Oxidative and Antioxidant Status in both Serum and Saliva of Patients with Idiopathic Facial Weakness (Bell's palsy)

2019 ◽  
Vol 13 (4) ◽  
pp. 1208
Author(s):  
Ali Mihsen Hussein Alyassiri ◽  
Taghreed Fadil Zaidan
Keyword(s):  
Antioxidant Status ◽  
Bell’S Palsy ◽  
Facial Weakness ◽  
Bell's Palsy

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

2020 ◽  
Vol 4 (3) ◽  
pp. 380-383
Author(s):  
Benjamin Boodale ◽  
Manish Amin ◽  
Katayoun Sabetian ◽  
Daniel Quesada ◽  
Tyler Torrico
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Bell’S Palsy ◽  
Facial Weakness ◽  
Bell's Palsy ◽  
Sensory Deficits ◽  
Contralateral Motor ◽  
Pontomedullary Junction ◽  
Gaze Palsy ◽  
Pontine Infarct

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.

scholarly journals Association between Initial Severity of Facial Weakness and Outcomes of Bell’s Palsy

2021 ◽  
Vol 10 (17) ◽  
pp. 3914
Author(s):  
Myung Chul Yoo ◽  
Dong Choon Park ◽  
Seung Geun Yeo
Keyword(s):  
Antiviral Therapy ◽  
Bell’S Palsy ◽  
University Hospital ◽  
Multivariable Logistic Regression Analysis ◽  
Clinical Factors ◽  
Facial Weakness ◽  
Bell's Palsy ◽  
Factors Affecting ◽  
Initial Severity ◽  
Combination Antiviral Therapy

To establish whether clinical prognostic factor outcomes differed based on the initial severity of facial weakness and to determine the association between the initial severity of facial weakness and favorable outcomes. This retrospective cohort study analyzed all patients with Bell’s palsy who visited the outpatient clinic of our university hospital from 1 January 2005 through 31 January 2021. The primary outcome was the rate of recovery at 6 months, evaluated separately in patients with initial House–Brackmann (H-B) grades 3–4 and 5–6. Secondary outcomes included clinical factors associated with favorable outcomes stratified by the initial H-B grade. The rate of favorable recovery was higher in patients with initial H-B grades 3–4 than initial H-B grades 5–6 (82.9% vs. 68.2%, p < 0.001). Multivariable logistic regression analysis showed that age 19–65 years and good electromyography (EMG) results were prognostic of good outcomes in patients with initial H-B grades 3–4. In addition, good EMG results, controlled hypertension, and combination antiviral therapy were significantly prognostic of favorable outcomes in patients with initial H-B grades 5–6. Subgroup analysis interactions showed that combination antiviral therapy (OR: 3.06, 95% CI 1.62–5.78, p < 0.001) in initial H-B grades 5–6 were associated with more favorable outcomes at 6 months than with initial H-B grades 3–4. Our results showed that the proportion of patients who achieved favorable outcomes at 6 months and multiple clinical factors affecting favorable outcomes differed significantly among patients differing in initial severity of Bell’s palsy.

Facial Weakness

2015 ◽  
Author(s):  
Aziz Shaibani
Keyword(s):  
Facial Palsy ◽  
Neuromuscular Disorders ◽  
Bell’S Palsy ◽  
Facial Weakness ◽  
Bell's Palsy ◽  
Upper Face

Unilateral or bilateral facial weakness is an important manifestation of many neuromuscular disorders; some of them are as simple as Bell’s palsy while others are as serious as Guillain-Barrésyndrome. Facial weakness can be easily mimicked, and therefore psychogenic etiology should always be borne in mind. Peripheral facial weakness affects all functions and parts, while central weakness may save the upper face and may affect emotional and voluntary functions differentially. There are several causes of bilateral facial palsy but statistically, Bell’s palsy is still the most common. Long term complications of facial palsy can be devastating and facial rejuvination surgery is usually only modestly effective.

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

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.

scholarly journals Oxidative Stress and Antioxidant Status in Patients with Bell’s Palsy

2017 ◽  
Vol 36 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Suat Terzi ◽  
Engin Dursun ◽  
Adnan Yılmaz ◽  
Zerrin Özergin Coşkun ◽  
Abdulkadir Özgür ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Antioxidant Status ◽  
Total Antioxidant Status ◽  
Bell’S Palsy ◽  
Stress Index ◽  
Control Group ◽  
Bell's Palsy ◽  
Significant Difference ◽  
Total Antioxidant ◽  
High Oxidative Stress

