| An analysis of diagnostic delay in unilateral facial paralysis. | |
| | |
MedLine Citation:
|
PMID: 15845188 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Bell's palsy or idiopathic facial palsy is the commonest cause of unilateral lower motor neuron facial palsy. Misdiagnosis of facial nerve palsy as Bell's palsy is still seen in clinical practice. The clinician should always consider the possibility of a potentially serious underlying pathology before making the diagnosis of Bell's palsy. We present a series of 13 patients referred to our ENT department with an initial diagnosis of Bell's palsy. Further clinical examination and investigation revealed the underlying cause. Many had additional symptoms and signs related to the ear. In all patients with unilateral facial palsy a detailed history should be taken and thorough clinical examination carried out. Where no recovery occurs within the expected time period further radiological investigations such as computerized axial tomography (CT) and magnetic resonance imaging (MRI) should be performed. Current scanning techniques provide good quality images, which can show occult lesions of the temporal bone, internal acoustic canal and/or cerebellopontine angle. Radiologists with a special interest and experience in otoneurological radiology should ideally report these images, and a close co-operation between ENT surgeon and radiologist is essential in arriving at a proper diagnosis. |
| | |
Authors:
|
A Alaani; R Hogg; N Saravanappa; R M Irving |
Related Documents
:
|
10380138 - Disseminated histoplasmosis causing reversible gaze palsy and optic neuropathy. 10577548 - Oculomotor nerve schwannoma associated with ophthalmoplegic migraine. 8736408 - Cauda equina histiocytosis x. 14756448 - Gliomatosis cerebri in a young patient showing various cranial nerve manifestations: a ... 8822438 - Variable kinematics of capacitating human spermatozoa. 8625068 - Characterization of focal hepatic tumors. value of two-phase scanning with spiral compu... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of laryngology and otology Volume: 119 ISSN: 0022-2151 ISO Abbreviation: J Laryngol Otol Publication Date: 2005 Mar |
Date Detail:
|
Created Date: 2005-04-22 Completed Date: 2005-07-05 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8706896 Medline TA: J Laryngol Otol Country: England |
Other Details:
|
Languages: eng Pagination: 184-8 Citation Subset: AIM; IM |
Affiliation:
|
Department of Otorhinolaryngology, University Hospital Birmingham, Queen Elizabeth Hospital, Birmingham, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Bell Palsy / diagnosis* Cranial Nerve Neoplasms / complications, radiography Diagnosis, Differential Facial Nerve Diseases / complications, radiography Facial Paralysis / etiology*, radiography Female Humans Magnetic Resonance Imaging Male Middle Aged Neurilemmoma / complications, radiography Retrospective Studies Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Constitutive (HO-2) and inducible (HO-1) haem oxygenase in pleomorphic adenomas of the human parotid...
Next Document: A study of chorda tympani nerve injury and related symptoms following middle-ear surgery.