1,581 results match your criteria Bell Palsy


French Society of ENT (SFORL) guidelines. Management of acute Bell's palsy.

Eur Ann Otorhinolaryngol Head Neck Dis 2020 Jul 4. Epub 2020 Jul 4.

Service d'Otologie et d'Otoneurologie, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Chemin du Grand Revoyet, 69495 Pierre-Bénite, France. Electronic address:

AQFThe authors present the guidelines of the French Society of ENT and Head and Neck Surgery (SFORL) regarding the management of Bell's palsy in adults. After a literature review by a multidisciplinary workgroup, guidelines were drawn up based on retrieved articles and group-members' experience, then read over by an independent group to edit the final version. Guidelines were graded A, B, C or "expert opinion" according to decreasing level of evidence. Read More

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http://dx.doi.org/10.1016/j.anorl.2020.06.004DOI Listing

Oculo-Auricular Synkinesia Post Bell's Palsy Causing Unilateral Wilson's Phenomenon.

Mov Disord Clin Pract 2020 Jul 4;7(5):564-566. Epub 2020 Jun 4.

Department of Internal Medicine University of Manitoba Winnipeg Manitoba Canada.

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http://dx.doi.org/10.1002/mdc3.12973DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328414PMC

Zoster sine herpete: a review.

Korean J Pain 2020 Jul;33(3):208-215

Department of Pain Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, China.

Zoster sine herpete (ZSH) is one of the atypical clinical manifestations of herpes zoster (HZ), which stems from infection and reactivation of the varicella-zoster virus (VZV) in the cranial nerve, spinal nerve, viscera, or autonomic nerve. Patients with ZSH display variable symptoms, such as neuralgia, however, different from HZ, ZSH show no zoster, which makes clinical diagnosis difficult. ZSH not only causes initial symptoms, such as neuropathic pain in the affected nerve, Bell palsy, and Ramsay Hunt syndrome, but also postherpetic neuralgia and fatal complications such as VZV encephalitis and stroke. Read More

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http://dx.doi.org/10.3344/kjp.2020.33.3.208DOI Listing

ART IN MEDICINE: A RETROSPECTIVE ON THE ANATOMICAL DRAWINGS OF CHARLES BELL.

Acta Clin Croat 2019 Dec;58(4):737-743

1Ninewells Hospital, Dundee, Scotland, UK; 2Western General Hospital, Edinburgh, Scotland, UK.

Perhaps best known for his discovery of the eponymous syndrome 'Bell's Palsy', Charles Bell (1774-1842) made significant contributions to neuroscience, medical education and philosophy. Our aim was to examine his neuroanatomical drawings in the context of the era in which they were produced and their influence on future scholars. Emphasis is placed on analysing the artistic techniques employed and Bell's unique manner of conveying both structure and function. Read More

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http://dx.doi.org/10.20471/acc.2019.58.04.21DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314294PMC
December 2019

The Pediatric Subjective Global Nutrition Assessment Classifies More Children With Cerebral Palsy as Malnourished Compared With Anthropometry.

J Acad Nutr Diet 2020 Jun 24. Epub 2020 Jun 24.

Background: Nutrition assessment is multidimensional; however, much of the literature examining the nutritional status of children with cerebral palsy (CP) focuses on a single dimension.

Objective: The aim of the study was to evaluate nutritional status in children and adolescents with CP by comparing results from the Pediatric Subjective Global Nutrition Assessment (SGNA) with results from traditional anthropometric measures.

Design: This study was a cross-sectional observational study. Read More

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http://dx.doi.org/10.1016/j.jand.2020.04.012DOI Listing

Tau Ser208 phosphorylation promotes aggregation and reveals neuropathologic diversity in Alzheimer's disease and other tauopathies.

Acta Neuropathol Commun 2020 Jun 22;8(1):88. Epub 2020 Jun 22.

Department of Neuroscience, College of Medicine, University of Florida, 1275 Center Drive, Gainesville, Florida, 32610, USA.

Tau protein abnormally aggregates in tauopathies, a diverse group of neurologic diseases that includes Alzheimer's disease (AD). In early stages of disease, tau becomes hyperphosphorylated and mislocalized, which can contribute to its aggregation and toxicity. We demonstrate that tau phosphorylation at Ser208 (pSer208) promotes microtubule dysfunction and tau aggregation in cultured cells. Read More

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http://dx.doi.org/10.1186/s40478-020-00967-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310041PMC

Nasolabial Fold Dynamics: Implications for Facial Paralysis and Facial Reanimation Surgery.

Orthod Craniofac Res 2020 Jun 15. Epub 2020 Jun 15.

