Bilateral Facial Paralysis Related to Sexually Transmitted Herpes Simplex: Clinical Course and MRI Findings

Santos, David Q.; Adour, Kedar K.

doi:10.1177/019459989310800315

Cited by 14 publications

(5 citation statements)

References 21 publications

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“…Comparison of the absolute Gd‐MRI values with the clinical and neurophysiologic scores at the first follow‐up examination revealed that the clinical improvement was more rapid than the decrease of facial nerve enhancement (values were compared with those obtained at the initial examinations). This finding is consistent with findings from the report of Santos and Adour, 24 in which serial Gd‐MRI examinations were performed in a case of bilateral facial paralysis and herpes simplex infection; disappearance of enhancement lagged behind the clinical return of the facial palsy.…”

Section: Discussionsupporting

confidence: 91%

“…To conclude, in this study with repeated serial Gd‐MRI, 24,26 and clinical and neurophysiologic examinations, the disappearance of facial nerve enhancement was related to improved facial nerve function during recovery from mild and moderate cases with Bell's palsy.…”

Section: Discussionsupporting

confidence: 51%

“…23 The background for the difference in the findings concerning the relation between the enhancement pattern and prognosis (as discussed below) may be related to the type of nerve injury. As discussed by Santos and Adour, 24 persistent enhancement may be related to reduced, yet persistent, hyperemia, which continues to pool contrast. In other cases, however, the neural blood circulation may be disturbed when a severe edema exists or in connection with scar formation and/or axonal destruction, resulting in a reduced gadolinium supply to the damaged region.…”

Section: Discussionmentioning

confidence: 87%

“…One could speculate that persisting (prolonged) enhancement is indicative of more severe facial nerve damage and a poor prognosis for recovery. As stated by Santos and Adour, 24 neither the prognostic accuracy nor the cost‐effectiveness of Gd‐MRI, which is a relatively expensive test, has been assessed.…”

Section: Discussionmentioning

confidence: 99%

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Serial Gadolinium‐Enhanced Magnetic Resonance Imaging and Assessment of Facial Nerve Function in Bell's Palsy

Engström

Abdsaleh

Åhlström

et al. 1997

Otolaryngol.--head neck surg.

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Eleven patients with mild or moderate acute idiopathic peripheral facial palsy, so-called Bell's palsy, were serially examined by gadolinium-DTPA-enhanced MRI on mean days 11, 40, and 97 (third examination, n = 10) after the onset of palsy. Results of the clinical and neurophysiologic assessment of facial nerve function were compared with the gadolinium-enhanced MRI findings. Eight of the 11 patients demonstrated contrast enhancement of the facial nerve at the initial examination, but in 7 of them, the enhancement had disappeared by the time of the serial follow-up gadolinium-enhanced MRI scans. The disappearance of facial nerve enhancement was found to be related to clinical and neurophysiologic improvements in facial nerve function during recovery from Bell's palsy. The three patients whose scans were negative at the initial gadolinium-enhanced MRI examination had the same clinical severity of palsy, but initially they had milder neurophysiologic involvement than those who demonstrated enhancement; these three patients did not exhibit enhancement at serial follow-up scans. These findings indicate that the presence of enhancement at the initial MRI scan is not necessarily indicative of a poor prognosis for recovery.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Serial Gadolinium‐Enhanced Magnetic Resonance Imaging and Assessment of Facial Nerve Function in Bell's Palsy

Engström

Abdsaleh

Åhlström

et al. 1997

Otolaryngol.--head neck surg.

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show abstract

“…† Borrelia burgdorferi , 17 Treponema pallidum , 11 , 17 , 49 Mycobacterium tuberculosis , 11 Mycobacterium leprae , 11 Mycoplasma pneumoniae , 50 Leptospira interrogans , 51 Clostridium tetani 52 and bacterial otitis caused by other bacteria 11 26 ‡ Epstein– Barré virus, 17 , 28 herpes simplex virus, 53 human immunodeficiency virus, 11 , 17 varicella zoster virus, 28 rubella virus 54 and poliovirus 55 …”

Section: Discussionmentioning

confidence: 99%