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Facial Nerve Paralysis Causes

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41. Diabetic Mice Show an Aggravated Course of Herpes-Simplex Virus-Induced Facial Nerve Paralysis. (Abstract)

Diabetic Mice Show an Aggravated Course of Herpes-Simplex Virus-Induced Facial Nerve Paralysis. Bell's palsy is highly associated with diabetes mellitus.The cause of Bell's palsy in diabetes mellitus is not completely understood. Diabetic mononeuropathy or reactivation of herpes simplex virus type 1 (HSV-1) may be responsible for the facial paralysis seen in diabetic patients. We previously reported transient and ipsilateral facial paralysis in mice inoculated with HSV-1. In this study, we (...) increased in the diabetic mice. Electrophysiologic examinations and histopathologic changes also revealed that the facial nerve damage was more severe in the diabetic group.The aggravated course of HSV-1 infection in diabetes suggests that HSV-1 may be the main causative factor for the increased incidence of facial paralysis in diabetic patients.

2012 Otology and Neurotology

42. WITHDRAWN: Corticosteroids for Bell's palsy (idiopathic facial paralysis). (Abstract)

WITHDRAWN: Corticosteroids for Bell's palsy (idiopathic facial paralysis). Inflammation and oedema of the facial nerve are implicated in causing Bell's palsy. Corticosteroids have a potent anti-inflammatory action which should minimise nerve damage and thereby improve the outcome of patients suffering from this condition.The objective of this review was to assess the effect of steroid therapy in the recovery of patients with Bell's palsy.We searched the Cochrane Neuromuscular Disease Group (...) concealment was appropriate in two trials, and the data reported allowed an intention-to-treat analysis. The data included in the meta-analyses were collected from three trials with a total of 117 patients. Overall 13/59 (22%) of the patients allocated to steroid therapy had incomplete recovery of facial motor function six months after randomisation, compared with 15/58 (26%) in the control group. This reduction was not significant (relative risk 0.86, 95% confidence interval 0.47 to 1.59). The reduction

2009 Cochrane

43. Facial Nerve Laceration and its Repair Full Text available with Trip Pro

Facial Nerve Laceration and its Repair Facial paralysis is a devastating condition with profound functional, aesthetic and psychosocial consequences. Tumors within or outside the skull, Bell's palsy and trauma are the most common causes of facial paralysis in adults.Our patient was a 35-year-old man with deep laceration wounds. The patient was taken to the operating room and the nerves were repaired. We observed gradual improvement of muscle performance except branches of the frontal (...) nerve.Complete rupture of the facial nerve is challenging and the treatment is surgery, which requires careful planning.

2016 Trauma monthly

44. Facial Reanimation After Facial Nerve Injury Using Hypoglossal to Facial Nerve Anastomosis: The Gruppo Otologico Experience Full Text available with Trip Pro

patients completed a minimal follow up of 24 months at the time of evaluation and were included in the study population. Facial nerve paralysis was present for a mean duration of 11.3 months (range 2-42 months) and all the patients had a HB grade VI prior their surgery. Final facial nerve motor function. The most common cause of facial paralysis was vestibular Schwannoma surgery. All the patients achieved a postoperative HB grade III or IV after a mean follow-up time of 20 months. The facial movements (...) were detected after a period that ranged from ranged from 5 to 9 months. Only 4 patients suffered from difficulties during eating and drinking and three of them had associated lower cranial nerve deficit. Despite the various techniques in facial reanimation following total facial nerve paralysis, the end to end of hypoglossal to facial nerve anastomosis remains one of the best treatments in cases of viable distal facial stump and nonatrophic musculature.