Department of Orthodontics, Tufts University School of Dental Medicine, Boston, Massachusetts, USA.

Objectives: In patients with facial paralysis, facial reanimation surgery may be needed to normalize facial soft tissue function/movements. Critical for this normalization is the dynamics of the nasolabial folds (NLFs). The objective of this prospective, observational study was to determine the 3D morphologic dynamics of the NLFs in patients with unilateral facial palsy and normal subjects. Read More

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http://dx.doi.org/10.1111/ocr.12400DOI Listing

Compressive Neuropathy of the Facial Nerve Presenting as Bell's Palsy in a Pediatric Patient on High-Frequency Oscillatory Ventilation.

Cureus 2020 May 13;12(5):e8091. Epub 2020 May 13.

Pediatrics, The Brooklyn Hospital Center, Brooklyn, USA.

A three-year eight-month-old female with Werdnig Hoffman disease presented with an acute onset of respiratory failure secondary to influenza infection. The patient required conventional mechanical ventilation (CMV). Due to worsening hypoxemia on maximal support, high-frequency oscillatory ventilation (HFOV) was initiated. Read More

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http://dx.doi.org/10.7759/cureus.8091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292705PMC

Effectiveness comparisons of acupuncture treatments for Bell palsy in adults: A protocol for systematic review and Bayesian network meta-analysis.

Medicine (Baltimore) 2020 Jun;99(23):e20252

First College of Clinical Medicine, Shandong University of Traditional Chinese Medicine.

Background: Bell palsy (BP) is a simple peripheral facial paralysis. A variety of acupuncture treatments have been reported effective for the recovery of BP. However, the relative effectiveness of these acupuncture treatments is still unclear. Read More

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http://dx.doi.org/10.1097/MD.0000000000020252DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306354PMC
June 2020
5.723 Impact Factor

Consensus statement. Corticosteroid therapy in ENT in the context of the COVID-19 pandemic.

Eur Ann Otorhinolaryngol Head Neck Dis 2020 May 4. Epub 2020 May 4.

Department of otorhinolaryngology, head and neck surgery, CHU38 university hospital, Grenoble, France.

This consensus statement about the indications and modalities of corticosteroid treatment in the context of the COVID-19 pandemic was jointly written by experts from the French Association of Otology and Oto-Neurology (AFON) and from the French Society of Otorhinolaryngology, Head and Neck Surgery (SFORL). There is currently not enough data in favour of danger or benefit from corticosteroids in COVID-19, so until this matter is resolved it is advisable to limit their indications to the most serious clinical pictures for which it is well established that this type of treatment has a positive impact on the progression of symptoms. In Grade V and VI Bell's palsy according to the House-Brackmann grading system, a week's course of oral corticosteroids is recommended. Read More

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http://dx.doi.org/10.1016/j.anorl.2020.04.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198134PMC

The Efficacy of Electro-Acupuncture Added to Standard Therapy in the Management of Bell Palsy.

J Craniofac Surg 2020 May 28. Epub 2020 May 28.

Department of Anesthesiology, Aydin State Hospital, Aydin, Turkey.

Objective: To investigate the comparative efficacy of electro-acupuncture when added to standard therapy in patients with Bell palsy in terms of clinical and neurophysiologic outcomes.

Methods: A total of 88 patients with Bell palsy who received standard treatment (ST group; n = 40, mean ± standard deviation age: 39.2 ± 6. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006537DOI Listing

Facial Nerve Palsy: Clinical Practice and Cognitive Errors.

Am J Med 2020 May 20. Epub 2020 May 20.

Department of Radiology and Biomedical Imaging, University of California San Francisco.

Facial paralysis is the most common cranial nerve paralysis and the majority of these are idiopathic. Idiopathic facial nerve paralysis, or Bell palsy, typically presents acutely, affects the entire face, may be associated with hyperacusis, a decrease in lacrimation, salivation, or dysgeusia, and typically resolves spontaneously. The diagnosis of idiopathic facial paralysis is made after a thorough history and physical examination to exclude alternative etiologies and follow-up to ensure recovery of facial function. Read More

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http://dx.doi.org/10.1016/j.amjmed.2020.04.023DOI Listing

Acupuncture as Part of Iatrogenic Facial Nerve Palsy Rehabilitation-First Report.

World Neurosurg 2020 May 17. Epub 2020 May 17.

Division of Neurosurgery, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong. Electronic address:

Background: Facial paresis is one of the complications after treatment for vestibular schwannoma (VS). Acupuncture has been used for Bell palsy but not in iatrogenic facial paresis. The objective of this study is to measure the efficacy of using acupuncture for iatrogenic facial nerve palsy and patients' satisfaction. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.079DOI Listing

[Discussion on refractory factors of Bell's palsy and clinical experience in treatment].

