Medial Pontomedullary Stroke Mimicking Severe Bell’s Palsy: A Case Report

Introduction: Patients with acute unilateral upper and lower facial palsy frequently present to the emergency department fearing they have had a stroke, but many cases are benign Bell’s palsy. Case Report: We present a rare case of a medial pontomedullary junction stroke causing upper and lower hemifacial paralysis associated with severe dysphagia and contralateral face and arm numbness. Conclusion: Although rare, pontine infarct must be considered in patients who present with both upper and lower facial weakness. Unusual neurologic symptoms (namely diplopia, vertigo, or dysphagia) and signs (namely gaze palsy, nystagmus, or contralateral motor or sensory deficits) should prompt evaluation for stroke.

Download Full-text

A rare case of acquired infantile Bell’s palsy

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20212498 ◽

2021 ◽

Vol 8 (7) ◽

pp. 1316

Author(s):

Lakshmi Mulinja ◽

Thanzir Mohammed ◽

Varun Govindarajan ◽

Mallesh Kariyappa

Keyword(s):

Case Report ◽

Facial Palsy ◽

Rare Case ◽

Bell’S Palsy ◽

Acute Onset ◽

Spontaneous Resolution ◽

Bell's Palsy ◽

Peripheral Facial Palsy ◽

Oral Corticosteroids ◽

Viral Illness

Bell’s palsy, an acute onset, acquired, isolated peripheral facial palsy, usually follows a viral illness, is common disorder post infancy to adolescence. It has a favourable prognosis with spontaneous resolution, or with use of oral corticosteroids. Its presentation in early infancy is very unusual, as in our case report of 3 month old infant with an ovoid mass lesion in parotid, which disappeared after therapy with corticosteroids with no residual deficit.

Download Full-text

Bell's palsy treated with photobiomodulation in an adolescent: Rare case report and review of the published literature

International Journal of Paediatric Dentistry ◽

10.1111/ipd.12424 ◽

2018 ◽

Vol 28 (6) ◽

pp. 658-662 ◽

Cited By ~ 3

Author(s):

Marina Miranda Poloni ◽

Nelson Pereira Marques ◽

Noé Vital Ribeiro Junior ◽

Felipe Fornias Sperandio ◽

João Adolfo Costa Hanemann ◽

...

Keyword(s):

Case Report ◽

Rare Case ◽

Bell’S Palsy ◽

Bell's Palsy ◽

Rare Case Report

Download Full-text

Pontine stroke mimicking Bell’s palsy: a cautionary tale!

BMJ Case Reports ◽

10.1136/bcr-2020-238141 ◽

2021 ◽

Vol 14 (3) ◽

pp. e238141

Author(s):

Louise Dunphy ◽

Ravpreet Kaur ◽

Enrico Flossmann

Keyword(s):

Facial Paralysis ◽

Intracranial Haemorrhage ◽

Facial Nerve Palsy ◽

Bell’S Palsy ◽

Cautionary Tale ◽

Facial Weakness ◽

Bell's Palsy ◽

History Of ◽

Ancient Times ◽

Pontine Infarct

Stroke has been called apoplexy since the ancient times of Babylonia. Johann Jakob Wepfer, a Swiss physician, first described the aetiology, clinical features, pathogenesis and postmortem features of an intracranial haemorrhage in 1655. Haemorrhagic and ischaemic strokes are the two subtypes of stroke. Bell’s palsy usually presents with an isolated facial nerve palsy. A lacunar infarct involving the lower pons is a rare cause of solitary infranuclear facial paralysis. The authors present the case of a 66-year-old woman presenting with a 3-day history of headache, vertigo, nausea, vomiting and facial weakness. Her comorbidities included diabetes, hypertension and hypercholesterolaemia. It was challenging to identify the pontine infarct on MRI due to its small size and the confounding presentation of complete hemi-facial paralysis mimicking Bell’s palsy. Our case provides a cautionary reminder that an isolated facial palsy should not always be attributed to Bell’s palsy, but can be a presentation of a rare dorsal pontine infarct as observed in our case. Anatomic knowledge is crucial for clinical localisation and correlation.

Download Full-text

RECURRENT BILATERAL BELL’S PALSY- A RARE CASE REPORT AND REVIEW OF LITERATURE A CASE REPORT.

International Journal of Biomedical Research ◽

10.7439/ijbr.v3i8.640 ◽

2012 ◽

Vol 3 (8) ◽

Author(s):

Kumar Shrinivasan ◽

V. Lakshmaiah

Keyword(s):

Case Report ◽

Rare Case ◽

Bell’S Palsy ◽

Review Of Literature ◽

Bell's Palsy ◽

Rare Case Report

Download Full-text

Late Surgical Decompression of Facial Nerve in Bell's Palsy: A Case Report

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0032-1314414 ◽

2012 ◽

Vol 73 (S 02) ◽

Author(s):

L. M. Marques ◽

J. Pimentel ◽

P. Escada ◽

G. Neto D'Almeida

Keyword(s):

Case Report ◽

Facial Nerve ◽

Bell’S Palsy ◽

Surgical Decompression ◽

Bell's Palsy

Download Full-text

COMPLETE MANAGEMENT OF ARDITA (BELL’S PALSY) AS PER AYURVEDA CHIKITSA SUTRA – A CASE REPORT

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj2209032021 ◽

2021 ◽

Vol 09 (3) ◽

pp. 650-656

Author(s):

Ram Lakhan Meena ◽

Santoshkumar Bhatted ◽

Nilam Meena

Keyword(s):

Case Report ◽

Adverse Effects ◽

Facial Nerve ◽

Present Report ◽

Complete Recovery ◽

Bell’S Palsy ◽

Bell's Palsy ◽

Contemporary Science ◽

The Face ◽

Grading Scale

Bell’s palsy, also known as acute idiopathic lower motor neuron facial paralysis, is characterized by sud-den onset paralysis or weakness of the muscles to one side of the face controlled by the facial nerve. In contemporary science, administration of steroids is the treatment of choice for complete facial palsy. Cer-tain Panchakarma procedures and internal Ayurvedic medicines have been proved to be beneficial in the management of Ardita vata. The present report deals with a case of 62-year-old male patient diagnosed as Ardita vata was treated with various Panchakarma procedures like Nasya, Shirobasti, Kukkutanda Swedana, Dashmoola Ksheer Dhoom, Gandoosh and oral Ayurveda medicines. Criteria of assessment was based on the scoring of House-Brackmann Facial Nerve Grading scale. After completion of Ayurveda treatment, the patient Shown almost complete recovery without any adverse effects. This case is an evi-dence to demonstrate the effectiveness of Ayurveda treatment in case of Ardita vata (Bell’s palsy).

Download Full-text