1,880 results match your criteria Bell Palsy

Adverse events of special interest and mortality following vaccination with mRNA (BNT162b2) and inactivated (CoronaVac) SARS-CoV-2 vaccines in Hong Kong: A retrospective study.

PLoS Med 2022 Jun 21;19(6):e1004018. Epub 2022 Jun 21.

Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.

Background: Safety monitoring of coronavirus disease 2019 (COVID-19) vaccines is crucial during mass vaccination rollout to inform the choice of vaccines and reduce vaccine hesitancy. Considering the scant evidence directly comparing the safety profiles of mRNA and inactivated SARS-CoV-2 vaccines, this territory-wide cohort study aims to compare the incidence of various adverse events of special interest (AESIs) and all-cause mortality between CoronaVac (inactivated vaccine) and BNT162b2 (mRNA-based vaccine). Our results can help vaccine recipients make an informed choice. Read More

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The "Mirror Effect Plus Protocol" for acute Bell's palsy: A randomized controlled trial with 1-year follow-up.

Clin Rehabil 2022 Jun 19:2692155221107090. Epub 2022 Jun 19.

Centre de recherche du Centre intégré Universitaire de santé et services sociaux du Nord-de-l'île-de-Montréal, Hôpital du Sacré-Cœur de Montréal, Montréal, Québec, Canada.

Objective: To study the effects of the "Mirror Effect Plus Protocol" (MEPP) on global facial function in acute and severe Bell's Palsy.

Design: Single blind and randomized controlled trial to compare the effects of basic counseling (control group) versus MEPP (experimental group) over one year.

Setting: Outpatient clinic following referrals from Emergency or Otorhinolaryngology Departments. Read More

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Lower Motor Neuron Facial Palsy Due to Facial Colliculus Syndrome.

Yi-En C Seah

Cureus 2022 May 16;14(5):e25053. Epub 2022 May 16.

Accident and Emergency Department, Changi General Hospital, Singapore, SGP.

In patients presenting to the Emergency Department (ED) with acute onset facial asymmetry, decision for disposition is usually based on whether it is an upper (UMN) or lower motor neuron (LMN) cranial nerve 7 (CN7) palsy. In my institution, patients with UMN CN7 palsy would require admission for further investigations to look for central causes. Those who have an isolated LMN facial nerve palsy can be managed as outpatients. Read More

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Case of bilateral Bell's palsy.

BMJ Case Rep 2022 Jun 10;15(6). Epub 2022 Jun 10.

DepartDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University, Shimotsuga-gun, Japan

A man in his 70s presented with a 4-day history of bilateral frontal headache and heaviness of the face. He was unable to close either of his eyes, to wrinkle his forehead bilaterally and to raise either corner of his mouth. The patient was admitted with a diagnosis of bilateral facial palsy. Read More

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Bell's palsy as a possible complication of mRNA-1273 (Moderna) vaccine against COVID-19.

Ann Med Surg (Lond) 2022 Jun 31;78:103897. Epub 2022 May 31.

Department of Neurology, Larkin Community Hospital Palm Springs Campus, Hialeah, FL, United States.

Introduction: Vero Cell, AstraZeneca, Janssen, mRNA-1273 (Moderna), and Pfizer COVID-19 vaccines have been authorized for emergency use in Nepal. These vacines have been linked to some adverse effects, including fever, myalgia, and headache. Furthermore Bell's Palsy a rare adverse effect was also reported to be associated with the use of mRNA-1273 (Moderna) vaccine in some patients. Read More

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Pontine stroke: a rare mimicker of Bell's palsy.

Med J Malaysia 2022 May;77(3):403-405

Taiping Hospital, Department of Internal Medicine, Taiping, Perak, Malaysia.

Pontine infarct is a rare but clinically significant cause of an isolated facial nerve palsy. Prompt diagnosis with the use of magnetic resonance imaging (MRI) allows early initiation of treatment for such patients. We report a 62-year-old gentleman with diabetes, hypertension, and gout, presenting with lower motor neuron facial nerve palsy. Read More

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Bell's palsy with preeclampsia in pregnancy.

