Document Detail

Facial paralysis in children: differential diagnosis.
MedLine Citation:
PMID:  6799919     Owner:  NLM     Status:  MEDLINE    
The differential diagnosis in 170 patients between birth and 18 years of age is reviewed. There are a number of obvious physical findings and historical features that allow one to make a diagnosis rather quickly. Pain, vesicles, a red pinna, vertigo, and sensorineural hearing loss suggest herpes zoster oticus. Slow progression beyond three weeks, recurrent facial paralysis involving the same side, facial twitching, weakness, or no return of function after six months indicate a neoplasm. Bilateral simultaneous facial paralysis indicates a cause other than Bell's palsy, such as Guillain-Barré syndrome, pseudobulbar palsy, sarcoidosis, and leukemia. Recurrent facial paralysis associated with a fissured tongue, facial edema, and a positive family history should suggest Melkersson-Rosenthal syndrome.
M May; T J Fria; F Blumenthal; H Curtin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  89     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:    1981 Sep-Oct
Date Detail:
Created Date:  1982-04-12     Completed Date:  1982-04-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  841-8     Citation Subset:  IM    
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MeSH Terms
Abnormalities, Multiple*
Birth Injuries / complications
Child, Preschool
Cranial Nerve Neoplasms / complications
Craniocerebral Trauma / complications
Diagnosis, Differential
Facial Nerve / anatomy & histology*
Facial Paralysis / congenital,  etiology*
Infant, Newborn
Mouth Abnormalities / complications*
Otitis Media, Suppurative / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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