Recovery in 61-Year-Old Male After Bell’s Palsy: A Case Report

Abstract

Peripheral facial nerve palsy is the most common cranial nerve motor neuropathy. In majority of the cases, the cause is idiopathic and improvement of facial muscle function begins within first 3 weeks after onset of disease. This report presents a case of 61-year-old male patient who recourse to the emergency department with facial pain and asymmetry followed by peripheral unilateral facial nerve paralysis that there was no obvious cause. The patient eventually was discharged from hospital with an outpatient therapy of corticosteroid for 3 weeks, the regular courses of physical rehabilitation for the facial muscles weakness and recommendation to return for follow up in the future. Finally, after 4 months of treatment, the patient's facial weakness disappeared thoroughly without complication. In most cases, Bell's palsy has a good prognosis and the patients will recover with outpatient therapy without complication.

A Case of Redundant Sigmoid Colon and Sigmoid Volvulus

“…Colonic volvulus is a clinical condition commonly causing colonic blockage by affecting the cecum and sigmoid colon [ 1 , 2 ]. Publications report that the large bowel can develop volvulus in any part of it.…”

“…Publications report that the large bowel can develop volvulus in any part of it. Adults are typically affected by sigmoid volvulus between their fourth and eighth decades of life [ 2 , 5 ]. Though it was observed commonly in adults, currently, there are case reports from different parts of the world with its incidence across all age groups [ 6 , 7 ].…”

“…Cecal volvulus affects younger women, while sigmoid volvulus primarily affects elderly males. Several risk factors are similar in both locations, including aging, neuropsychiatric disorders, anatomic variations, megacolon, chronic constipation, Chagas disease, Hirschsprung disease, scleroderma, anatomic predispositions, and previous abdominal surgery [ 1 , 2 ].…”

“…It is frequently worse on the left side and is more commonly observed in older adults. Delays in diagnosis are often caused by the clinical signs of subacute progressive volvulus being overstated [ 2 ].…”

“…If untreated, it can lead to potentially fatal consequences, including gangrene, perforation, and intestinal ischemia. Adults are typically affected by sigmoid volvulus, with the highest incidence observed between 40 and 80 years of age [ 2 ]. Some geographical regions have also been termed "volvulus belts" due to the high incidence rates of sigmoid volvulus, which majorly include countries such as India, the Middle East, Russia, Pakistan, Scandinavia, Eastern Europe, Africa, and Latin America.…”