100 patients with hemifacial spasm treated by microvascular decompression are presented. There were 60 females and 40 males. Their ages ranged from 29 to 75 years with a median age of 54 years, and the left side was involved predominantly. The common focal signs were facial nerve palsy in 41 cases, diminished hearing in 14 cases, trigeminal neuralgia in 11 cases, and homolateral trigeminal...

OBJECTIVES To investigate the effects of injection of botulinum toxin type A (BTX A) into the orbicularis oculi muscle and lacrimal gland in patients with aberrant regeneration after facial palsy (facial synkinesias and hyperlacrimation). METHODS The effect of the toxin injection (on average 75 mouse units of BTX A) into the orbicularis oculi muscle on facial synkinesias was assessed on a fiv...

The time course of electrical reactions in this condition varied much from that after section of the facial nerve or after Bell's palsy. It was at least a week before denervation could be suspected in the latter conditions by electrodiagnostic methods. In post-traumatic delayed facial palsy we have demonstrated electrical reactions showing denervation at the time of palsy or even a few days bef...

Objective Involvement of the facial nerve in leprosy can result debilitating features, including blindness. Electrophysiological studies addressing abnormalities along with its branches are limited. This study was designed to assess prevalence and pattern clinical subclinical involvement patients active disease. Methods A hospital-based cross-sectional done 75 who had leprosy. The were examined...

Imaging plays a critical role in the evaluation of a number of facial nerve disorders. The facial nerve has a complex anatomical course; thus, a thorough understanding of the course of the facial nerve is essential to localize the sites of pathology. Facial nerve dysfunction can occur from a variety of causes, which can often be identified on imaging. Computed tomography and magnetic resonance ...

100 patients with hemifacial spasm treated by microvascular decompression are presented. there were 60 females and 40 males. their ages ranged from 29 to 75 years with a median age of 54 years, and the left side was involved predominantly. the common focal signs were facial nerve palsy in 41 cases, diminished hearing in 14 cases, trigeminal neuralgia in 11 cases, and homolateral trigeminal neur...

A 7 day delay occurred in the diagnosis of cephalic tetanus in a 69 year old woman who developed an ipsilateral facial palsy 5 days after a facial laceration. Cranial nerve palsies often precede trismus in this form of tetanus.

PURPOSE Our objective was to identify histologically and intraoperatively verified focal nerve thickening of the distal intrameatal segment on three-dimensional fast spin-echo (FSE) T2-weighted MR images as a new diagnostic criterion in patients with inflammatory peripheral facial nerve palsy. METHODS Twenty-two patients with clinically diagnosed unilateral (n = 20) or bilateral (n = 2) infla...

Guillain-Barre syndrome (GBS) is the most common cause of acute flaccid paralysis worldwide both in adult and pediatric population. Although flaccid paralysis is the hallmark of this disease, there are some rare variants which may be easily missed unless suspected. Here, we present a very rare variant of GBS - acute bulbar palsy plus syndrome in a pediatric patient. A 13-year-old female child p...

This is a retrospective study. The objective of this study is to review the factors influencing the outcome of treatment for the patients presented with idiopathic facial nerve paralysis. The demographic data, clinical presentation and management of 84 patients with idiopathic facial nerve paralysis (Bell's palsy) were collected from the medical record office, reviewed and analyzed from 2000 to...