2012 Indian Journal of Otolaryngology and Head & Neck Surgery

45. Profile of facial palsy in Arar, northern Saudi Arabia Full Text available with Trip Pro

Profile of facial palsy in Arar, northern Saudi Arabia The term facial palsy generally refers to weakness of the facial muscles, mainly resulting from temporary or permanent damage to the facial nerve. Common causes of facial paralysis include infection or inflammation of the facial nerve, head trauma, head or neck tumor, stroke.To outline the incidence of several etiologies and the profile of patients with peripheral facial paralysis attending the outpatient clinic of the neurology department (...) in Hospitals of Arar City, Saudi Arabia.This cross-sectional study was carried out in Arar city from October 2016 to May 2017. The study was conducted in the outpatient clinic of the neurology department in hospitals of Arar City. Any ages of both sexes of all newly diagnosed unilateral facial palsy were included in the study. Data were analyzed by SPSS version 15, using descriptive statistics and Chi-square test. P-value was considered significant if <0.05.The mean age of the facial palsy cases was 33.65

2017 Electronic physician

46. CRACKCast E105 – Brain and Cranial Nerve Disorders

mononucleosis) disease if: Systemic symptoms Bilateral facial paresis Remember: caused by the spirochete Borrelia burgdorferi from Ixodes genus ticks [7] Differentiate between herpes zoster ophthalmicus and herpes zoster oticus Herpes zoster ophthalmicus = shingles of the trigeminal nerve Hutchinson’s sign: cutaneous involvement of nasociliary nerve Look for ocular involvement = punctate epithelial erosions and pseudodendrites Herpes zoster oticus = Ramsay Hunt syndrome Unilateral facial paralysis Can (...) = Carbamazapine 100mg PO BID. Other options: Phenytoin Baclofen Valproate sodium Lamotrigine Gabapentin Levetiracetam Disposition: Neurology with +/- Neurosurgery or ENT consult if surgical decompression is required [4] Facial nerve paralysis: List 6 differential diagnoses for facial (CN VII) paralysis Bell’s palsy Ramsey Hunt syndrome (herpes zoster oticus) Lyme disease (neuroborreliosis) Bacterial infections of the middle ear, mastoid, or external auditory canal Guillain-Barré syndrome HIV infection Tumor

2017 CandiEM

47. CRACKCast 107 – Peripheral Nerve Disorders

= Central Nervous System + Peripheral Nervous System PNS divided into 12 cranial nerves (Remember episode 105?) 31 spinal nerves (8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal). Almost all of these nerves have Sensory, Motor and autonomic function Anatomically / functionally speaking the autonomic nervous system is divided into: Sympathetic (thoracolumbar) component Parasympathetic (craniosacral) component. Note: Autonomic dysfunction may cause systemic abnormalities (e.g., Orthostasis (...) Asymmetrical [2] List 8 causes of acute emergent weakness and possible respiratory compromise See box 97.1 in Rosen’s 9 th Edition for causes of acute, emergent weakness and possible respiratory compromise Autoimmune Demyelinating Guillain-Barré syndrome (GBS) Chronic inflammatory demyelinating polyneuropathy Myasthenia gravis Toxic Botulism Buckthorn Seafood Paralytic shellfish toxin Tetrodotoxin (puffer fish, newts) Tick paralysis Metals Arsenic Thallium Metabolic Dyskalemic syndromes Acquired

2017 CandiEM

48. Rehabilitation of Central Facial Paralysis With Hypoglossal-Facial Anastomosis. (Abstract)

Rehabilitation of Central Facial Paralysis With Hypoglossal-Facial Anastomosis. To evaluate the ability of hypoglossal-facial nerve anastomosis to reanimate the face in patients with complete nuclear (central) facial nerve palsy.Retrospective case series.Tertiary academic medical center.Four patients with complete facial nerve paralysis due to lesions of the facial nucleus in the pons caused by hemorrhage due to arteriovenous or cavernous venous malformations, stroke, or injury after tumor (...) /VI, and 25% had HB grade IV/VI. Average facial disability index scores were 61.25 for physical function and 78 for social/well-being, comparable to results from complete hypoglossal-facial anastomosis after peripheral facial nerve palsy after acoustic neuroma resection.Patients with nuclear facial paralysis who undergo end-to-end hypoglossal-facial nerve anastomosis achieve similar degrees of reanimation compared with those with peripheral facial nerve palsies. This raises the intriguing

2012 Otology and Neurotology

49. Give me a kiss! An integrative rehabilitative training program with motor imagery and mirror therapy for recovery of facial palsy. (Abstract)