Zhongguo Zhen Jiu 2020 May;40(5):543-6

Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053, China.

The specific therapeutic regimen of Bell's palsy was proposed in association with the common refractory factors and the clinical experience of professor -. It is viewed that aging, absent intervention standard treatment at early stage, no prodromal symptoms and progressive onset are the refractory factors. Acupuncture at the local area is predominated in treatment. Read More

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http://dx.doi.org/10.13703/j.0255-2930.20190618-k0002DOI Listing

Effect of pain on mood affective disorders in adults with cerebral palsy.

Dev Med Child Neurol 2020 Aug 10;62(8):926-932. Epub 2020 May 10.

Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.

Aim: To determine if pain is associated with 12-month incidence of mood affective disorders (MAD) in adults with cerebral palsy (CP).

Method: Data from Optum Clinformatics Data Mart (2013-2016) were used for this retrospective cohort study. Diagnostic codes were used to identify adults (≥18y) with CP, incident cases of MAD, and covariates (other neurodevelopmental conditions, sleep disorders, arthritis). Read More

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http://dx.doi.org/10.1111/dmcn.14559DOI Listing

ACR Appropriateness Criteria® Cerebrovascular Disease-Child.

J Am Coll Radiol 2020 May;17(5S):S36-S54

Specialty Chair, Riley Hospital for Children Indiana University, Indianapolis, Indiana.

Stroke is an uncommon but an important and under-recognized cause of morbidity and mortality in children. Strokes may be due to either brain ischemia or intracranial hemorrhage. Common symptoms of pediatric acute stroke include headache, vomiting, focal weakness, numbness, visual disturbance, seizures, and altered consciousness. Read More

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http://dx.doi.org/10.1016/j.jacr.2020.01.036DOI Listing

The cardiovascular disease burden of non-traumatic fractures for adults with and without cerebral palsy.

Bone 2020 Jul 23;136:115376. Epub 2020 Apr 23.

Department of Kinesiology, University of Texas at Arlington, Arlington, TX, USA.

Background: Individuals with cerebral palsy (CP) are vulnerable to non-trauma fracture (NTFx) and have an elevated burden of cardiovascular disease (CVD) related morbidity and mortality. However, very little is known about the contribution of NTFx to CVD risk among adults with CP. The purpose of this study was to determine if NTFx is a risk factor for CVD among adults with CP and if NTFx exacerbates CVD risk compared to adults without CP. Read More

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http://dx.doi.org/10.1016/j.bone.2020.115376DOI Listing

Neuromuscular Choristoma Variant in the Forearm Presenting as a Posterior Interosseous Nerve Palsy: A Case Report.

JBJS Case Connect 2020 Jan-Mar;10(1):e0525

Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas.

Case: A 14-year-old boy presented with an 18-month history of progressive left wrist drop. Magnetic resonance imaging studies were concerning for mass infiltration of the posterior interosseous nerve (PIN). Surgical resection and pathology confirmed a variant of neuromuscular choristoma (NMC), infiltrated with and surrounded by proliferation of smooth muscle, rather than skeletal muscle. Read More

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http://dx.doi.org/10.2106/JBJS.CC.19.00525DOI Listing

The association between Bell's palsy and rheumatoid arthritis: A longitudinal study.

Medicine (Baltimore) 2020 Mar;99(12):e19568

Department of Laboratory Medicine, Hallym University College of Medicine, Anyang.

This study aimed to evaluate the relationship between Bell's palsy and rheumatoid arthritis in a national sample cohort from Korea.Data were collected for individuals ≥20 years old from 2002 to 2013 in the Korean National Health Insurance Service-National Sample Cohort. We extracted data for patients with rheumatoid arthritis (n = 7628) and 1:4-matched controls (n = 30,512) and analyzed the occurrence of Bell's palsy in both groups. Read More

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http://dx.doi.org/10.1097/MD.0000000000019568DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220118PMC

Incidence Rate of Advanced Chronic Kidney Disease Among Privately Insured Adults with Neurodevelopmental Disabilities.

Clin Epidemiol 2020 27;12:235-243. Epub 2020 Feb 27.

Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA.

Purpose: Due to complex medical profiles, adults with neurodevelopmental disabilities (NDDs) may have a heightened risk for early development of chronic kidney disease (CKD) and accelerated CKD progression to advanced stages and kidney failure. The purpose of this study was to estimate the incidence rate of advanced CKD for adults with NDDs and compare the incidence rate to adults without NDDs.

