Symptoms Of Facial Nerve Palsy Research Articles

Correlation Between Accompanying Symptoms of Facial Nerve Palsy, Clinical Assessment Scales and Surface Electromyography

Background: This retrospective study aimed to determine whether there were correlations between the number and type of accompanying symptoms of peripheral facial nerve palsy, and surface electromyography (SEMG) and clinical assessment scales to help diagnosis.Methods: There were 30, cases of peripheral facial nerve palsy at Visit 1 to the Korean Medicine Hospital, Dong-eui University, 22 cases at Visit 2 and 10 cases at Visit 3. The study period was from July 19, 2021 to November 31, 2021. Symptoms were evaluated three times (with two-week intervals which began 7 days from onset) using SEMG, clinical assessment scales and accompanying symptoms. In this study, the House-Brackmann grading system (HBGS), and the Yanagihara’s unweighted grading system (Y-score) clinical assessment scales were used. The Pearson or Spearman correlation was used for statistical analysis.Results: On Visit 1, the number of accompanying symptoms of peripheral facial nerve palsy had no significant correlation with other measures. On Visits 1-3, the HBGS score had a significant negative correlation with the Y-score. On Visit 2, most of the mean values measured had significant correlations with each other although not between SEMG-Z and SEMG-O that Z means a zygomaticus muscle and O means a orbicularis oris muscle. On Visit 3, the number of accompanying symptoms significantly correlated with the clinical assessment scales. The HBGS score, Y-score, and SEMG measurements (except SEMG-Z) had significant correlations with each other. A significant positive correlation between SEMG-Z and SEMG-T was noted.Conclusion: We predict accompanying symptoms can be used to diagnose the peripheral facial nerve palsy including both clinical assessment scales and SEMG measurements at 2-5 weeks after onset.

An 18-month-old Girl with a Fleshy Mass in the Ear Canal.

1. Yixian Li, MD* 2. Samuel J. Huang, MD* 3. Michael J. McManus, MD* 1. *Department of Pediatrics, Marshfield Clinic Health System, Marshfield, WI 1. Address correspondence to Michael J. McManus, MD, Department of Pediatrics, Marshfield Clinic Health System, 1000 North Oak Ave, Marshfield, WI 54449. E-mail: mcmanus.michael{at}marshfieldclinic.org An 18-month-old previously healthy girl presents to her pediatrician’s office with fever, rhinorrhea and cough for 4 days. Her highest temperature at home was 102.4°F (39.1°C). Parents notice that her right eye is not closing as tightly as her left eye. This is particularly apparent when she cries. Otoscopic examination reveals that her right ear canal is occluded by “hard cerumen.” Removing the cerumen in the office causes minimal bleeding. The right tympanic membrane is partially visualized, appearing injected and bulging with purulent effusion. Examination confirms that the right eye does not close as tightly as the left eye when she cries. However, when the patient is calm, her facial expression appears symmetric. She is diagnosed with right acute otitis media and questionable right facial nerve palsy (Bell’s palsy). Parents are instructed to observe her symptoms of facial nerve palsy at home and return to clinic for evaluation if the symptom does not resolve spontaneously. She is treated with a course of amoxicillin for 10 days with apparent resolution of illness. Two weeks later, the patient is seen by another pediatrician for a well-child visit and is further treated with amoxicillin clavulanate for a persistent right ear infection. And 4 weeks after initial presentation, she is evaluated for intermittent bleeding from her right ear. Parents express concern for a foreign body in the ear canal. No concern for right eye closing is mentioned by parents during those visits, nor do pediatricians notice any facial asymmetry. A fleshy mass is noted in the …

Simultaneous occurrence of benign and malignant tumours in the ipsilateral parotid gland—retrospective study

The simultaneous occurrence of benign and malignant tumours in the ipsilateral parotid gland is extremely rare. The cases of five patients with synchronous multiple parotid gland tumours consisting of diverse combinations of benign and malignant histological types are presented here. In addition, all published cases of this entity identified in the PubMed, Embase, and Web of Science databases up to January 2018 were reviewed. It is concluded that clinical vigilance should be raised when multifocal tumours are indicated by imaging examinations, in the presence of unmovable, painful, and rapid growth or symptoms of facial nerve palsy. In such cases, resected specimens should be sectioned meticulously, especially for tiny lesions, during histopathological sampling. Based on the possibility of the co-existence of benign and malignant neoplasms, it is necessary for clinicians to pay attention to this entity in order to have a favourable outcome.

