Seasonal Variation of Bell’s Palsy in Athens, Greece – A Hospital-Based Retrospective Evaluation over Fifteen Years

Spengos, Konstantinos; Sameli, Sofia; Stouraitis, Georgios; Kolias, Angelos G.; Koulouri, Olymbia; Kokkinos, Zacharias; Makrylou, Irini; Tsivgoulis, Athanassios; Tsivgoulis, Georgios; Vassilopoulos, D.

doi:10.1159/000092779

Cited by 25 publications

(19 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Findings of previous studies with regard to the seasonality of BP are inconsistent. Some studies have suggested that the cold season is associated with a higher occurrence of BP [5,17,22,23], while others have not observed any seasonal variations [1,12,24]. None of those earlier studies evaluated the seasonality of BP in as large a study as the one used here.…”

Section: Discussionmentioning

confidence: 80%

Epidemiologic and Clinical Features of Bell’s Palsy among Children in Northern California

et al. 2012

View full text Add to dashboard Cite

Background: Bell’s palsy (BP) is an acute, idiopathic, and usually unilateral paralysis of the facial nerve. Large population-based studies of BP among children are lacking. We determined epidemiologic and clinical features of BP among children enrolled in a large integrated health care delivery system. Methods: From 2001 through 2006, all children ≤18 years of age diagnosed with BP within the population of Kaiser Permanente Northern California were identified using the International Classification of Diseases, 9th Revision, code 351.0. All cases were adjudicated by an otolaryngologist and categorized as definite, probable, or rejected. Using chart abstraction forms, epidemiologic and clinical features of BP were determined. Results: Of a total of 977 cases initially identified, 822 (84.1%) were adjudicated as a definite or probable case. The overall incidence rate of BP during the study period was 18.8 (95% CI 17.6–20.2) per 100,000 person-years. The incidence rate increased by age and was higher in females than males across all age strata. There was no evidence for a seasonal pattern in the occurrence of BP (p for trend = 0.81). Conclusions: BP among children may be more common than previously recognized.

show abstract

Section: Discussionmentioning

confidence: 80%

Epidemiologic and Clinical Features of Bell’s Palsy among Children in Northern California

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Although it has been researched over time, the true cause was still unclear [8,9]. Spengos et al [10] has reported that greatest incidence of BP has been observed among the Japanese and the Mexican population, while the least incidence was among the Swedish population. There have been some previous studies about the seasonal incidence of BP.…”

Section: Discussionmentioning

confidence: 99%

Bell's Palsy: Clinical Analysis of 372 Cases and Review of Related Literature

et al. 2017

View full text Add to dashboard Cite

Objective: To analyze some clinical and epidemiologic aspects of Bell's palsy (BP) and to develop relevant correlations between existing data in literature and those obtained in this research. Methods: From January 2012 to December 2014, 372 consecutive patients diagnosed with BP were studied retrospectively. We reviewed the patients' data including gender, age, occupation, clinical manifestations, comorbid disease, and the rate of recurrence. Result: The highest incidence was identified in those between 39 and 50 years of age. BP was more frequent in warm seasons (spring and summer) with its incidence reaching a peak value in September. The seasonal incidence of BP was significantly higher in summer (p < 0.05). In addition, diabetes mellitus was the most common accompanying comorbid condition. Conclusion: The peak age when BP showed up was in the fourth decade of life and 55.1% of patients belonged to the male gender. BP has been observed to have the highest incidence during warm seasons (spring and summer). Diabetes mellitus was the most common comorbid condition accompanying BP. In addition, a recurrence was more likely to occur in the first 1.5 years after its first incidence.

show abstract

“…O mesmo verificou-se no estudo de Yanagihara [6], em que a incidência máxima ocorreu entre a segunda e a quarta décadas de vida. Sazonalmente, Spengos et al [7] obtiveram resultados semelhantes aos do presente estudo, com um declínio da paralisia de Bell no verão e um pico de incidência no inverno.…”