Patients And Methods: Data were used from the Optum Clinformatics Data Mart to conduct this retrospective cohort study. Read More

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http://dx.doi.org/10.2147/CLEP.S242264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7051893PMC
February 2020

Concentrations of Serum Cyclophilin A in Patients With Bell Palsy.

J Craniofac Surg 2020 Jun;31(4):e368-e370

Department of Otorhinolaryngology-Head and Neck Surgery, St. Elizabeth's Medical Center, Brighton, MA.

Background: Cyclophilin A (CyPA) is the responder protein to stimuli that cause inflammation. To date, no association among CyPA and Bell palsy has been reported.

Methods: The concentrations of Serum CyPA were measured in 90 healthy participants and 92 patients with Bell palsy. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006308DOI Listing

The mortality burden attributable to nontrauma fracture for privately insured adults with epilepsy.

Epilepsia 2020 Apr 27;61(4):714-724. Epub 2020 Feb 27.

Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan.

Objective: Individuals with epilepsy have poor bone development and preservation throughout the lifespan and are vulnerable to nontrauma fracture (NTFx) and post-NTFx complications. However, no studies have examined the contribution of NTFx to mortality among adults with epilepsy. The objective was to determine whether NTFx is a risk factor for mortality among adults with epilepsy. Read More

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http://dx.doi.org/10.1111/epi.16465DOI Listing

[Early treatment of suspension moxibustion for Bell's palsy in acute stage].

Zhongguo Zhen Jiu 2020 Feb;40(2):123-8

Department of Acupuncture-Moxibustion and Rehabilitation, Affiliated Hospital of Chengdu University of TCM, Chengdu 610072, Sichuan Province, China.

Objective: To observe the efficacy of early treatment of suspension moxibustion for Bell's palsy and its influence on the prognosis, and to explore whether the early treatment of suspension moxibustion has non-inferiority effect to hormone treatment and whether suspension moxibustion combined with hormone treatment has the synergistic effect.

Methods: A total of 132 patients with acute-stage Bell's palsy were divided into a hormone group (94 cases) and a moxibustion group (38 cases) by non-random method, and the hormone group was further randomly divided into a hormone with moxibustion group (48 cases) and a hormone without moxibustion group (46 cases). The acupuncture and oral administration of mecobalamin capsule were used as basic treatment. Read More

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http://dx.doi.org/10.13703/j.0255-2930.20190101-k00014DOI Listing
February 2020

Neuromuscular electrical stimulation and shortwave diathermy in unrecovered Bell palsy: A randomized controlled study.

Medicine (Baltimore) 2020 Feb;99(8):e19152

Background: Unrecovered Bell palsy is difficult to treat, because until now in literature there is not a gold standard. This study aimed to evaluate the effectiveness of neuromuscular electrical stimulation (NMES) and shortwave diathermy (SWD) therapy for chronic Bell palsy.

Methods: After 5 months of conventional therapy, this 2-arm randomized controlled trial enrolled and randomly allocated 20 patients to a treatment group with NMES+SWD and supervised exercises (n = 10) or a sham group with supervised exercise alone (n = 10). Read More

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http://dx.doi.org/10.1097/MD.0000000000019152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034718PMC
February 2020
5.723 Impact Factor

Prognostic role of homeostasis model assessment and oral glucose tolerance test in nondiabetic patients with Bell’s palsy

Turk J Med Sci 2020 04 9;50(2):405-410. Epub 2020 Apr 9.

Department of Otolaryngology and Head and Neck Surgery, Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey

Background/aim: We aimed to revealthe incidence and predictive role of insulin resistance and distorted oral glucose tolerance test in nondiabetic patients withBell’s Palsy (BP).

Materials And Methods: Eighty-sixpatients with BP and 28 control subjects; all with normal blood glucose levels and no history of diabetes, were enrolled in the study. We investigated insulin resistance (IR) in all subjects, in terms of HOMA-IR greater than 2. Read More

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http://dx.doi.org/10.3906/sag-1901-151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164762PMC

Neurotologic Complications Following Microvascular Decompression: A Retrospective Study.

J Neurol Surg B Skull Base 2020 Feb 14;81(1):37-42. Epub 2019 Feb 14.

Department of Otolaryngology - Head and Neck Surgery, Loyola University Medical Center, Maywood, Illinois, United States.

 The main purpose of this article is to determine the frequency of neurotologic complications after posterior fossa microvascular decompression (MVD) surgery.  Retrospective case review.  Tertiary care referral center. Read More

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http://dx.doi.org/10.1055/s-0039-1677688DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6997002PMC
February 2020

The effect of SJS Non-resistance Technique-Facial palsy on a patient with post-acute phase Bell's palsy unresponsive to conventional treatment: A case report.

