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

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
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.

scholarly journals Seizure and unilateral facial nerve paralysis in a newborn with Dandy-Walker malformation – A case report

2014 ◽  
Vol 9 (1) ◽  
pp. 48-51
Author(s):  
Subhajit Bhakta ◽  
S Pal ◽  
A Chatterjee ◽  
A Pan
Keyword(s):  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Neonatal Seizure ◽  
Facial Nerve Paralysis ◽  
Medical Sciences ◽  
Rare Presentation ◽  
Nerve Paralysis ◽  
Dandy Walker Malformation ◽  
Walker Malformation

The Dandy-Walker syndrome (DWS) is a rare posterior fossa malformation. It can have a varied presentation depending on the age. A newborn presenting with neonatal seizure along with unilateral facial nerve palsy is rather a rare presentation of DWS and very few such cases were reported in the past. We are reporting a case of a newborn male baby presenting with neonatal seizure within 48 hrs of birth along with right sided LMN type facial nerve palsy which on due course of investigation revealed as a case of Dandy–Walker malformation. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-1, 48-51 DOI: http://dx.doi.org/10.3126/jcmsn.v9i1.9673

scholarly journals Aetiological Profile of Facial Nerve Palsy Seen in Nigerian Tertiary Hospital

2020 ◽  
Vol 5 (06) ◽  
Author(s):  
Gabriel Toye Olajide ◽  
Waheed Atilade Adegbiji ◽  
Akinwale Olaleye Akinbade ◽  
Anthony Oyebanji Olajuyin ◽  
Paul Olowoyo
Keyword(s):  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Road Traffic ◽  
Neck Region ◽  
Bell’S Palsy ◽  
Facial Nerve Paralysis ◽  
Bell's Palsy ◽  
Female Ratio ◽  
Nerve Paralysis

Background/Aim: Facial nerve palsy may cause facial asymmetry, functional and cosmetic impairment, and therefore imposes great psychological and social problems on the individual with the condition. The aim of this paper was to highlight the aetiological profile of facial nerve palsy (FNP) in two tertiary institutions in Ekiti, southwest, Nigeria. Methods: This was a retrospective review of patients with facial nerve palsy seen and treated at Ear, Nose & Throat (ENT) clinic. All folders and registers of patients diagnosed with facial nerve palsy from January 2010 to December 2019 in the central, ENT and Dental medical records departments were retrieved and reviewed. The information extracted included the socio-demographic characteristics of the patients, clinical presentation, type and aetiology of FNP, side affected, diagnosis/impression, nature of impairment, type of lesion, onset of the disease, treatment and outcome. Results: Of 76 patients analysed, 48(63.2%) were males and 28(36.8%) were females given a male to female ratio of 1:1.7. Their age ranged between 5 to 72 years with a mean of 39.83 ± 17.58 SD. The age range 21-40 years was most commonly affected, representing 31 (40.8%). The commonest cause of facial nerve paralysis was Bell’s palsy in 32(42.1%), followed by trauma 28(36.9%). Of the 28 (36.9%) that was caused by trauma, road traffic injury constituted 15(53.6%). Half (50.0 %) of the lesion affected right side of the face. Seventy (92.1%) was treated medically. Majority (37.0%) presented within one week of their symptoms. All the patients presented with deviation of mouth, followed by inability to close eye in 70 (92.1%). Higher proportion (88.2%) of our patients had lower motor neuron lesion. Conclusion: This study found that majority of our patients was young adults. Bell’s palsy was a major cause of facial nerve paralysis followed by trauma. Most of our patient presented early and did well on conservative treatment. High index of suspicion is essential especially when patients present with injuries involving head and neck region.

scholarly journals Bilateral Facial Nerve Palsy: A Diagnostic Dilemma

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
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.

scholarly journals Bilateral Facial Nerve Paralysis as First Presentation of Lung Cancer

2016 ◽  
Vol 9 (3) ◽  
pp. 792-795 ◽  
Author(s):  
Shadi Hamouri ◽  
Duha Al Shorafat
Keyword(s):  
Facial Nerve ◽  
Lung Adenocarcinoma ◽  
Nerve Palsy ◽  
Hematological Malignancies ◽  
Clinical Presentation ◽  
Facial Nerve Palsy ◽  
Wide Spectrum ◽  
Leptomeningeal Carcinomatosis ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis

