Bell's palsy

Abstract

Case reportA 79-year-old woman presented with sudden onset of left peripheral facial nerve (Bell's) palsy. Clinical ENT examination demonstrated features of House-Brackmann grade III left Bell's palsy. The rest of the clinical examination, particularly the neurological examination, was normal. The audiogram showed presbyacusis and absence of the left stapedial reflex. ClinicalFig. 1. a: CT scan, coronal section of the left petrous temporal bone showing an irregular low-density image (arrow), eroding the cochlea and tegmen tympani, with no calcifications, in contact with the meatal segment of the facial nerve; b: MRI, axial section, gadolinium-enhanced T1-weighted sequence showing an irregular lesion of the petrous temporal bone (arrow) with intense, homogeneous gadolinium enhancement, extending into the facial canal and middle cranial fossa. (A. Villeneuve).interview revealed a history of hormone therapy (letrozole) for bilateral breast cancer initially treated by surgery followed by radiotherapy 15 years previously, as well as antihypertensive treatment. Signs of Bell's palsy had completely resolved at the follow-up visit. Six months later, she returned with recurrence of left Bell's palsy. Computed tomography (Fig. 1a, coronal section) and magnetic resonance imaging (Fig. 1b, axial section) of petrous temporal bones were then performed. What is your diagnosis?http://dx.

Augmentation effect of acupuncture on Bi’nao for hypophasis in patients with Bell’s palsy: study protocol for a randomized controlled trial

“…Patients with Bell’s palsy suffer from dysfunction of the facial nerve and inflexible muscle movements; the majority of them will recover within 1–3 months. However, a few of them will undergo a long recovery procedure and/or leave some sequelae such as deviation of mouth angle, hemifacial spasm, or hypophasis [ 1 , 2 ].…”