The Efficacy of Acyclovir in Childhood Bell’s Palsy

Gürbüz, Gürkan

doi:10.4274/tnd.2020.29895

Cited by 5 publications

(2 citation statements)

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“…The syndrome is characterized by facial nerve palsy associated with a painful vesicular eruption within the external auditory canal and vestibulocochlear dysfunction (sensorineural hearing loss, vertigo, nystagmus, and ataxia). EBV, CMV, and mycoplasma pneumonia are also among the infectious causes [ 6 , 11 , 14 ]. In our study, CMV, EBV, varicella-zoster, mycoplasma pneumonia, otitis media, otitis externa, and abscess led to PFNP in 11(19.2%) patients.…”

Section: Discussionmentioning

confidence: 99%

Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis

Bilge

Mert

Hergüner

et al. 2022

Egypt J Neurol Psychiatry Neurosurg

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Background Sudden onset of unilateral weakness of the upper and lower muscles of one side of the face is defined as peripheral facial nerve palsy. Peripheral facial nerve palsy is often idiopathic and sometimes it could be due to infectious, traumatic, neoplastic, and immune causes. This study aimed to report the clinical manifestation, evaluation, and prognosis in children with peripheral facial nerve palsy. Methods 57 children under 18 years of age diagnosed with peripheral facial nerve palsy at Çukurova University, Balcalı Hospital, between January 2018 and September 2021, were included in the study. Results The mean age of the children at the time of diagnosis was 9.6 ± 7, 4 years. Thirty-two (56.1%) of the patients were female and 25 (43.9%) were male. A total of 57 patients were diagnosed with peripheral facial nerve palsy and categorized into many groups by etiology: idiopathic Bell’s palsy in 27 (47.5%), infectious in 11 (19.2%), traumatic in 6 (10.5%), and others (due to congenital, immune, neoplastic, Melkersson–Rosenthal syndrome, drug toxicity, and iatrogenic causes) in 13 (22.8%). Forty-six of the children achieved full recovery under oral steroids within 1–7 months. Four patients with acute leukemia, myelodysplastic syndrome, Mobius syndrome and trauma did not recover and two patients (schwannoma, trauma) showed partial improvement. Five patients could not come to follow-up control. Conclusion Peripheral facial nerve palsy is a rare condition in children with different causes. It could be idiopathic, congenital, or due to infectious, traumatic, neoplastic, and immune reasons. So, when a child presents with facial palsy, a complete clinical history and a detailed clinical examination are recommended. Giving attention to the red flag is very important. Peripheral facial nerve palsy in children is considered to have a good prognosis.

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Section: Discussionmentioning

confidence: 99%

Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis

Bilge

Mert

Hergüner

et al. 2022

Egypt J Neurol Psychiatry Neurosurg

View full text Add to dashboard Cite

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“…And the AAO-HNSF made no comment regarding whether a steroid and antiviral combination might be recommended (39). Several studies indicate that the combination therapy of acyclovir plus prednisolone is not superior to prednisolone alone except in severe cases (68,69).…”

Section: Childrenmentioning

confidence: 99%

A mixed-method study examining family physicians’ perceptions regarding insulin pump therapy

Alghamdi¹,

Yaghmour²,

AlShora³

et al. 2022

MEWFM

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Background: Primary health care (PHC) physicians lack sufficient knowledge about insulin pump therapy. Objectives: to assess the level of knowledge and attitude of PHC physicians toward Insulin Pumps. Methods: A cross-sectional study was done on PHC physicians working in primary healthcare settings at the main University Hospital and at the medical services centers at King Abdulaziz University, Jeddah, Saudi Arabia. Data about participants’ demographics, experience, specialty, workplace, and current position were collected. Their knowledge and attitude toward insulin pump therapy were assessed through online Google Forms. A qualitative part of the study was done by interviewing six physicians to report their opinion about insulin pumps therapy. Results: There was a lack of understanding of the function of an insulin pump and the elimination of the usage of finger sticks, however most of them were aware of the different types of insulin dosages and the appropriate age group for insulin pump therapy. The majority of the participants had a favorable attitude toward insulin pump therapy, as evidenced by the qualitative and quantitative findings of the study. Physicians who were 30 to 49 years old, consultants, and those with 10 to 19 years of experience all scored much better on knowledge. Knowledge deficits, a hazy system, financial concerns, the lack of pumps, and the lack of a skilled physician were all barriers to initiating patients on insulin pump therapy. Conclusions: There is a need for training programmes to increase PHC understanding and attitudes about insulin pump therapy. Keywords: knowledge, attitude, insulin, pumps, PHC, Jeddah

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Peripheral Facial Nerve Palsy in Children: Etiology, Clinical Manifestations, Treatment And Prognosis

Bilge

Mert

Hergüner

et al. 2022

Preprint

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Background:Sudden onset of unilateral weakness of upper and lower muscles of one side of the face is defined as peripheral facial nerve palsy. Peripheral facial nerve palsy is often idiopathic and sometimes it could be due to infectious, traumatic, neoplastic, and immune causes. This study aimed to report the causes and clinical evaluation and prognosis in children with peripheral facial nerve palsy. Method:57 children under 18 years old, who were diagnosed with peripheral facial nerve palsy in Çukurova University, Balcalı Hospital between January 2018 and September 2021, were included in the study. Results:The mean age of the children at the time of diagnosis was 9.6 ±7,4 years old. Thirty-two (56.1%) of the patients were female and 25 (43.9%) were male. A total of 57 patients were diagnosed with peripheral facial nerve palsy and categorized into many groups by etiology: idiopathic Bell’s palsy in 27 (47.5%), infectious in 11 (19.2%), traumatic in 6 (10.5%), and others in 13 (22.8%) patients were due to congenital, immune, neoplastic, Melkersson- Rosenthal syndrome, drug toxicity, and iatrogenic causes. Forty-six of the children achieved full recovery under oral steroids within 1-7 months. Four patients diagnosed with acute leukemia, myelodysplastic syndrome, Mobius syndrome and trauma did not recover and two patients (schwannoma, trauma) showed partial improvement. Five patients couldn't come to follow-up control. Conclusion: Peripheral facial nerve palsy is a rare condition in children with different etiology. So giving attention to the red flag is very important. Peripheral facial nerve palsy in children is considered to have a good prognosis.

show abstract

The Efficacy of Acyclovir in Childhood Bell’s Palsy

Cited by 5 publications

References 0 publications

Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis

Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis

A mixed-method study examining family physicians’ perceptions regarding insulin pump therapy

Peripheral Facial Nerve Palsy in Children: Etiology, Clinical Manifestations, Treatment And Prognosis

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