Explore (NY) 2019 Dec 19. Epub 2019 Dec 19.

Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 3F JS Tower, 538 Gangnam-daero, Gangnam-gu, Seoul, Republic of Korea. Electronic address:

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http://dx.doi.org/10.1016/j.explore.2019.12.002DOI Listing
December 2019

Isolated peripheral-type facial palsy due to contralateral precentral gyrus cavernoma hemorrhage.

J Clin Neurosci 2020 Feb 23;72:452-453. Epub 2020 Jan 23.

Department of Neurology, Rouen University Hospital and University of Rouen, France.

Facial palsy is a condition frequently encountered in neurological daily practice. Typically, telling apart peripheral facial palsy (PFP) from central facial palsy is easy, and depends on the presence of the upper face involvement. However weakness of eye closure can be seen also in cases of central facial palsies, making the diagnosis more difficult. Read More

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http://dx.doi.org/10.1016/j.jocn.2020.01.042DOI Listing
February 2020

Evaluation of Factors Associated With Favorable Outcomes in Adults With Bell Palsy.

JAMA Otolaryngol Head Neck Surg 2020 Jan 23. Epub 2020 Jan 23.

School of Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University, Seoul, Republic of Korea.

Importance: Identification of the factors associated with improved facial nerve function after treatment of Bell palsy is important to provide patients with early and effective treatment.

Objective: To identify factors that are associated with improved treatment outcomes in patients with Bell palsy.

Design, Setting, And Participants: This retrospective cohort study included 1364 patients with Bell palsy treated at the outpatient clinic of the Department of Otolaryngology at the Kyung Hee University Hospital, Seoul, Republic of Korea, between January 1, 2005, and December 31, 2017. Read More

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http://dx.doi.org/10.1001/jamaoto.2019.4312DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6990801PMC
January 2020

A Randomized Trial of Erythropoietin for Neuroprotection in Preterm Infants.

N Engl J Med 2020 01;382(3):233-243

From the University of Washington, Seattle (S.E.J., B.A.C., D.E.M., P.T.V., P.J.H.); Florida Hospital Orlando, Orlando (R.W.), the University of Florida, Gainesville (M.W.), South Miami Hospital, South Miami (J.E.P.), and Johns Hopkins All Children's Hospital, St. Petersburg (V.M.) - all in Florida; the University of Arkansas for Medical Sciences, Little Rock (S.E.C.); the University of Louisville, Louisville, KY (T.R.); Methodist Children's Hospital, San Antonio, TX (K.A.A.); Children's Hospital and Clinics of Minnesota (E.B.-S.) and University of Minnesota Masonic Children's Hospital (R.R., N.F.), Minneapolis, and Children's Minnesota, St. Paul (A.L.) - all in Minnesota; the University of Utah, Salt Lake City (M.B.); Maria Fareri Children's Hospital at Westchester Medical Center, Valhalla, NY (E.F.L.); Wake Forest School of Medicine, Winston-Salem (L.C.D.), and the University of North Carolina, Chapel Hill (T.M.O.) - both in North Carolina; Beth Israel Deaconess Medical Center (I.D.F.) and Boston University (K.K.) - both in Boston; Prentice Women's Hospital (J.Y.K.) and Children's Hospital of the University of Illinois (N.S.) - both in Chicago; Johns Hopkins University, Baltimore (M.M.G.), and the National Institute of Neurological Disorders and Stroke, Bethesda (A.L.H.) - both in Maryland; and the University of New Mexico, Albuquerque (R.K.O., J.L.).

Background: High-dose erythropoietin has been shown to have a neuroprotective effect in preclinical models of neonatal brain injury, and phase 2 trials have suggested possible efficacy; however, the benefits and safety of this therapy in extremely preterm infants have not been established.

Methods: In this multicenter, randomized, double-blind trial of high-dose erythropoietin, we assigned 941 infants who were born at 24 weeks 0 days to 27 weeks 6 days of gestation to receive erythropoietin or placebo within 24 hours after birth. Erythropoietin was administered intravenously at a dose of 1000 U per kilogram of body weight every 48 hours for a total of six doses, followed by a maintenance dose of 400 U per kilogram three times per week by subcutaneous injection through 32 completed weeks of postmenstrual age. Read More

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http://dx.doi.org/10.1056/NEJMoa1907423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060076PMC
January 2020
55.873 Impact Factor

Short-Term Systemic Corticosteroids: Appropriate Use in Primary Care.

Am Fam Physician 2020 01;101(2):89-94

University of Georgia, Athens, GA, USA.

