An interesting case of lip swelling!

Melkersson-Rosenthal Syndrome (also termed “Miescher-Melkersson-Rosenthal Syndrome”) or (MRS), is a rare neurocutaneous disorder characterized by the clinical triad of recurring facial nerve paralysis, swelling of one or both lips and fissural tongue. We report a patient with Melkersson-Rosenthal Syndrome initially referred to Dermatology Department as angioedema. The diagnosis and treatment procedures were presented with special emphasis to the clinical features of this rare condition.

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Bilateral Facial Nerve Palsy: A Diagnostic Dilemma

Case Reports in Emergency Medicine ◽

10.1155/2012/458371 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 4

Author(s):

Sohil Pothiawala ◽

Fatimah Lateef

Keyword(s):

Differential Diagnosis ◽

Facial Nerve ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Rare Condition ◽

Facial Nerve Paralysis ◽

Diagnostic Challenge ◽

Radiological Investigation ◽

Diagnostic Dilemma ◽

Nerve Paralysis

Introduction. Bilateral facial nerve palsy (FNP) is a rare condition, representing less than 2% of all cases of FNP. Majority of these patients have underlying medical conditions, ranging from neurologic, infectious, neoplastic, traumatic, or metabolic disorders.Objective. The differential diagnosis of its causes is extensive and hence can present as a diagnostic challenge. Emergency physicians should be aware of these various diagnostic possibilities, some of which are potentially fatal.Case Report. We report a case of a 43-year-old female who presented to the emergency department with sequential bilateral facial nerve paralysis which could not be attributed to any particular etiology and, hence, presented a diagnostic dilemma.Conclusion. We reinforce the importance of considering the range of differential diagnosis in all cases presenting with bilateral FNP. These patients warrant admission and prompt laboratory and radiological investigation for evaluation of the underlying cause and specific further management as relevant.

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Rare Presentation of Rhino-Orbital-Cerebral Zygomycosis: Bilateral Facial Nerve Palsy

Case Reports in Medicine ◽

10.1155/2011/216404 ◽

2011 ◽

Vol 2011 ◽

pp. 1-2 ◽

Cited By ~ 1

Author(s):

Alireza Mohebbi ◽

Hesam Jahandideh ◽

Ali Amini Harandi

Keyword(s):

Facial Nerve ◽

Facial Paralysis ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Interesting Case ◽

Facial Nerve Paralysis ◽

Rare Presentation ◽

Nerve Paralysis ◽

Healthy Man ◽

Immunocompromised Individual

Rhino-orbital-cerebral zygomycosis afflicts primarily diabetics and immunocompromised individual, but can also occur in normal hosts rarely. We here presented an interesting case of facial nerve palsy and multiple cold abscesses of neck due to rhino-orbital-cerebral zygomycosis in an otherwise healthy man. Although some reports of facial nerve paralysis in conjunction with rhino-orbital-cerebral zygomycosis exist, no case of bilateral complete facial paralysis has been reported in the literature to date.

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Bilateral Facial Nerve (Bell’s) Palsy in a 24-Year-Old Woman: A Case Report

Philippine Journal of Otolaryngology Head and Neck Surgery ◽

10.32412/pjohns.v35i1.1285 ◽

2020 ◽

Vol 35 (1) ◽

pp. 60-62

Author(s):

Camille Tolentino ◽

Emmanuel Tadeus Cruz

Keyword(s):

Facial Nerve ◽

Rheumatic Fever ◽

Facial Paralysis ◽

Rare Condition ◽

Blink Reflex ◽

Bell’S Palsy ◽

Lower Limbs ◽

Facial Nerve Paralysis ◽

Bell's Palsy ◽

Nerve Paralysis

ABSTRACT Objective: To report a case of acute bilateral facial nerve palsy in a 24-year-old woman and to present the differential diagnoses, pathophysiology, management and prognosis Methods: Design: Case study Setting: Tertiary Private Hospital Patient: One (1) Result: A 24-year-old woman with fever, joint pains, cough, chest pain, difficulty ambulating and progressive facial muscle weakness was diagnosed with rheumatic fever. Bilateral facial nerve paralysis was noted, and Electromyography-Nerve Conduction Velocity (EMG-NCV) testing with special facial nerve study revealed abnormal facial nerve and blink reflex studies while EMG-NCV of the upper and lower limbs were normal. Audiometry and MRI of the brain and facial nerve were normal while Schirmer’s Test showed decreased tearing in both eyes. The rheumatic fever resolved within 5 days of antibiotics, while Prednisone and physiotherapy resulted in improvement of facial paralysis from House Brackmann V to House Brackmann II-III over a period of 6 months. Conclusion: Idiopathic facial paralysis or Bell’s Palsy is the most common cause of acute unilateral facial paralysis while bilateral facial nerve paralysis is a rare condition. Patients with facial palsy should undergo appropriate diagnostics to determine the underlying condition and to facilitate prompt management. Keywords: facial paralysis, idiopathic; Bell’s palsy

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The Effective Treatment for Incomplete Recovery after Facial Nerve Paralysis

Korean Journal of Otorhinolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2013.56.7.397 ◽

2013 ◽

Vol 56 (7) ◽

pp. 397

Author(s):

Jin Kim

Keyword(s):

Facial Nerve ◽

Effective Treatment ◽

Facial Nerve Paralysis ◽

Nerve Paralysis

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Evaluation and management of facial nerve paralysis in MGM medical college

MedPulse International Journal of ENT ◽

10.26611/10161335 ◽

2019 ◽

Vol 13 (3) ◽

pp. 44-48

Author(s):

B K Bhattacharya ◽

◽

Subhajit Sarkar ◽

Keyword(s):

Facial Nerve ◽

Facial Nerve Paralysis ◽

Nerve Paralysis ◽

Medical College

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OSTEOMYELITIS KRONIS MANDIBULA PASCA EKSTRAKSI GIGI DISERTAI BELL’S PALSY

ODONTO Dental Journal ◽

10.30659/odj.6.0.52-55 ◽

2019 ◽

Vol 6 ◽

pp. 52

Author(s):

Yayun Siti Rochmah

Keyword(s):

Facial Nerve ◽

Panoramic Radiograph ◽

Surrounding Tissue ◽

Facial Nerve Paralysis ◽

Muscle Paralysis ◽

Nerve Paralysis ◽

The Right ◽

Spread Of Infection ◽

Nerve System ◽

Intravenous Ketorolac

Background: Chronic osteomyelitis mandibula is one of the complications from dental extraction. Inadequate wound handling can have an impact on the spread of infection in the surrounding tissue like nerve which results in facial nerve paralysis. The purpose is to present a rare case that facilitative nerve paralysis as a result of the spread of osteomyelitis infectionCase Management: A 69 years old woman with chief complains numbness onher lips accompanied by pus out beside the lower teeth. No sistemic disease. Panoramic radiograph showed abnormal bone-like sequester. Extraoral examination appeared the bluish color on the right cheek and there was right facial muscle paralysis. Debridement, sequesterectomy by general anesthesia and medication using ceftriaxone intravenous, ketorolac injection, multivitamin, and corticosteroid, physiotherapy for facial nerve paralyze, also.Discussion: Pathogenesis mandibular osteomyelitis involves contiguous spreadfrom an odontogenic focus infection. The bacteria produce an exotoxin, which, while unable to cross the blood-brain barrier, can have deleterious effects on thePeripheral Nerve System (Fasialis Nerve) in up to 75% of cases, with the severity of presentation correlating with the severity of the infection.Conclusion: Chronic mandibular osteomyelitis can spread the infection to around another anatomy oral cavity like facials nerves.

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