Controversy surrounds the etiology and treatment of BP. Acute otitis media and facial nerve paralysis in adults. What laboratory studies should you request to help confirm the diagnosis? Often, transcranial magnetic stimulation TMS is used to understand the bilateral corticonuclear projections of the lower facial motor neurons. Patient reassurance is essential , as most cases return spontaneously to full function. In summary, facial representation in corticofacial pathway is complex. Tiemstra JD, Khatkhate N.
This technique must be undertaken within 2 years of paralysis. J Erfindungen Gotha ; 8: Evaluation of upward eye movement with attempted eyelid closure—called Bell's phenomenon—should be noted as it can serve to protect the cornea. Financial support and sponsorship Nil. She was able to mobilize well with no peripheral limb weakness. Friedreich's description of peripheral facial nerve paralysis in
When refering to evidence in academic writing, you should always try to reference the primary original source. Examination of the other cranial nerves was normal. In fact, it may be upper facial sparing is relative rather than absolute [ref 4, 5]. Normal blood sugar levels excluded diabetes as a cause of bilateral FNP in our patient. The treatment involves a combination of prednisolone and acyclovir as early as possible.
An eye patch is of value to protect the cornea. Subscribe to Table of Contents Alerts. Its role in correcting midfacial and lower facial asymmetry in patients with partial facial palsy. In acquired facial palsy, magnetic resonance imaging MRI , with and without contrast, is helpful to look at brain stem, pons, the cerebellopontine angle and the internal auditory canal. Differential Diagnosis Many conditions can produce isolated facial nerve palsy identical to BP. The facial nerve also contains parasympathetic fibers to the lacrimal and salivary glands, as well as limited sensory fibers supplying taste to the anterior two-thirds of the tongue. Serological tests for various agents, including thyroid peroxidase antibodies, antinuclear antibody, anti neutrophil cytoplasmic antibody, syphillis antibody, lyme Borrelia IgM, and Epstein-Barr virus capsid Ag IgM antibody tests, were all negative.