Short-term systemic corticosteroids, also known as steroids, are frequently prescribed for adults in the outpatient setting by primary care physicians. There is a lack of supporting evidence for most diagnoses for which steroids are prescribed, and there is evidence against steroid use for patients with acute bronchitis, acute sinusitis, carpal tunnel, and allergic rhinitis. There is insufficient evidence supporting routine use of steroids for patients with acute pharyngitis, lumbar radiculopathy, carpal tunnel, and herpes zoster. Read More

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January 2020

The Utility of Facial Nerve Ultrasonography in Bell's Palsy.

Otolaryngol Head Neck Surg 2020 Feb 24;162(2):186-192. Epub 2019 Dec 24.

Department of Neurology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.

Objective: This study aimed to investigate the utility of facial nerve ultrasonography in the functional and structural assessment of early-stage Bell's palsy and the prognostic value of facial nerve ultrasonography in Bell's palsy.

Study Design: Prospective longitudinal study.

Setting: Single center, a university-affiliated neurology clinic. Read More

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http://dx.doi.org/10.1177/0194599819896298DOI Listing
February 2020

Bell's Palsy in Pregnancy.

Obstet Gynecol Surv 2019 Nov;74(11):674-678

Associate Professor of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR.

Importance: The incidence and severity of Bell's palsy are increased in pregnancy, with most cases arising in the third trimester or postpartum period. It has been indicated that pregnancy-related Bell's palsy has worse long-term outcomes, such as complete facial paralysis, compared with nonpregnant women and males.

Objective: This article outlines the existing literature diagnosis, treatment, and prognosis of Bell's palsy, specifically looking at the implications during pregnancy. Read More

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http://dx.doi.org/10.1097/OGX.0000000000000732DOI Listing
November 2019

Teaching Video NeuroImages: Cephalic tetanus: Not every facial weakness is Bell palsy.

Neurology 2019 11;93(21):e1995-e1996

From the Department of Neurology (F.A.N., N.H.), Baylor College of Medicine, Houston, TX; and Department of Neurosurgery (F.D.A.), Hospital Irmã Denise-CASU, Caratinga, Minas Gerais, Brazil.

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http://dx.doi.org/10.1212/WNL.0000000000008536DOI Listing
November 2019
8.286 Impact Factor

The Diagnosis and Treatment of Idiopathic Facial Paresis (Bell's Palsy).

Dtsch Arztebl Int 2019 10;116(41):692-702

Department of Neurology, Klinikum Landshut; Department of Neurology, Asklepios Klinik Barmbek, Hamburg; Orbitazentrum, Bürgerhospital, Frankfurt; Department of Otolaryngology, Jena University Hospital; Department of General Practice, Julius-Maximilians-Universität Würzburg.

Background: Peripheral facial nerve palsy is the most com- mon functional disturbance of a cranial nerve. 60-75% of cases are idiopathic.

Methods: This review is based on a selective literature search proceeding from the current, updated German-language guideline on the diagnosis and treatment of idiopathic facial nerve palsy. Read More

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http://dx.doi.org/10.3238/arztebl.2019.0692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6865187PMC
October 2019

Recurrent Bell's palsy: outcomes and correlation with clinical comorbidities.

Acta Otorhinolaryngol Ital 2019 Oct;39(5):316-321

Department of Oral and Maxillo-Facial Surgery, University Sapienza of Rome, Italy.

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http://dx.doi.org/10.14639/0392-100X-2415DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6843582PMC
October 2019

Genetic variation in dopamine neurotransmission and motor development of infants born extremely-low-birthweight.

Dev Med Child Neurol 2020 Jun 6;62(6):750-757. Epub 2019 Nov 6.

Division of Neonatology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.

Aim: To determine if genetic variation associated with decreased dopamine neurotransmission predicts a decrease in motor development in a convenience cohort study of infants born extremely-low-birthweight (ELBW).

Method: Four hundred and ninety-eight infants born ELBW had genome-wide genotyping and a neurodevelopmental evaluation at 18 to 22 months of age, corrected for preterm birth. A polygenic risk score (PRS) was created to combine into one predictor variable the hypothesized influences on motor development of alleles at seven independent single nucleotide polymorphisms previously associated with relative decreases in both dopamine neurotransmission and motor learning, by summing the number of alleles present in each infant (range=0-14). Read More

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http://dx.doi.org/10.1111/dmcn.14383DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200269PMC

Functional Outcome of Bell Tawse Procedure for the Management of Chronic Unreduced Monteggia Fracture-Dislocation in Children.

Indian J Orthop 2019 Nov-Dec;53(6):745-750

Department of Orthopedic Surgery, KIMS Al Shifa Hospital, Perinthalmanna, Kerala, India.

