Volume 84, Number 8 www.aafp.org/afp American Family Physician 947 Bell palsy is an idiopathic, unilateral, acute paresis or paralysis of facial movement caused by dysfunction of the lower motor neuron. Up to 30 percent of persons with acute peripheral facial palsy have an alternative cause diagnosed at presentation or during the course of their facial palsy. Alternative causes are higher in ch...

Acquired peripheral facial nerve paralysis is a relatively common disorder that affects both children and adults. The most frequent nontrauma-related etiologies in otherwise neurologically intact patients are idiopathic (Bell's palsy) and infectious, which includes otitis media, herpes zoster, Lyme disease, herpes simplex virus, Epstein-Barr virus, and Mycoplasma pneumoniae. Cat scratch disease...

UNLABELLED Facial paralysis, in the form of Bell's syndrome, is an acute paralysis of idiopathic origin. Disability in patients with this medical condition is the result of impairment or loss of complex and multidimensional functions of the face like emotion expression through facial mimics, facial identity and communication. AIM This study aimed to present new and improved practical manual t...

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...

Peripheral facial nerve paralysis is relatively common in the pediatric age group. Infectious agents convincingly associated with acute facial palsy include varicella-zoster virus, herpes simplex virus, cytomegalovirus, Epstein–Barr virus, rubella virus, and more recently, human immunodeficiency virus. However, facial palsy has rarely been documented in patients with mumps virus infection. Faci...

OBJECTIVE The aim of this paper was to address the management of acute facial nerve paralysis after temporal bone fracture and the outcomes of late decompression. METHODS The study design was a retrospective review of eight patients who underwent late decompression of acute facial nerve paralysis due to temporal bone fracture involving the geniculate region. Pre-operative electrophysiological...

background: diseases that cause acute flaccid paralysis (afp) often progress rapidly, thus may cause life threatening complications, therefore, their diagnosis and cure are important. this study was carried out to investigate the causes of acute generalized weakness in children referred to amirkola children’s hospital, in babol, iran. methods: in this case series, the epidemiological causes of ...

A previously healthy 40-year-old male was admitted to investigate the second episode of an acute flaccid paralysis that occurred within 3 months. Both began suddenly in the early morning as generalized weakness evolving to paralysis within 2 h, and sparing respiratory and facial muscles. The paralysis was painless, and there was no disturbance of consciousness. Vital signs, including heart rate...

Acute otitis media is diagnosed commonly in the pediatric population. Numerous complications, one of which is facial palsy, may result. Facial paralysis may be the initial complaint in the child in whom acute otitis media later develops on the affected side, as was true in the case reported here. Dehiscence of the fallopian canal, physiologic canaliculi along the facial nerve to the periphery, ...

Bilateral facial paralysis caused by bilateral temporal bone fracture is a rare clinical entity, with seven cases reported in the literature to date. In this paper, we describe a 40-year-old male patient with bilateral facial paralysis and hearing loss that developed after an occupational accident. On physical examination, House-Brackmann (HB) facial paralysis of grade 6 was observed on the rig...