Bilateral Facial Palsy: A Clinical Approach

Yang, Alvin; Dalal, Vikram L.

doi:10.7759/cureus.14671

Cited by 10 publications

(12 citation statements)

References 17 publications

(45 reference statements)

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“…[ 13 ] Besides HSV, cytomegalovirus, Epstein-Barr virus, human immunodeficiency virus, human T lymphotropic virus, and herpes zoster virus are also part of the main diagnostic hypotheses. [ 2 ] Physical examination should evaluate all systems, with a special focus on neurological. [ 2 7 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 ] A variety of functional and psychosocial effects can occur, depending on involved anatomic distributions and circumstances of paralysis: smiling, blinking, nasal breathing, taste, lip movements, and affected speech, impairing the patient's quality of life. [ 2 3 4 ] Pregnant women, elderly, diabetics, and immunocompromised patients are part of the group with the highest rate of involvement due to this condition. [ 5 ]…”

Section: Introductionmentioning

confidence: 99%

“…[ 8 ] Its bilateral involvement is extremely rare, with an incidence of approximately 1 per 5,000,000 people per year. [ 2 8 ] In contrast to unilateral facial palsy, bilateral facial palsy presents often as a manifestation of a serious systemic condition; as such, a comprehensive history and physical examination together with appropriate blood work and imaging studies are necessary to establish the correct diagnosis in an expedient fashion. [ 11 ] In studies investigating the etiology of bilateral facial paralysis, PFP accounted for one-third of the cases.…”

Section: Introductionmentioning

confidence: 99%

“…Determining the cause and time of paralysis is critical for treatment planning. [ 2 12 ] Diagnostic blood work is very important and a lumbar puncture can be performed to evaluate cell counts, as well as bacterial or viral content. [ 13 ] The use of corticosteroids with or without antiviral therapy is effective in most cases.…”

Section: Introductionmentioning

confidence: 99%

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Bilateral peripheral facial palsy: A rare case report

Milani

Mocelin

Roskamp

et al. 2023

J Oral Maxillofac Pathol

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Peripheral facial palsy (PFP) is an inflammation of the facial nerve, which paralyses the face unilaterally or bilaterally, causing pain and discomfort to the patient. PFP affects the lives of compromised individuals not only due to the loss of essential facial functions (smiling, blinking, talking) but also their emotional state. When the face is paralysed, the lost ability to animate the face can be devastating and is often associated with depression, social isolation, and reduced quality of life. Bilateral involvement is extremely rare and as it occurs in unilateral cases, a thorough clinical and laboratory evaluation must be carried out to determine the etiology of the disease, which can be idiopathic, infectious, neoplastic, traumatic, or iatrogenic. In addition to these, in times of the pandemic, coronavirus disease 2019 (COVID-19) and the vaccine against it should be considered as possible causal factors. Drug therapy and physiotherapy are indicated to recover facial movements. The aim of the present study was to report a case of bilateral peripheral facial palsy due to herpes simplex virus reactivation in a 20-year-old female patient.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bilateral peripheral facial palsy: A rare case report

Milani

Mocelin

Roskamp

et al. 2023

J Oral Maxillofac Pathol

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“…A recent review identified a misdiagnosis rate of <1% in the emergency setting, but previous literature has suggested rates as high as 20%, with 5% of lower motor facial paralysis being attributed to tumours [6]. The aetiologies of bilateral facial palsy can include congenital, infectious, vascular, metabolic, autoimmune, neoplastic, neurological, or traumatic causes [7,8]. It is crucial to identify the underlying cause because treatment and prognosis depend on it.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Facial Palsy: A Case Study of an Exceedingly Rare and Difficult Diagnosis

Jha¹,

Azhar²,

Kuttuva³

et al. 2021

Cureus

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Bilateral facial nerve palsy is a rare condition, representing only 0.3-2.0% of all facial palsy cases. Facial paralysis constitutes the result of a diverse array of systemic disorders and heterogeneous aetiologies and thus represents a diagnostic challenge. This case report describes a previously healthy male who presented to the emergency department numerous times within a few weeks with unrelated non-specific symptoms. These symptoms could not be attributed to any specific aetiology after various radiological and laboratory examinations, and hence presented a diagnostic dilemma until he developed bilateral seventh nerve palsy and was admitted for a further workup.

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