Aim Of Study: Unreduced or missed Monteggia fracture-dislocation after 4 weeks is a common presentation in a tertiary care center. The aim of this study is to study the functional outcome of Bell Tawse procedure for the management of chronic unreduced Monteggia fracture-dislocation in children.

Materials And Methods: In this retrospective study with prospective data collection, 17 children were treated with open reduction of the radial head and annular ligament reconstruction (Bell Tawse) combined with ulnar osteotomy. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_47_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6804388PMC
November 2019

Facial palsy: when and why to refer for specialist care.

Br J Gen Pract 2019 11 31;69(688):579-580. Epub 2019 Oct 31.

Department of Plastic and Reconstructive Surgery, Queen Victoria Hospital, East Grinstead.

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http://dx.doi.org/10.3399/bjgp19X706541DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6808583PMC
November 2019

Clinical and radiological findings of facial paralysis in multiple sclerosis.

Mult Scler Relat Disord 2020 Jan 18;37:101456. Epub 2019 Oct 18.

Multiple Sclerosis Center, Wayne State University, Detroit (MI) United States.

Background: Diagnosis of central or peripheral facial palsy (FP) is traditionally based on clinical evaluation. This study aims at investigating the relationship between clinical evaluation of FP and lesion location as visible on Magnetic Resonance Imaging (MRI) in patients with Multiple Sclerosis (MS) for the purpose of adding supporting evidence to the diagnosis of central or peripheral FP in these patients.

Methods: A retrospective study was conducted on data from patients who underwent MS treatment between January 2016 and January 2019 at the MS Center of Wayne State University, MI, USA, and presented with at least one episode of FP during the observational period. Read More

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http://dx.doi.org/10.1016/j.msard.2019.101456DOI Listing
January 2020

Subarachnoid haemorrhage due to intracranial vertebral artery dissection presenting with atypical cauda equina syndrome features: case report.

BMC Neurol 2019 Oct 30;19(1):262. Epub 2019 Oct 30.

Department of Neurosurgery, Charing Cross Hospital, Imperial College Healthcare NHS Trust, Fulham Palace Rd, Hammersmith, London, W6 8RF, UK.

Background: Failing to recognise the signs and symptoms of subarachnoid haemorrhage (SAH) causes diagnostic delay and may result in poorer outcomes. We report a rare case of SAH secondary to a vertebral artery dissection (VAD) that initially presented with cauda equina-like features, followed by symptoms more typical of SAH.

Case Presentation: A 55-year-old man developed severe lower back pain after sudden movement. Read More

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http://dx.doi.org/10.1186/s12883-019-1487-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820950PMC
October 2019
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Factors Associated With Fast Recovery of Bell Palsy in Children.

J Child Neurol 2020 Jan 17;35(1):71-76. Epub 2019 Oct 17.

Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea.

The purpose of this study was to identify the clinical characteristics and factors affecting the prognosis of children with Bell palsy. We retrospectively reviewed the medical records of 53 pediatric patients diagnosed with Bell palsy. After a mean follow-up period of 30 days, 30 patients (56%) were completely recovered, 21 patients (40%) were partially recovered, and 2 patients (4%) had not recovered. Read More

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http://dx.doi.org/10.1177/0883073819877098DOI Listing
January 2020

[Clinical observation on time-effect of electroacupuncture for idiopathic facial paralysis].

Zhongguo Zhen Jiu 2019 Oct;39(10):1059-62

Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu Province, China.

Objective: To observe the effect of different acupuncture frequency and duration of needle retention on idiopathic facial paralysis, and optimize the acupuncture treatment plan.

Methods: A total of 140 patients were randomized into a group A (37 cases, 3 cases dropped off), a group B (35 cases, 3 cases dropped off), a group C (34 cases, 1 case dropped off) and a group D (34 cases, 1 case dropped off). Under the same basic treatment, acupuncture intervention time (day 8 of morbidity), acupoint selection [Cuanzhu (BL 2), Yangbai (GB 14), Taiyang (EX-HN 5), Yingxiang (LI 20), Jiache (ST 6), Dicang (ST 4) on the affected side, Chengjiang (CV 24) and Hegu (LI 4) on the unaffected side] and electroacupuncture intervention, different acupuncture interval time and duration of needle retention were applied. Read More

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http://dx.doi.org/10.13703/j.0255-2930.2019.10.007DOI Listing
October 2019

Variations in the management of acute Bell's palsy.

Am J Otolaryngol 2020 Jan - Feb;41(1):102299. Epub 2019 Sep 10.

Department of Surgery (Section of Otolaryngology), Yale University School of Medicine, New Haven, CT, United States of America. Electronic address:

Objective: To identify presiding practices among neurotologists (ORL) in the care of acute Bell's palsy, and to compare them to neurologists' treatment patterns.