Give me a kiss! An integrative rehabilitative training program with motor imagery and mirror therapy for recovery of facial palsy. Peripheral facial nerve palsy (FNP) can have various causes, such as Bell's palsy or after surgery for acoustic neuroma. Rehabilitation is often required but there is no evidence that any rehabilitation approach is more efficacious than another.The purpose of this research was to determine the effects of neurocognitive-rehabilitative approach through mirror-therapy (...) of patients with unilateral facial paralysis to recognize and appropriately judge facial expressions and perceive the judgments of others remains underexplored. The likelihood of recovering near-normal facial-function after grade VI facial paralysis is low. Procedures, such as the immediate repair of the facial nerve with an interposed donor graft, might improve facial function in patients with partially injured facial nerves.

2019 European journal of physical and rehabilitation medicine Controlled trial quality: uncertain

50. Polytetrafluoroethylene granuloma-associated facial palsy following microvascular decompression. (Abstract)

Polytetrafluoroethylene granuloma-associated facial palsy following microvascular decompression. Microvascular decompression (MVD) may be employed in the management of hemifacial spasm (HFS), wherein a pledget of polytetrafluoroethylene (i.e., Teflon, Chemours, Wilmington DE) is sometimes introduced to separate an offending vessel from the cisternal segment of facial nerve. Rarely, Teflon may cause a granulomatous reaction resulting in nerve palsy. We here present the first case series (...) of facial palsy thought to be secondary to Teflon granuloma following MVD for HFS.A data repository of 1,312 patients with facial palsy was reviewed to identify individuals who had previously undergone MVD for HFS. Data collected include age at time of MVD, age at onset of facial weakness and at presentation, House-Brackmann scores, clinician-graded facial function using the Electronic Facial Paralysis Assessment scale, imaging findings, and therapeutic interventions and outcomes.Six patients meeting

2019 Laryngoscope

51. Recurrent and Progressive Facial Baroparesis on Flying Relieved by Eustachian Tube Dilation. (Abstract)

Recurrent and Progressive Facial Baroparesis on Flying Relieved by Eustachian Tube Dilation. Facial baroparesis is a rare phenomenon of seventh cranial nerve palsy traditionally reported in divers, with only 11 cases reported in aviation so far. It is important to correctly diagnose facial baroparesis given the differential diagnosis of stroke and decompression disease and offer appropriate treatment for recurrent cases.The authors present the case of a patient with recurrent and progressive (...) facial baroparesis treated with Eustachian tube balloon dilation. Institutional medical records were reviewed, and analysis of the current literature was performed.A 37-year-old woman experienced recurrent and progressive left facial paralysis on descent from altitude on commercial airline flights, with resolution between flights. The patient flew frequently for work-related trips and for the past 7 years had noted facial paralysis that began with mild asymmetry of the face and progressed

2019 Rhinology and Laryngology

52. Congenital Facial Paralysis

cases of facial paralysis. [ ] The incidence of facial paralysis in live births is 0.8-2.1 per 1000 births, and, of these, 88% are associated with a difficult labor. Of patients with birth trauma, 67-91% are associated with forceps delivery. [ , , ] Developmental causes include those associated with syndromes and teratogens. An example of a development cause is , which has an incidence of 1 per 50,000 births. [ ] A common disorder that resembles a unilateral partial nerve paralysis is congenital (...) unilateral lower lip palsy (CULLP), also known as neonatal asymmetric crying facies, that occurs in 1 out of 160 live births. [ ] The estimated prevalence of facioscapulohumeral muscular dystrophy (FSH MD) is between 1/20,000 and 1/8000, making it the world’s third-most-common inherited myopathy. [ ] Previous Next: Etiology The cause of congenital facial paralysis is associated with either a traumatic injury or developmental deformities of the brain or facial nerve (cranial nerve VII). [ ] Trauma