Yeshey Dorjey

Clin Case Rep 2022 May 23;10(5):e05918. Epub 2022 May 23.

Phuentsholing Hospital Chukha Bhutan.

Bell's palsy in pregnancy is not frequently seen. The association of preeclampsia with Bell's palsy is reported in the research, however, the exact link between Bell's palsy and preeclampsia is unknown. The treatment of Bell's palsy during the pregnancy is difficult and controversial. Read More

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Bell's palsy with Herpes simplex disciform keratitis: A case report.

Am J Ophthalmol Case Rep 2022 Sep 6;27:101575. Epub 2022 May 6.

Nassau University Medical Center, Department of Ophthalmology, East Meadow, NY, USA.

Purpose: To report a novel case of unilateral peripheral facial nerve palsy manifesting as a complication of Herpes simplex keratitis.

Observations: A 51-year-old immunocompetent male presented with severe eye pain for 3 weeks. He was found to have Herpes simplex keratitis in the left eye and started on valacyclovir 3g per day for 10 days. Read More

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September 2022

Differentiating Bell's Palsy From Lyme-Related Facial Palsy.

Pediatrics 2022 06;149(6)

Divisions of Neurology.

Background And Objectives: To describe the etiology and clinical course of pediatric acute-onset unilateral peripheral facial palsy (FP), to define factors that distinguish Bell's palsy from Lyme-related FP (LRFP), and to determine if early corticosteroid use impacts facial strength recovery in Bell's palsy or LRFP.

Methods: Retrospective cohort study of children 1 to 18 years old who received clinical care within our pediatric clinical care network (Lyme-endemic region) between 2013 and 2018 for acute-onset unilateral peripheral FP.

Results: The study included 306 children; 82 (27%) had LRFP, 209 (68%) had Bell's palsy, and 15 (5%) had FP of different etiology. Read More

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A case of facial nerve palsy in a pediatric patient associated with Covid-19.

Ital J Pediatr 2022 May 16;48(1):75. Epub 2022 May 16.

Department of Pediatrics, Santa Maria delle Croci Hospital, Postal address: 5 Vincenzo Randi Street, 48121, Ravenna, Italy.

Background: Pediatric facial nerve palsy is acute and mostly idiopathic; other causes are post-infectious forms.

Case Presentation: We describe a rare case of facial nerve palsy associated with COVID-19 in a 5-year-old boy. The diagnosis of post-infectious COVID-19-related facial paralysis was made by serology positivity for a previous infection (IgG positive, IgM and IgA weakly positive), in the presence of a negative molecular nasopharyngeal swab and in the absence of other etiologies. Read More

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[Clinical and therapeutic features of herpes zoster oticus: a case report].

Pan Afr Med J 2022 3;41:171. Epub 2022 Mar 3.

Service d'Otorhinolaryngologie et de Chirurgie Cervico-Faciale de l'Hôpital Militaire d'Instruction Mohamed V de Rabat, Faculté de Médecine et Pharmacie Rabat, Université Mohamed V Rabat, Rabat, Maroc.

Ear shingles, also called herpes zoster oticus, are a viral infection of the outer, middle and/or inner ear due to varicella zoster virus (VZV). Patients with ear involvement associated with facial palsy are clinically diagnosed with Ramsay-Hunt´s syndrome. We here report the case of a 25-year-old patient with herpes zoster oticus associated with peripheral facial palsy, without other associated signs. Read More

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Efficacy and Safety of Pharmacological and Physical Therapies for Bell's Palsy: A Bayesian Network Meta-Analysis.

Front Neurol 2022 18;13:868121. Epub 2022 Apr 18.

Department of Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.

Objective: The objective was to comprehensively assess the efficacy and safety of all pharmacological and physical treatments (short-term, ≤ 1 month) for patients with acute Bell's palsy.

