with normal conduction studies.Conclusions:There is a wide spectrum of electrophysiological abnormalities in Bell's palsy. Blink reflex latencies may be under-utilized in the assessment of the facial nerve in Bell's palsy. Facial EMG is not generally useful in routine assessment.

scholarly journals A retrospective study on management of bell\'s palsy in a tertiary care hospital

2021 ◽  
Vol 11 (2) ◽  
pp. 173-176
Author(s):  
P.K Purushothaman ◽  
Dhanyan Harshidan ◽  
Priyangha Elangovan
Keyword(s):  
Clinical Symptoms ◽  
Tertiary Care ◽  
Bell’S Palsy ◽  
Care Hospital ◽  
Bell's Palsy ◽  
College Hospital ◽  
Medical College ◽  
Therapeutic Measures

Bell's palsy is the most common facial nerve disorder. The clinical symptoms of Bell's palsy include facial muscle paralysis, difficulty in eating, drinking and talking. Bell's palsy management is still controversial. Many patients recover spontaneously; some require medicines like corticosteroids, antiviral drugs and other managements.To study the effectiveness of Bell's palsy management that has been followed in our institution.This analysis had carried out from June 2016 to June 2019at SRM Medical College Hospital and Research Institute, Chennai. Total of 30 patients with Bell's palsy who had admitted in the Department of Otorhinolaryngology had enrolled in this study. All the patients underwent thorough clinical examination and laboratory investigation, and the results were statistically analyzed and discussed.Out of 30 patients, 16(53%) patients were males, and 14(47%) patients were females. 53.3% of patients had onset of symptoms after 48 hours. There was a statistical significant improvement in House-Brackman scale on 6 months follow-up.The therapeutic measures for Bell's palsy if initiated within 72 hours of onset aids in bringing better outcome and improves the quality of life in patients.

scholarly journals HYPERBARIC OXYGEN THERAPY (HBOT)

2016 ◽  
Vol 23 (10) ◽  
pp. 1252-1257
Author(s):  
Imran Sadiq ◽  
Muhammad Ramzan ◽  
Naseer Bashir Al Sharari ◽  
Yousaf al Oufi ◽  
Omar Khan
Keyword(s):  
Hyperbaric Oxygen ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Armed Forces ◽  
Bell’S Palsy ◽  
Treatment Modalities ◽  
Partial Recovery ◽  
Bell's Palsy ◽  
Closed Chamber

The role of steroids in the treatment of Bell’s palsy is well known provided patientspresent within 72hrs of symptoms onset. If patients present late or with severe Bell’s palsythe effect of steroids or other treatment modalities is not yet clear. Aim of this study was toevaluate the effect of HBOT along with oral steroids in treatment of such patients. Setting:Diving department at Armed Forces Hospital King Abdul Aziz Naval Base Jubail, Kingdom ofSaudi Arabia (KSA). Period: January 2010 to Dec. 2015. Methods: Bell’s palsy patients ofage 13 years and above were treated with steroids & HBOT. Prednisolone 60mg was givenorally for one week to all patients & those patients who could tolerate HBOT were selected fortreatment with Hyperbaric Oxygen in a closed chamber at 2.5 ATA, 90 minutes a day and fivedays a week. HBOT was continued till complete recovery or up to 20 sessions before declaringpartial recovery or failure. Assessment was done by physician using House-Brackmanngrading system for Facial nerve dysfunction. Patients were followed up to 3 months beforedeclaring partial recovery or treatment failure. Results: Treatment was started on 125 patientsbut 15 patients could not tolerate HBOT due to ear pain (10 patients) or high blood pressure(5 patients) in the HBOT chamber whereas 10 patients did not show up for follow up so only100 patients completed the treatment. Out of 100, 22(22%) patients had mild (grade I to II), 40patients (40%) had moderate (grade III to IV) and 38 patients (38%) had severe (grade V to VI)Bell’s palsy. Majority of patients (85%) presented after 72hrs of symptoms onset. At 3 monthsof follow up 90% (n=90) patients had full recovery whereas 10% (n=10) patients had partialrecovery. Severity of disease (OR 0.125, CI 0.025---0.6255, p =0.00595) and time between onsetof symptoms and start of treatment >2weeks (OR 0.0966 CI 0.0187---0.4987, p=0.00280) werestatistically significant. Conclusion: Combination of Hyperbaric Oxygen therapy and steroids is