2014 eMedicine Surgery

53. Static Suspension for Facial Paralysis

Suspension for Facial Paralysis Updated: Oct 26, 2018 Author: Suzanne K Doud Galli, MD, PhD; Chief Editor: Arlen D Meyers, MD, MBA Share Email Print Feedback Close Sections Sections Static Suspension for Facial Paralysis Overview Background The mimetic muscles direct facial movements. Under the control of the seventh cranial nerve (CN VII), the movement of these muscles correlates with the communication of human thought, emotion, and expression. Loss of this capacity is disfiguring and dysfunctional (...) include the extensor digitorum brevis, gracilis, latissimus dorsi, pectoralis minor, and serratus anterior. The advantage of free muscle transfer over regional muscle transfer has not been established. Previous Next: Etiology The various etiologies of facial paralysis can be classified into 3 major groups, ie, intracranial, intratemporal, and extracranial (see Relevant Anatomy). Regardless of the cause, the importance of establishing the degree and duration of weakness when evaluating a patient must

2014 eMedicine Surgery

54. Dynamic Reanimation for Facial Paralysis

> Dynamic Reanimation for Facial Paralysis Updated: Jan 09, 2019 Author: Steven M Parnes, MD; Chief Editor: Arlen D Meyers, MD, MBA Share Email Print Feedback Close Sections Sections Dynamic Reanimation for Facial Paralysis Overview Background Facial paralysis can be a consequence of traumatic facial nerve injury, iatrogenic causes, malignancy, congenital syndromes, and viral infections. Prolonged paralysis can result in ocular complications, articulation difficulties, impaired feeding, and difficulty (...) in conveying emotion through expressive movement. Numerous reanimation techniques are available to restore function and are based on the cause of the facial paralysis, type of injury, its location, and the anticipated duration. These methods are broadly classified into 4 types as follows: (1) neural methods, (2) musculofascial transpositions, (3) microneurovascular transfer (4) facial plastic procedures, and (5) prosthetics. The most desirable procedures to reestablish the mimetic control of the face

2014 eMedicine Surgery

55. Validation of a French-language Version of Quality of Life Questionnaires in Patients With Peripheral Facial Palsy

Drug Product: No Studies a U.S. FDA-regulated Device Product: No Additional relevant MeSH terms: Layout table for MeSH terms Facies Paralysis Facial Paralysis Bell Palsy Disease Attributes Pathologic Processes Neurologic Manifestations Nervous System Diseases Signs and Symptoms Mouth Diseases Stomatognathic Diseases Herpesviridae Infections DNA Virus Infections Virus Diseases Facial Nerve Diseases Cranial Nerve Diseases (...) prognosis is not engaged in this pathology. Facial palsy remains a personal drama for patient. Consequences may take the form of: aesthetic deformation, modification of body image, with socio-professional consequences. Beside unsightly facial aspects, weakness of facial muscles can cause troubles in eating, drinking, talking, communicating personal emotions and communication. Facial palsy impacts patients' quality of life (QOL) and affects mental health. This wide multidimensional concept usually

2018 Clinical Trials

56. Facial diplegia, pharyngeal paralysis, and ophthalmoplegia after a timber rattlesnake envenomation. (Abstract)

called crotoxin, or the "canebrake toxin," which is a potent β-neurotoxin affecting presynaptic nerves that can cause paralysis by inhibiting appropriate neuromuscular transmission. We present an unusual case of an 8-year-old boy bitten twice on his calf by a timber rattlesnake, who presented with a life-threatening envenomation and suffered multisystem organ failure as well as a prominent presynaptic neurotoxicity resulting in facial diplegia, pharyngeal paralysis, and ophthalmoplegia. (...) Facial diplegia, pharyngeal paralysis, and ophthalmoplegia after a timber rattlesnake envenomation. The timber rattlesnake, also known as Crotalus horridus, is well known to cause significant injury from toxins stored within its venom. During envenomation, toxic systemic effects immediately begin to cause damage to many organ systems including cardiovascular, hematologic, musculoskeletal, respiratory, and neurologic. One defining characteristic of the timber rattlesnake is a specific neurotoxin

2013 Pediatric Emergency Care

57. Cranial and Cervical Muscular Weakness in Mitochondrial Myopathy Is Associated With Resolution of Migraine Headaches: Further Evidence That Muscular Compression of Cranial and Peripheral Nerves Is a Cause of Headache in a Subset of Patients With Migraine Full Text available with Trip Pro

