Facial Paralysis: A Study of Three Hundred and Thirty-Five Cases

Waterman, G. A.

doi:10.1097/00005053-190902000-00001

Cited by 18 publications

(4 citation statements)

References 2 publications

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“…BFP is an extremely rare clinical finding for a physician. Incidence rate of Bell’s palsy has been estimated around 23–25 per 100.000 persons per year [ 6 , 7 ] with the rate of simultaneous BFP being about 0.3–2.0% of the total [ 8 ]. This condition can often benefit from specific treatment if a proper diagnostic work-up is followed.…”

Section: Discussionmentioning

confidence: 99%

Acquired bilateral facial palsy: a systematic review on aetiologies and management

Molinari,

Lucidi,

Fernandez

et al. 2023

J Neurol

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Objective To systematically review the published cases of bilateral facial palsy (BFP) to gather evidence on the clinical assessment and management of this pathology. Methods Following PRISMA statement recommendations, 338 abstracts were screened independently by two authors. Inclusion criteria were research articles of human patients affected by BFP, either central or peripheral; English, Italian, French or Spanish language; availability of the abstract, while exclusion criteria were topics unrelated to FP, and mention of unilateral or congenital FP. Only full-text articles reporting the diagnostic work-up, the management, and the prognosis of the BFP considered for further specific data analysis. Results A total of 143 articles were included, resulting a total of 326 patients with a mean age of 36 years. The most common type of the paralysis was peripheral (91.7%), and the autoimmune disease was the most frequent aetiology (31.3%). The mean time of onset after first symptoms was 12 days and most patients presented with a grade higher than III. Associated symptoms in idiopathic BFP were mostly non-specific. The most frequently positive laboratory exams were cerebrospinal fluid analysis, autoimmune screening and peripheral blood smear, and the most performed imaging was MRI. Most patients (74%) underwent exclusive medical treatment, while a minority were selected for a surgical or combined approach. Finally, in more than half of cases a complete bilateral recovery (60.3%) was achieved. Conclusions BFP is a disabling condition. If a correct diagnosis is formulated, possibilities to recover are elevated and directly correlated to the administration of an adequate treatment.

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Section: Discussionmentioning

confidence: 99%

Acquired bilateral facial palsy: a systematic review on aetiologies and management

Molinari,

Lucidi,

Fernandez

et al. 2023

J Neurol

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“…[1] A review from various centers revealed that 0.6-0.8% of cases are bilateral among patients with facial palsy. [2][3][4][5] Bilateral facial nerve palsy is caused by infections: Neuroborreliosis, human immunodeficiency virus (HIV), syphilis, leprosy, infectious mononucleosis, trichinosis, poliomyelitis, mycoplasma, herpes virus, varicella-zoster virus, diphtheria, tuberculous meningitis, and otitis. [1] Other causes include cerebral venous sinus thrombosis, sarcoidosis, Guillain-Barre syndrome, and osteopetrosis.…”

Section: Dear Editormentioning

confidence: 99%

“…[ 1 ] A review from various centers revealed that 0.6–0.8% of cases are bilateral among patients with facial palsy. [ 2 - 5 ]…”

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confidence: 99%

Bilateral simultaneous lower motor nerve facial palsy as presenting symptom of cryptococcal meningitis in a non-immunocompromised patient

Kishore

Taallapalli

Dutta

et al. 2022

JNRP

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“…Várias teorias têm sido propostas na tentativa de explicar a causa da paralisia recorrente, havendo Park e Watkins (citados por Devriese e Pelz) as classificado em 5 grupos: (a) neurite infecciosa específica; (b) disfunção vascular com isquemia secundária do nervo facial; (c) frio; (d) infecção mastóidea subclínica envolvendo a região do canal falopiano; (e) estenose congênita do canal de Falópio associada com algum fator precipitante. Esta última, já debatida nos primórdios desta centúria 21 , continua tendo adeptos nos anos recentes 6 . Garcin & concede destaque ao papel desempenhado pelo diabete na gênese das paralisias faciais recidivantes.…”

Section: Comentáriosunclassified

Paralisia facial periférica multirrecorrente associada a língua escrotal: registro de um caso

Fortes-Rêgo

1985

Arq. Neuro-Psiquiatr.

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Facial Paralysis: A Study of Three Hundred and Thirty-Five Cases

Cited by 18 publications

References 2 publications

Acquired bilateral facial palsy: a systematic review on aetiologies and management

Acquired bilateral facial palsy: a systematic review on aetiologies and management

Bilateral simultaneous lower motor nerve facial palsy as presenting symptom of cryptococcal meningitis in a non-immunocompromised patient

Paralisia facial periférica multirrecorrente associada a língua escrotal: registro de um caso

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