Simultaneous bilateral facial palsy

Torres, Gustavo M.; Barcellos, Alano N; Santos, Marco Antonnio Rocha dos; Fonseca, Marconi Teixeira; Santos, Egon Campos dos; Sousa, Rubiana Ferreira

doi:10.1016/s2173-5735(09)70132-2

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…Las causas más comunes son idiopáticas 20% (6,7), síndrome Guillain Barre 10%, neuropatías múltiples craneales, esclerosis múltiple, enfermedad de Parkinson, tumores de puente y meníngeos 21%, infecciones (Borrelia, citomegalovirus, sífilis, VIH, herpes virus, mononucleosis, Epstein Barr, Mycoplasma pneumoniae, hepatitis A), causas congénitas (Síndrome de Moebius, miopatías), porfiria, sarcoidosis, lupus, fracturas del hueso temporal, amiloidosis, leucemia, linfoma, diabetes, alcoholismo. Esta entidad puede ser confundida con otras como distrofia facioescapulohumeral o miastenia grave, sin embargo esta última se asocia con ptosis palpebral, anormalidades en los movimientos oculares, no se asocian a parálisis del nervio facial (8)(9)(10)(11).…”

Section: Introductionunclassified

Diplejia facial una variante del síndrome de Guillain Barre

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Niebles

2015

Rev. Med.

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<p class="Cuerpodeltexto20">El Síndrome de Guillain Barre es una polineuropatía autoinmune que causa desmielinización motora y sensitiva, frecuentemente con antecedente de una infección. El diagnóstico se realiza mediante sospecha clínica, aunque el líquido cefalorraquídeo y estudios electrodiagnósticos ayudan a soportarlo.</p><p class="Cuerpodeltexto20">El Médico debe estar familiarizado con las variantes clínicas tales como la diplejía facial para hacer un diagnóstico preciso. La inmunoglobulina intravenosa y la plasmaferesis son tratamientos eficaces. El cuidado de soporte durante y después de la hospitalización es crucial.</p>

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Section: Introductionunclassified

Diplejia facial una variante del síndrome de Guillain Barre

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Niebles

2015

Rev. Med.

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“…Simultaneous onset is defined as the involvement of the opposite side within 30 days of the initial onset. It is most often found in a symptom complex of systemic diseases, including Guillain‐Barré syndrome (GBS), which exists in 0.3% to 2.0% of facial palsy cases [6,7]. Although bilateral facial palsy associated with leptospirosis [5,8] and coinfection of leptospirosis plus scrub typhus [9] has been reported elsewhere, the possibility of leptospirosis in this patient was excluded by the Taiwan CDC.…”

Section: Discussionmentioning

confidence: 83%

Bilateral simultaneous facial palsy following scrub typhus meningitis: A case report and literature review

Lin

Chen

Lin

et al. 2011

The Kaohsiung J of Med Scie

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Scrub typhus is widely distributed across the Asia-Pacific region, Taiwan included. The clinical manifestations and complications of scrub typhus vary and the illness ranges in severity from mild to fatal. The etiology of facial nerve palsy varies and infectious agents have been associated with this condition. Rickettsiae species have, however, rarely been reported as the causative agents. We report the case of a 49-year-old man who had fever, malaise, headache, oligouria and tea-colored urine. Bilateral pneumonitis, acute renal failure, acalculous cholecystitis and aseptic meningitis were diagnosed after a series of examinations. The patient recovered after doxycycline treatment but he developed bilateral facial palsy during the convalescent phase, which improved after the administration of a steroid. The diagnosis of infection with Orientia tsutsugamushi was confirmed by the Taiwan Center of Disease Control and the tests for Leptospira, Rickettsia typhi and Coxiella burnetii were all negative. This case indicates that scrub typhus needs to be included in the differential diagnoses of cases of bilateral and simultaneous facial nerve palsy, particularly in areas where the disease is endemic.

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“…D'autres étiologies sont rarement suspectées ou investiguées, il est donc possible que le rôle de la PFF dans les PFP soit surestimé. Les PFP sont habituellement unilatérales, seulement 0,3 à 2,0 % des cas sont bilatéraux [2]. Les PFP bilatérales sont le plus souvent d'origine systémique ; des examens complémentaires sont ainsi nécessaires avant de porter un diagnostic de PFP bilatérale [2].…”

Section: Introductionunclassified