Leptomeningeal carcinomatosis is rare, and its precise incidence is unknown. It is associated with a wide spectrum of solid and hematological malignancies. To complicate its diagnosis, the clinical presentation of leptomeningeal carcinomatosis can be variable. We report a case of a 38-year-old male with bilateral facial nerve paralysis as first presentation of lung adenocarcinoma. To our knowledge, this is the only case describing bilateral facial nerve palsy as the first and only manifestation of lung adenocarcinoma.

scholarly journals Ionophoresis and LASER applications in facial nerve palsy

2019 ◽  
Vol 10 (Vol 10 No. 4) ◽  
pp. 551-554
Author(s):  
Cristina Octaviana DAIA ◽  
Ștefana CROITORU ◽  
Ioana CAZACU ◽  
Ruxandra SCUTUROIU ◽  
Octaviana DAIA ◽  
...  
Keyword(s):  
Complete Remission ◽  
Facial Nerve ◽  
Temporomandibular Joint ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Combined Application ◽  
Number Of Patients

Background and aim of the study. The aim of this article is to present the functional gain of the specific rehabilitation program in patients with facial nerve paralysis, irrespective of etiology, following a complex physiotherapeutic treatment, consisting of the combined application of ionophoresis and LASER. Material and Method. We performed a retrospective analysis of 26 patients having their consent and The Theaching Emergency Hospital “Bagdasar-Arseni” (TEHBA) ethics Committee’s approval, N.O. 683/21.02.2019. The patients were admitted to the Neuro-Muscular Rehabilitation Clinic Division of TEHBA between April 2011 and March 2019. The patients were over the age of 18, diagnosed with facial nerve palsy and received physiotherapy consisting of the combined application of: ionophoresis with 1% potassium iodide, applied to positive electrode, preauricular, and the negative electrode, retroauricular, for 20 minutes and LASER, to the temporomandibular joint on the affected part, 4 points : radiant exposure per dose 3 J/cm2, frequency 5 Hz, probe area 1 cm2, power 62 mW, for 10 sessions and two sets of the same formula at the temporomandibular joint on the opposite side. Results. From the etiological point of view, the study included an equal number of patients with peripheric facial palsy (PFP) and with central facial palsy (CFP), respectively 13 in each group. Overall, at least 1 patient in 2 had a positive response to physiotherapy. In the patients with PFP, 77% of patients responded to the treatment and 46% had complete remission. In the patients with CFP, only 30% responded to treatment and only one had complete remission. Approximately half of the patients did not have any adverse reactions (46%), while the rest showed temporary erythema (46%), or local tingling sensation over a variable period of time (8%). Conclusion. Applying the combination of ionophoresis and LASER as physiotherapic treatment is particularly effective in peripheric facial nerve paresis. The method is safe and well tolerated, therefore we propose its use in this type of pathology. Key words: Laser therapy, facial nerve paralysis, ionophoresis,

scholarly journals Facial Nerve Palsy: A Report on the Prevalence, Intervention and Outcome in a Tertiary Hospital in the South- South Region of Nigeria

2019 ◽  
pp. 1-9
Author(s):  
Uju Matilda Ibekwe
Keyword(s):  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Tertiary Hospital ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Port Harcourt ◽  
Case Files ◽  
Surgery Department ◽  
Age Range

Background: The facial nerve is an important and complex nerve whose course predisposes to various affectations.  Most work has been focused mainly on Bell’s palsy and not much has been done on other aspects of the nerve affectation. Aim: To determine the prevalence of facial nerve palsy, possible aetiology and the treatment outcome in our environment. Patients and Methods: This is a retrospective study of all patients diagnosed with facial nerve palsy seen in the ENT Surgery department and the Physiotherapy department of Teaching hospital university of Port Harcourt within the period of January 2015 to January 2018. The patients` case files, clinic and ward registers were the source of data. The patients` demographics, presenting complaints, side affected, type of lesion, aetiology, intervention and outcome, were sought from these records. Data was analyzed with IBM SPSS version 20 and results presented in statistical tables. Results: There were altogether 76 patients seen within the period under study. There were more females than males 57.9% and 42.1% with a ratio of 1.4:1. Age ranged from 20-83 years with a mean age of 48.9+/- 14.1 years. Highest incidence was among the age range 50-59 years. Commonest presenting complaint was facial weakness-80.3% outright facial deviation was seen in 17.1%. The left side was more affected and upper motor neuron lesion was the commonest type of facial nerve palsy encountered 80.3%. Hypertension was the commonest aetiology. About 69.7% had a good response to management. The outcome of treatment in relation to the type was statistically significant. Conclusion: Facial nerve paralysis is not rare in this region and hypertension is a common aetiology with UMNL as the commonest type. Majority recover after the paralysis with steroid treatment.