The implementation of laser biostimulation at the early treatment stage of facial nerve palsy in children

Introduction: Peripheral-type facial nerve palsy (FNP) is called "Bell's paralysis". This is the most common type of damage to the facial nerve among children. Treatment includes the use of various types of pharmacologically assisted physical treatments. Study aim: The aim of the study is to evaluate the effectiveness of laser biostimulation in the treatment of peripheral FNP as well as the speed and sequence at which the disease symptoms subside. In addition, the relationship between the progress in physiotherapy and the patient's age were determined. Material and methods: The study included 50 patients (27 girls and 23 boys) aged 6 to 18 with FNP symptoms. Left-sided paralysis was noted in 22 of them, and right-sided in 28. All of the subjects included in the study were divided into two equal groups. In group A, treat-ment with the use of magnetic fields and electrostimulation was applied, while in group B, laser biostimulation was additionally applied. The speed and sequence of regression of symp-toms and the recovery of muscular strength were assessed. Results: In group A, in 17 of the treated children, symptoms subsided after 3 weeks. In group B, symptom relief occurred in 18 of them after 2 weeks. Due to one of the symptoms main-taining, although the symptom was not intense, 8 patients from group B continued ambulatory treatment, while 14 continued from group A. Conclusions: The early application of laser biostimulation in FNP patients leads to the rapid regression of symptoms and shortens the time of hospital treatment. Not fully shutting the eye and Bell’s symptoms were the quickest to subside. The age of the child with FNP does not affect the duration of treatment.

A Case Report of Facial Nerve Palsy Treated with Korean Medicine Treatment

Objective This study is designed to evaluate the effects of Korean medicine treatment for facial nerve palsy. Method The patient was administered Korean medicine treatment, including acupuncture, pharmacopuncture, and herbal medicine. We used the House-Brackmann Grading System and Yanagihara’s Unweighted Grading System to assess the symptoms of facial nerve palsy. Results The patient’s House-Brackmann grade was reduced from grade IV to grade II, and Yanagihara’s grade was increased from 19 to 32. The patient’s symptoms, which were facial pain, facial asymmetry, reduced wrinkling forehead, incomplete closing eye, epiphora, and tinnitus, improved during the hospitalization. Conclusion This study shows that Korean medicine treatment may be an effective treatment for facial nerve palsy. Keywords: facial paralysis, Korean medicine treatment, case report

Causative factors and prodromal symptoms of facial nerve palsy

Causative factors and prodromal symptoms of facial nerve palsy

Anatomy and pathology of the facial nerve.

Clinical Presentation Symptoms of facial nerve palsy depend on the location of injury. The motor nucleus of CN VII has dorsal and ventral divisions that supply the upper and lower face, respectively. There is bilateral innervation of the dorsal division but only contralateral innervation of the ventral division. Supranuclear lesions affect upper motor neurons proximal to the motor nucleus in such locations as the cerebral cortex, internal capsule, and cerebral peduncle. This results in central facial palsy that affects the contralateral lower face but spares the forehead and brow muscles. Infranuclear lesions occur distal to the facial nerve nucleus and produce peripheral facial palsy affecting the ipsilateral upper and lower face. Within the infranuclear pathway, the presence of additional symptoms can help further localize lesions. Involvement of CN VI presents with lateral rectus palsy, or inability to abduct the eye. This suggests a lesion of the facial colliculus in the pons, in which efferent CN VII fibers encircle the CN VI motor nucleus. Involvement of CN VIII causes auditory or vestibular symptoms. This suggests a cisternal or canalicular lesion in which CN VII and VIII nerve roots course together after emerging from the cerebellopontine angle. Finally, certain branches of the facial nerve control specialized functions. The greater superficial petrosal nerve controls lacrimation, the stapedius dampens sound transmission in the inner ear, and the chorda tympani is responsible for taste. Lesions proximal to the geniculate ganglion lose all three functions, lesions between the geniculate ganglion and stylomastoid foramen have preserved lacrimation, and extracranial lesions spare all three functions. Anatomy and Pathology of the Facial Nerve

Meningeal carcinomatosis of lung cancer manifested as facial nerve palsy: case report and a literature review

A 79-year-old man presented with progressive right facial nerve palsy (FNP). He had pulmonary adenocarcinoma for 12 years and was treated with chemotherapy consisting of carboplatin plus paclitaxel. Neither an intracranial tumor nor cancer cells were detected in the brain image and the cerebrospinal fluid at the onset of FNP. Analysis of a second lumbar puncture demonstrated meningeal carcinomatosis 2 months after the first appearance of FNP symptoms, and the patient’s hearing subsequently became impaired and deteriorated. The patient was transferred to another hospital for end-of-life care 7 months after the first symptoms of FNP. This is a rare case of FNP caused by meningeal carcinomatosis and unusual because FNP preceded impaired hearing.

High Mega Jugular Bulb Presenting with Facial Nerve Palsy and Severe Headache

We present a rare case of a 50-year-old female patient with symptomatic high mega jugular bulb requiring surgery. We review her medical file, preoperative and postoperative imaging, audiograms, and surgical report. High jugular bulb was diagnosed with computed tomography and magnetic resonance imaging. Symptoms of facial nerve palsy and headache were abolished after surgical procedure. Headache and facial nerve palsy can be caused by high mega jugular bulb. Surgery is indicated in such symptomatic cases and leads to relief of signs and symptoms of disease.