Electroneurographic facial muscle pattern in Bell's palsy

2000 ◽  
Vol 122 (2) ◽  
pp. 290-297 ◽  
Author(s):  
Mats Engström ◽  
Lars Jonsson ◽  
Margareta Grindlund ◽  
Erik Stälberg
Keyword(s):  
Bell’S Palsy ◽  
Favorable Outcome ◽  
Facial Muscle ◽  
Bell's Palsy ◽  
Prognostic Information ◽  
Facial Region ◽  
Recovery Pattern ◽  
Muscle Region ◽  
Over Time

To study the electroneurographic facial muscle pattern in Bell's palsy over time, electroneurographic recordings in the frontalis, orbicularis oculi, nasalis, and mentalis muscle regions were performed early (mean, day 11) and 1 and 3 months after the onset of the condition in 30 consecutive patients. The correlation between facial muscle electroneurographic recordings over time was also calculated. An additional aim was to assess whether further prognostic information could be obtained by electroneurographic recordings in more than one facial region. The recovery pattern was similar in all 4 facial regions. Initially, the correlation between the facial recordings was weak ( r = 0.20–0.27), but it was improved at follow-up examinations ( r = 0.33–0.65). Favorable outcome in 23 of 24 patients (96%) could have been predicted by the initial nasalis and/or mentalis recordings. The gap between patients with favorable outcome and patients with unfavorable outcome increased when the average electroneurography values were calculated from 1, 2, and 4 muscle recordings (4%, 8%, and 15%, respectively). Our results indicate that in Bell's palsy, electroneurographic examination of more than one facial muscle region may add prognostic information and that the degree of degeneration is initially different in the nerve branches.

Increased risk of cancer after Bell’s palsy: a 5-year follow-up study

2012 ◽  
Vol 110 (2) ◽  
pp. 215-220 ◽  
Author(s):  
Jau-Jiuan Sheu ◽  
Joseph J. Keller ◽  
Herng-Ching Lin
Keyword(s):  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Follow Up Study ◽  
Increased Risk ◽  
Risk Of Cancer

The Utility of Facial Nerve Ultrasonography in Bell’s Palsy

2019 ◽  
Vol 162 (2) ◽  
pp. 186-192 ◽  
Author(s):  
Seol-Hee Baek ◽  
Yoo Hwan Kim ◽  
Ye-Ji Kwon ◽  
Joo Hye Sung ◽  
Myeong Hun Son ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Prognostic Value ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Affected Side ◽  
Facial Nerves ◽  
Nerve Ultrasonography ◽  
Prospective Longitudinal ◽  
Electrophysiologic Studies

Objective This study aimed to investigate the utility of facial nerve ultrasonography in the functional and structural assessment of early-stage Bell’s palsy and the prognostic value of facial nerve ultrasonography in Bell’s palsy. Study Design Prospective longitudinal study. Setting Single center, a university-affiliated neurology clinic. Subjects and Methods Patients with unilateral Bell’s palsy who had visited our clinic within 3 days of symptom onset were enrolled in this study. Demographic information and House-Brackmann grade were collected. Electrophysiologic studies and facial nerve ultrasonography were then performed. The facial nerves on each side were scanned longitudinally with a 5- to 12-MHz probe. The diameter of the facial nerves with and without the sheath was measured at the proximal and distal portions. Follow-up examinations, including House-Brackmann grade analysis, electrophysiologic studies, and facial nerve ultrasonography, were performed after 2 months. Results Fifty-four patients with unilateral Bell’s palsy were enrolled, and 22 underwent the follow-up examinations. The diameters of the facial nerves were larger on the affected side than on the unaffected side at the proximal and distal portions ( P < .01). On the affected side, the enlarged facial nerve at the proximal portion had decreased in size after 2 months ( P < .05). The initial ultrasonography findings were positively correlated with the initial severity of Bell’s palsy, but they did not predict prognosis. Conclusion Ultrasonography could be a useful tool for evaluating the facial nerve in Bell’s palsy. Nevertheless, further studies are needed to demonstrate its prognostic value.

Oral Hygiene Status Of Bell’s Palsy And Diabetic Patient: A 23-Months Implants Follow-Up Case Report

2021 ◽  
Vol 9 (2) ◽  
pp. 72-78
Author(s):  
Ghazal H. Anbar ◽  
Sarah M. AlShahrani ◽  
Mutasim M. Al Thubyani ◽  
Ammar Almarghlani
Keyword(s):  
Case Report ◽  
Diabetic Patient ◽  
Oral Hygiene ◽  
Bell’S Palsy ◽  
Bell's Palsy
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