SummaryBackground:Bell’s palsy (BP) is the most common acute mononeuropathy of unilateral facial paralysis. Immune, infective and ischaemic mechanisms are potential contributors to the development of BP, but the precise cause remains unclear. Recently, oxidative stress has been proposed as a risk factor of various idiopathic diseases. The aim of this study was to investigate the possible role of oxidative stress in patients with BP.Methods:Thirty-two patients with BP and 30 healthy controls were included in this study. Serum total oxidant status (TOS), total antioxidant status (TAS) and oxidative stress index (OSI) were measured by the Erel method.Results:Serum TOS activities and OSI values were significantly higher in patients with BP compared with the control group (P<0.003 for all comparisons), whereas there was no significant difference between the groups in terms of TAS levels (P>0.05).Conclusions:The data suggest that oxidative stress is increased in BP. These results of high oxidative stress in patients with BP may be helpful to clarify the etiopathogenesis of BP and contribute to improvement in the management or prevention of the disease.

scholarly journals Characteristic of Bell’s Palsy in Clinical Neurologic at Sanglah Hospital Denpasar Bali Indonesia

2021 ◽  
Vol 8 (12) ◽  
pp. 318-322
Author(s):  
Putu Ngurah Arya Darmawan ◽  
Ni Made Dwita Pratiwi ◽  
I Komang Arimbawa
Keyword(s):  
Sampling Method ◽  
Clinical Manifestations ◽  
Descriptive Study ◽  
Bell’S Palsy ◽  
Facial Weakness ◽  
Bell's Palsy ◽  
Cross Sectional ◽  
Neurologic Diseases ◽  
Cross Sectional Design ◽  
The Right

Introduction/Aim: Bell's Palsy is a lower motor neuron facial weakness caused by idiopathic etiology with the absence of other neurologic diseases. The incidence of this syndrome is around 23 cases per 100,000 people each year. The clinical manifestations are sometimes being considered to be a stroke or tumor. This study was conducted to find characteristic of bell’s palsy in clinical neurologic at Sanglah Hospital Denpasar, Bali Indonesia Methods: This study is a descriptive study with a cross sectional design in polyclinic of Sanglah Hospital, Denpasar for the period 2016 to 2019. Sampling was carried out using a consecutive non-random sampling method. Result: A total of 31 subjects in rainy season 51.6% having female 61.3% and male 38.7%, with the range of age 46-55 years old. Most of the patients complaints the weakness of the right face 58.1%, postauricular pain 64.5%. Electroneuromyography examination with seddon classification having results of Neuropraxia 67.7%. Conclusion: Characteristic of bell’s palsy in clinical neurologic most of participant in woman with postauricular pain and neuropraxia Keywords: Bell's Palsy, neuropraxia, postauricular pain, seddon classification.

Facial Weakness (Bell’s Palsy)

2013 ◽  
pp. 37-40
Author(s):  
Abdul Qayyum Rana ◽  
John Anthony Morren
Keyword(s):  
Bell’S Palsy ◽  
Facial Weakness ◽  
Bell's Palsy

scholarly journals Bell’s Palsy in Pregnancy: A Case Series

2020 ◽  
Vol 12 (3) ◽  
pp. 452-459
Author(s):  
Sumonthip Leelawai ◽  
Pornchai Sathirapanya ◽  
Chitkasaem Suwanrath
Keyword(s):  
Gestational Hypertension ◽  
Case Series ◽  
Bell’S Palsy ◽  
Neonatal Outcomes ◽  
Facial Weakness ◽  
Bell's Palsy ◽  
Third Trimester ◽  
Previous Pregnancy ◽  
Health Indices ◽  
The Third

The association between pregnancy-associated Bell’s palsy (PABP) and gestational hypertension (GHT), preeclampsia (PE), and eclampsia (EC) remains inconclusive. We aimed to study the characteristics of PABP cases and the neonatal outcomes at our institution. All cases diagnosed with PABP from 2006 to 2016 were identified. Demographic and clinical characteristics including maternal age, previous medical and obstetric illnesses, gestational age at the onset of PABP, the development of PE/EC, GHT, gestational diabetes mellitus (GDM), treatment and outcomes, as well as neonatal health indices and anomalies were described. Eight patients with PABP were identified. Most of the cases were first- or second-gravidity pregnancies. PABP occurred during the third trimester except for one case in whom PABP developed 2 days postpartum. No PABP case associated with EC was found. PE was found in only one case in whom GHT occurred in a previous pregnancy. Moreover, GHT combined with GDM was found in a case with previous GHT. The recovery of PABP was satisfactory. Previous obstetric complications are associated with the current PE, GHT and GDM. Facial weakness recovers favorably regardless of treatment and the neonatal outcomes are overall satisfactory.

Recurrent Bell’s Palsy

1974 ◽  
Vol 7 (2) ◽  
pp. 407-409
Author(s):  
W. Hugh Powers
Keyword(s):  
Bell’S Palsy ◽  
Bell's Palsy
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