Cranial and Cervical Muscular Weakness in Mitochondrial Myopathy Is Associated With Resolution of Migraine Headaches: Further Evidence That Muscular Compression of Cranial and Peripheral Nerves Is a Cause of Headache in a Subset of Patients With Migraine A significant subset of patients with migraine headaches has pain relief after neuroplasty/muscular decompression of select cranial and cervical nerves. In the majority of cases, compression occurs secondary to compression of the nerves (...) by adjacent muscles. Previous studies have shown that both surgical decompression and chemical denervation (eg, botulinum toxin) provide relief of migraine headaches; however, controversy remains. If some migraine headaches are caused by muscular compression, then paresis of the compressing muscles by underlying myopathic/metabolic disease should result in migraine relief in some patients.We report a case of mitochondrial myopathy causing weakness primarily of the muscles of facial expression and the neck

2015 Eplasty

58. Literature study on clinical treatment of facial paralysis in the last 20 years using Web of Science: Comparison between rehabilitation, physiotherapy and acupuncture Full Text available with Trip Pro

, letter, editorial material, discussion, book chapter. (4) Publication year: 1992-2011 inclusive.(1) Articles on the causes and diagnosis on facial paralysis; (2) Type of articles: correction; (3) Articles from following databases: all databases related to social science and chemical databases in Web of Science.(1) Overall number of publications; (2) number of publications annually; (3) number of citations received annually; (4) top cited paper; (5) subject categories of publication; (6) the number (...) Literature study on clinical treatment of facial paralysis in the last 20 years using Web of Science: Comparison between rehabilitation, physiotherapy and acupuncture Facial paralysis is defined as severe or complete loss of facial muscle motor function.The study was undertaken to explore a bibliometric approach to quantitatively assess the research on clinical treatment of facial paralysis using rehabilitation, physiotherapy and acupuncture using Web of Science from 1992 to 2011.Bibliometric

2012 Neural Regeneration Research

59. Facial nerve palsy after reactivation of herpes simplex virus type 1 in diabetic mice. Full Text available with Trip Pro

Facial nerve palsy after reactivation of herpes simplex virus type 1 in diabetic mice. Bell's palsy is highly associated with diabetes mellitus (DM). Either the reactivation of herpes simplex virus type 1 (HSV-1) or diabetic mononeuropathy has been proposed to cause the facial paralysis observed in DM patients. However, distinguishing whether the facial palsy is caused by herpetic neuritis or diabetic mononeuropathy is difficult. We previously reported that facial paralysis was aggravated in DM (...) mice after HSV-1 inoculation of the murine auricle. In the current study, we induced HSV-1 reactivation by an auricular scratch following DM induction with streptozotocin (STZ).Controlled animal study.Diabetes mellitus was induced with streptozotocin injection in only mice that developed transient facial nerve paralysis with HSV-1. Recurrent facial palsy was induced after HSV-1 reactivation by auricular scratch.After DM induction, the number of cluster of differentiation 3 (CD3)(+) T cells

2014 Laryngoscope

60. Small Vestibular Schwannomas Presenting with Facial Nerve Palsy. (Abstract)

Small Vestibular Schwannomas Presenting with Facial Nerve Palsy. To describe the surgical management and convalescence of two patients presenting with severe facial nerve weakness associated with small intracanalicular vestibular schwannomas (VS).Retrospective review.Two adult female patients presenting with audiovestibular symptoms and subacute facial nerve paralysis (House-Brackmann Grade IV and V). In both cases, post-contrast T1-weighted magnetic resonance imaging revealed an enhancing (...) cause severe facial neuropathy, mimicking the presentation of facial nerve schwannomas and other less common pathologies. In the absence of labyrinthine extension on MRI, surgical exploration is the only reliable means of establishing a diagnosis. In the case of confirmed VS, early gross total resection with facial nerve preservation and labyrinthine segment decompression may afford full motor recovery-an outcome that cannot be achieved with facial nerve grafting.

2014 Otology and Neurotology

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