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...

BACKGROUND: Herpes zoster oticus accounts for about 10% cases of facial palsy, which is usually unilateral and complete and full recovery occurs in only about 20% of untreated patients. Bilateral herpes zoster oticus can sometime occur in immunocompromised patients, though incidence is very rare. CASE PRESENTATION: Diabetic male, 57 year old presented to us with bilateral facial palsy due to he...

We treated a 27-year-old man with Heerfordt's syndrome and hearing loss. Physical examination showed swelling of both parotid glands, right peripheral facial palsy and uveitis(iridocyclitis), but no skin lesions. Chest X-ray showed typical bilateral hilar lymphadenopathy. Biopsies of the parotid gland and the gastrocnemius muscle showed epithelioid granulomas. The above findings were consistent...

Pediatric facial nerve palsy (FNP) can result from a variety of etiologies including Lyme disease, varicella, primary gingivostomatitis, herpes zoster oticus (Ramsay Hunt syndrome), coxsackievirus, trauma, otitis media, HIV, diseases causing tumors or demyelinations, compressions, and possibly Epstein Barr virus. Lyme disease has been implicated as the cause of over 50% of the FNPs in children....

The facial nerve is commonly involved in neural sarcoidosis, but there is only one reported case in which bilateral facial paralysis was the sole manifestation of sarcoidosis. We report a case of sarcoidosis presenting with bilateral facial paralysis as the only sign. The pathology, clinical presentation, pathophysiology and diagnosis of sarcoidosis has been discussed.

BACKGROUND While standardized methods are established to examine the pathway from motorcortex to the peripheral nerve in patients with facial palsy, a reliable method to evaluate the facial muscles in patients with long-term palsy for therapy planning is lacking. METHODS A 3D ultrasonographic (US) acquisition system driven by a motorized linear mover combined with conventional US probe was us...