The child with facial nerve palsy

2021 ◽  
pp. 175573802110462
Author(s):  
Tiffanie-Marie Borg ◽  
Amy Sarah Warwick ◽  
Mas Ahmed
Keyword(s):  
Family History ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Clinical Presentation ◽  
Facial Nerve Palsy ◽  
Family Members ◽  
The Other ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Diagnosis And Management

In this article we summarise the educational aspects regarding the clinical presentation, diagnosis and management of children presenting with facial nerve paralysis, highlighting the importance of family history. We report two cases of hereditary facial nerve paralysis managed by the authors: one a child with familial facial nerve palsy, and the other a child with Melkersson–Rosenthal syndrome. The history in both cases revealed multiple family members with the same disorder.

Delayed facial nerve palsy following tympano-mastoid surgery: incidence, aetiology and prognosis

2006 ◽  
Vol 120 (9) ◽  
pp. 745-748 ◽  
Author(s):  
A Safdar ◽  
S Gendy ◽  
A Hilal ◽  
P Walshe ◽  
H Burns
Keyword(s):  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Viral Reactivation ◽  
Aetiological Factor ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Varicella Zoster ◽  
Delayed Onset ◽  
Mastoid Surgery

Objective: To establish the frequency of occurrence of delayed facial nerve paralysis following tympano-mastoid surgery in our department and to determine the aetiological factors and long term prognosis.Setting: Tertiary care academic centre.Materials and methods: A retrospective review of all patients who had undergone tympano-mastoid surgery in our department over the previous five years was carried out. A total of 219 patients were included in the study. Only two patients were identified as having delayed onset facial nerve palsy over this period of time. The patients' medical records were reviewed and the patients clinically assessed.Results: The frequency of delayed onset facial nerve palsy following tympano-mastoid surgery in our series was 0.91 per cent. Facial weakness set in on day eight and day 14 in the two patients. Serological investigations in both patients revealed raised titres of immunoglobulin (Ig) M and IgG to varicella-zoster virus, confirming the presence of varicella-zoster infection. In our experience, the combined use of prednisone and acyclovir was an effective form of treatment for both patients, whose facial nerve function fully recovered within six months of onset.Conclusion: The incidence of delayed facial nerve palsy following tympano-mastoid surgery is low. It can occur up to two weeks after the surgery. Our two cases confirm viral reactivation to be an important aetiological factor in the development of delayed onset facial nerve palsy. The overall prognosis for delayed facial nerve palsy following tympano-mastoid surgery appears to be good.

Animal Model for Ischemic Facial Nerve Paralysis with Selective Vascular Embolization

1992 ◽  
Vol 101 (5) ◽  
pp. 423-429 ◽  
Author(s):  
Takeo Kumoi ◽  
Yoshihiko Nishimura ◽  
Hiroshi Iritani ◽  
Toru Minatogawa
Keyword(s):  
Facial Nerve ◽  
Experimental Model ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Cost Effective ◽  
Controlled Study ◽  
Facial Nerve Paralysis ◽  
Selective Embolization ◽  
Nerve Paralysis ◽  
Effective Use

An experimental model that reliably and easily produces acute ischemic facial nerve paralysis would be useful for the controlled study of treatment and to improve our understanding of the pathophysiology and treatment of facial nerve palsy. Most documented models that simulate clinical facial nerve palsy cause direct damage to the nerve. We describe an experimental model for ischemic facial nerve paralysis in the cat that employs arterial block of the internal and external maxillary and posterior auricular arteries using embolizing material (Avitene). All animals develop stable acute ischemic facial nerve palsy lasting for approximately 2 months. Electromyographic study of this model revealed that the site of the lesion resulting from selective embolization may be within the temporal bone. This model has the advantages of simplicity of technique, cost-effective use of cats, and reproducibility of facial nerve palsy.

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