British Journal of General Practice, February 2013 109 IntroduCtIon Facial nerve dysfunction can severely affect a patient’s quality of life. The human face is a focal point for communication and expression. The facial nerve carries motor, sensory, and parasympathetic fibres, so facial palsy results in both a functional and cosmetic impairment. Facial weakness secondary to upper motor neurone l...

IMPORTANCE Although herpes simplex virus type 1 (HSV-1) is a causative agent of Bell palsy, the precise mechanism of the paralysis remains unknown. It is necessary to investigate the pathogenesis and treatment of Bell palsy due to HSV-1 infection. OBJECTIVE This study elucidated the role of nitric oxide (NO) in the incidence of facial nerve paralysis caused by HSV-1 in mice and to evaluate th...

We present a case of concurrent rotator cuff tear and axillary nerve palsy resulting from anterior dislocation of the shoulder and a large glenoid rim fracture-a "terrible tetrad." A 61-year-old woman fell on her right shoulder. Radiographs showed anterior dislocation of the shoulder with a glenoid rim fracture, and an MRI two months after injury revealed a rotator cuff tear. Upon referral to o...

Bell’s palsy, or idiopathic peripheral facial nerve palsy is a neurologic condition characterized by unilateral weakness of muscles. The evidence-based guidelines mostly consider the acute treatment palsy. However, chronic cases are not supported strong evidence regarding options, except for weak recommendation to utilize physical therapy. This case report has presented an application combinati...

Polycythemia vera (PV) is a myeloproliferative disorder associated with neurologic sequelae. The most severe neurologic processes affecting patients with PV are thrombotic and hemorrhagic strokes. Few cases published in the medical literature describe developments of other neurologic symptoms, including papilledema, oculomotor nerve palsy, one-and-a-half syndrome, and trochlear nerve syndrome, ...

Oculomotor palsy is a mononeuropathy, which causes sudden unilateral ptosis and double vision. It often affects older people who have concurrent diabetes and/or hypertension. Oculomotor palsy generally resolves over three to four months as regeneration of affected nerve fibres. there is no effective biomedical treatment. In this report, I present a 76-yearold man who experienced left-sided ocul...

Wegener's granulomatosis (WG) is defined as a granulomatous inflammation of the upper and lower respiratory tract due to a systemic vasculitis. Facial nerve palsy may occur during the course of any granulomatous or vasculitis disease. But very few cases have been reported in which facial nerve palsy is the presenting feature of WG. We recently experienced an interesting case of WG presenting as...

Introduction: We present a retrospective two-center study series and discussion of the current literature to assess the benefits of facial nerve monitoring during parotidectomy. Materials and Methods: From 2007 to 2012, 128 parotidectomies were performed in 125 patients. Of these, 47 procedures were performed without facial nerve monitoring (group 1) and 81 with facial nerve monitoring (group 2...

Lower cranial nerve palsy, also known as Collet-Sicard syndrome, is a fairly rare pathology characterized by unilateral palsy of the IX-X-XI-XII cranial nerves. We report a multiple cranial nerve palsy developing after a head trauma that might have been considered negligible. A 16-year-old boy was admitted with swallowing and articulation problems and difficulty lifting one shoulder after a hea...