Section: Discussionunclassified

Tipo de terapêutica e fatores de prognóstico na paralisia de Bell: estudo retrospectivo de cinco anos em um hospital português

Ferraria

Silva

Rosa

et al. 2016

Sci Med

View full text Add to dashboard Cite

Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. RESUMOObjetivos: Comparar as abordagens terapêuticas na paralisia de Bell (corticoterapia versus corticoterapia mais terapia antiviral, assim como tratamento fisioterápico) e investigar potenciais fatores relacionados com sua evolução clínica e prognóstico. Métodos: Estudo retrospectivo dos casos de paralisia de Bell atendidos no Hospital Garcia de Orta, em Almada, Portugal, entre 2009 e 2013 (cinco anos). Avaliou-se a gravidade da disfunção inicial da paralisia pela escala de House-Brackmann. A avaliação das abordagens terapêuticas e dos fatores de prognóstico foi realizada com base na taxa e tempo de recuperação, sendo a recuperação considerada total quando o grau de House-Brackmann foi I após a terapêutica. Diabetes mellitus e gravidez e/ou puerpério foram avaliados também como fatores de risco para recorrência. Foram utilizados testes não paramétricos, com nível de significância p<0,05. Resultados: Registraram-se 180 casos de paralisia de Bell no período do estudo, correspondendo a uma incidência média de 36 casos/ano. A principal terapêutica utilizada foi a combinação entre corticosteroide e antiviral, em 67,2% dos casos. A taxa de recuperação total com uso dessa combinação foi de 65,5% (57 de 87 doentes) versus 72,4% (21 de 29 pacientes) com corticoterapia isolada. Relativamente ao tempo de recuperação, 72,4% (63 de 87 doentes) recuperaram em três meses com o uso da combinação versus 75,8% (22 de 29 doentes) com corticoterapia isolada. Não se verificou, portanto, associação estatisticamente significativa entre o tipo de terapêutica tanto relativamente à taxa (p=0,689) como relativamente ao tempo de recuperação (p=0,977). A presença de otalgia e/ou disgeusia foi o único fator estatisticamente relacionado com a evolução clínica, associando-se a uma menor taxa (51,2% versus 74,4%) (p=0,004) e a um maior tempo de recuperação (60,5% versus 79,2% de taxa de recuperação aos três meses) (p=0,011). Verificou-se associação estatisticamente significativa do tratamento fisioterápico com maior taxa de recuperação (p=0,049). Em 24,1% (sete de 29) dos doentes com diabetes mellitus houve recorrência da paralisia, contrastando com apenas 6,0% (nove de 51) de recorrência em doentes sem diabetes mellitus (p=0,006). Conclusões: Não houve diferença significativa na taxa de recuperação ou no tempo de recuperação da paralisia de Bell entre os casos que receberam terapêutica com corticosteroide e antiviral ou corticoterapia isolada. O tratamento fisioterápico associou-se à maior taxa de recuperação. Dos fatores de prognóstico estudados, apenas a queixa de otalgia e/ou disgeusia foi significativa, constituindo fator de mau prognóstico na paralisia de Bell. A presença de diabetes mellitus revelou-se fator de risco para recorrência da paralisia. DESCRITORES: paralisia de Bell; corticosteroides; antivirais;...

show abstract

Seasonal Variation of Bell’s Palsy in Athens, Greece – A Hospital-Based Retrospective Evaluation over Fifteen Years

Cited by 25 publications

References 24 publications

Epidemiologic and Clinical Features of Bell’s Palsy among Children in Northern California

Epidemiologic and Clinical Features of Bell’s Palsy among Children in Northern California

Bell's Palsy: Clinical Analysis of 372 Cases and Review of Related Literature

Tipo de terapêutica e fatores de prognóstico na paralisia de Bell: estudo retrospectivo de cinco anos em um hospital português

Contact Info

Product

Resources

About