Study Design And Methods: Cross-sectional survey study.

Subjects: Neurotologists and neurologists. Read More

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http://dx.doi.org/10.1016/j.amjoto.2019.102299DOI Listing

Prescription opioid dispensing in Australian children and adolescents: a national population-based study.

Lancet Child Adolesc Health 2019 12 8;3(12):881-888. Epub 2019 Oct 8.

Children's Hospital at Westmead, University of Sydney, Sydney, NSW, Australia.

Background: There are few population-based studies of paediatric opioid use. We aimed to investigate the prevalence of opioid dispensing in Australian children and adolescents.

Methods: In this population-based study, we used data from a random sample of 15% of the children and adolescents who had received any medicines between Feb 1, 2013, and Dec 31, 2017, through the Australian Pharmaceutical Benefits Scheme (PBS). Read More

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http://dx.doi.org/10.1016/S2352-4642(19)30329-3DOI Listing
December 2019
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Neurolocalization of taste disorders.

Authors:
Steven M Bromley

Handb Clin Neurol 2019 ;164:303-323

South Jersey MS Center and Bromley Neurology, PC, Audubon, NJ, United States. Electronic address:

Neurolocalization of taste disorders requires a knowledge of the functional anatomy involved in mediating taste information from the peripheral mucosal surfaces through numerous peripheral cranial nerves to complex subcortical and cortical brain regions. Our understanding of this functional anatomy has advanced in recent years. Taste is an experience that is both innate and learned, and the "taste" experience involves the integration of information from other sensory modalities, such as olfaction and somatosensation. Read More

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http://dx.doi.org/10.1016/B978-0-444-63855-7.00019-8DOI Listing
March 2020
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Controlled Trial of Two Incremental Milk-Feeding Rates in Preterm Infants.

N Engl J Med 2019 10;381(15):1434-1443

From the Division of Neonatal-Perinatal Medicine, Dalhousie University, Halifax, NS, Canada (J.D.); and Bliss, London (J.A., M.P.), the National Perinatal Epidemiology Unit Clinical Trials Unit, Nuffield Department of Population Health, University of Oxford (B.B., U.B., O.H., E.J., L.L., O.O., C.P., J.T.), and John Radcliffe Hospital (K.M.), Oxford, the Newcastle Neonatal Service, Royal Victoria Infirmary, Newcastle upon Tyne (J.B., N.E.), the Department of Health Sciences, University of Leicester, Leicester (E.B., S.J.), the National Institute for Health Research Southampton Biomedical Research Centre, Department of Child Health, Southampton (A.L.), the Centre for Reviews and Dissemination, University of York, York (W.M.), the School of Health and Population Sciences, University of Birmingham, Birmingham (T.R.), and the Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh (B.S.) - all in the United Kingdom.

Background: Observational data have shown that slow advancement of enteral feeding volumes in preterm infants is associated with a reduced risk of necrotizing enterocolitis but an increased risk of late-onset sepsis. However, data from randomized trials are limited.

Methods: We randomly assigned very preterm or very-low-birth-weight infants to daily milk increments of 30 ml per kilogram of body weight (faster increment) or 18 ml per kilogram (slower increment) until reaching full feeding volumes. Read More

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http://dx.doi.org/10.1056/NEJMoa1816654DOI Listing
October 2019
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Automated objective and marker-free facial grading using photographs of patients with facial palsy.

Eur Arch Otorhinolaryngol 2019 Dec 18;276(12):3335-3343. Epub 2019 Sep 18.

Department of Otorhinolaryngology, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.

Purpose: An automated, objective, fast and simple classification system for the grading of facial palsy (FP) is lacking.

Methods: An observational single center study was performed. 4572 photographs of 233 patients with unilateral peripheral FP were subjectively rated and automatically analyzed applying a machine learning approach including Supervised Descent Method. Read More

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http://dx.doi.org/10.1007/s00405-019-05647-7DOI Listing
December 2019
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Delayed recognition of emotional facial expressions in Bell's palsy.

Cortex 2019 11 9;120:524-531. Epub 2019 Aug 9.

Department of Neurology, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum, Berlin, Germany. Electronic address:

We investigated the impact of acute facial palsy on the recognition of emotional facial expressions. Thirty-one patients with acute facial palsy and 30 healthy controls performed a well-established test battery with tasks both for mere face recognition (FACE) and for recognition of emotional facial expressions (EMO). Participants were tested at disease onset (t1) and about eight weeks thereafter (t2). Read More

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http://dx.doi.org/10.1016/j.cortex.2019.07.015DOI Listing
November 2019