Bilateral facial nerve paralysis in the outpatient setting; the need for follow-up in the face of a serious pathology

Chaucer, Benjamin; Yogendran, Lalanthica; Rubinshteyn, Lyudmila

doi:10.1016/j.ajem.2015.11.064

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Bilateral facial palsy is a very rare condition hence may have not come to our laboratory. 5,6 Right or left side of affection was not significantly different among the patients. Similar to us no significant difference has been observed previously.…”

Section: Discussionmentioning

confidence: 96%

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Right sided facial palsy more common in males while left sided facial palsy more common in females

Jain

Verma

2018

Int J Res Med Sci

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Background:The study describes the retrospective analysis of 54 cases of facial nerve palsy patients seen in our neurophysiology Laboratory during February 2016 to January 2018. Methods: Clinically diagnosed cases of facial nerve palsy encountered at neurophysiology laboratory were analyzed on the basis of their diagnosis, age, sex, side affected and their seasonal occurrence. Patients were grouped in to four age groups of <20 yr, 21-40 yr, 41-60 yr and >60 yr. Results: Out of total 54 facial palsy cases with the mean age of 34.39±14.25 yr, 29 (53.70%) were males and 25 (46.30%) were females. Facial palsy was most common in 21-40 yr age group (42.59%, n=23), followed by 41-60 yr age group (29.63%, n=16). Nearly equal number of cases of right sided (26; 48.15%) and left sided (28; 51.85%) facial palsy were observe. However, right side facial palsy was more common in males with right side to left side facial palsy ratio of 1.90:1 and left sided facial palsy was more common in females with right side to left side facial palsy ratio of 1:2.57. Conclusions: Facial palsy cases are uniformly distributed among males and females with preponderance of right facial palsy in males and left facial palsy in females.

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Section: Discussionmentioning

confidence: 96%

“…4 Bilateral facial palsy is an extremely rare condition with an annual incidence of 1 in 5 million cases. 5,6 Several causes for facial paralysis have been presented in the literature. In two-thirds of the cases, the cause is unknown and such cases are referred to as cases of idiopathic paralysis or Bell's palsy.…”

Section: Introductionmentioning

confidence: 99%

Right sided facial palsy more common in males while left sided facial palsy more common in females

Jain

Verma

2018

Int J Res Med Sci

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“…This is the first Italian family with HGA and adds an unusual but likely under‐recognized source of facial palsy to the list of its causes. Bilateral facial palsy is the most frequent neurological manifestation of HGA, but the disease is generally not taken into consideration in its differential diagnosis (Carswell et al, ; Chaucer et al, ) (Table ). According to the literature, facial neuropathy in HGA is typically bilateral and progressive, with initial involvement of the upper and later spread to the lower nerve branches (Pihlamaa et al, ) .…”

Section: Discussionmentioning

confidence: 99%

Hereditary gelsolin amyloidosis (HGA): a neglected cause of bilateral progressive or recurrent facial palsy

Sagnelli¹,

Piscosquito²,

Bella

et al. 2017

J Peripheral Nervous Sys

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We report the first Italian family affected by hereditary gelsolin amyloidosis (HGA), a rare autosomal dominant disease characterized by adult-onset slowly progressive cranial neuropathy, lattice corneal dystrophy, and cutis laxa. The index case was a 39-year-old male with a 9-year history of progressive bilateral facial nerve palsy. His mother had two episodes of acute facial palsy, and his maternal aunt and grandfather were also affected. Electrophysiological studies confirmed bilateral facial nerve involvement, without signs of peripheral polyneuropathy, and ophthalmological examination showed bilateral lattice corneal dystrophy, in both the index case and his mother. Gelsolin-gene sequencing revealed the heterozygous c.640G>A mutation (p.Asp187Asn) in the proband, his mother and aunt and also in three apparently asymptomatic relatives. The majority of HGA patients come from Finland, although several cases have been reported from other countries. HGA should be considered in the differential diagnosis of progressive or recurrent bilateral facial neuropathy.

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Bilateral facial paralysis in a non-Hodgkin lymphoma during remission period: a rare but an important condition to be investigated

Bugueno

Jacobs

Hexner

et al. 2016

The American Journal of Emergency Medicine

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Bilateral facial nerve paralysis in the outpatient setting; the need for follow-up in the face of a serious pathology

Cited by 3 publications

References 9 publications

Right sided facial palsy more common in males while left sided facial palsy more common in females

Right sided facial palsy more common in males while left sided facial palsy more common in females

Hereditary gelsolin amyloidosis (HGA): a neglected cause of bilateral progressive or recurrent facial palsy

Bilateral facial paralysis in a non-Hodgkin lymphoma during remission period: a rare but an important condition to be investigated

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