Methods: The electronic databases PubMed, Web of Science, Embase, Cochrane Library, and CNKI were searched for the randomized controlled trials comparing two or more regimens in patients with the Bell's palsy to be included in a Bayesian network meta-analysis. Odds ratios and CIs for the primary outcome of the House-Brackmann scale and secondary outcomes of sequelae (synkinesis and crocodile tears) and adverse events were obtained and subgroup analyses of steroids and antivirals were conducted. Read More

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Background incidence rates of adverse events of special interest related to COVID-19 vaccines in Ontario, Canada, 2015 to 2020, to inform COVID-19 vaccine safety surveillance.

Vaccine 2022 May 27;40(24):3305-3312. Epub 2022 Apr 27.

Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; ICES, Toronto, ON, Canada; Public Health Ontario, ON, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada; University Health Network, Toronto, ON, Canada. Electronic address:

Background: Background incidence rates are critical in pharmacovigilance to facilitate identification of vaccine safety signals. We estimated background incidence rates of 11 adverse events of special interest related to COVID-19 vaccines in Ontario, Canada.

Methods: We conducted a population-based retrospective observational study using linked health administrative databases for hospitalizations and emergency department visits among Ontario residents. Read More

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Chemotherapy as Treatment for Acute Myeloid Leukemia (AML)-Induced Facial Nerve Palsy.

Cureus 2022 Mar 31;14(3):e23710. Epub 2022 Mar 31.

Hematology and Medical Oncology, Henry Ford Health System, Detroit, USA.

Acute myeloid leukemia (AML) is a disorder of the myeloid cell line that can manifest infrequently as a granulocytic sarcoma with infiltration into bone and soft tissue. Consequently, cranial nerve neuropathy due to AML infiltration can result in variable neurological deficits, including facial nerve palsy. Here, we present the case of a patient presenting with unilateral facial nerve palsy with evidence of AML in cerebrospinal fluid (CSF) cytology and bilateral opacification of the mastoid air cells suggestive of AML infiltration into the mastoid process. Read More

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Surge of Bell's Palsy in the era of COVID-19: Systematic review.

Eur J Neurol 2022 Apr 28. Epub 2022 Apr 28.

Department of Oral Pathology, Microbiology, and Forensic Odontology, Laxmi Bai Institute of Dental Sciences and Hospital, Patiala, Punjab, India.

Background And Purpose: With the progression of coronavirus infectious disease 2019 (COVID-19), various neurological manifestations have been noticed in infected patients, and Bell's Palsy (BP) is one of the peripheral neuropathies among those. BP has been associated with various other viral agents. Its evidence in patients with COVID-19 signifies the possibility of association between BP and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Read More

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Changes in incidence rates of outcomes of interest in vaccine safety studies during the COVID-19 pandemic.

Vaccine 2022 May 18;40(23):3150-3158. Epub 2022 Apr 18.

Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, United States.

Background: The COVID-19 pandemic caused an abrupt drop in in-person health care (inpatient, Emergency Department, outpatient) and an increase in telehealth care, which poses challenges in vaccine safety studies that identify outcomes from in-person encounters. We examined the changes in incidence rates of selected encounter-based outcomes during the COVID-19 pandemic.

Methods: We assembled a cohort of members from 8 Vaccine Safety Datalink sites from January 1, 2017 through December 31, 2020. Read More

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Distribution of Medical Service Use for Facial Palsy Between Medicine and Traditional Korean Medicine Based on Population-Based Data of Korea.

J Korean Med Sci 2022 Apr 18;37(15):e119. Epub 2022 Apr 18.

Department of Otorhinolaryngology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

We investigated the distribution of medical service uses for Bell's palsy and Ramsay Hunt syndrome between medicine and traditional Korean medicine using the National Health Insurance Service National Sample Cohort data of Korea from 2006 to 2015. Patients were identified with diagnostic codes and medication or treatment claim codes. For Bell's palsy, there were 5,970 (68. Read More

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Facial nerve palsy: the importance of face mask and shield removal examination under the COVID-19 pandemic.

Sunny Chi Lik Au

Vis J Emerg Med 2022 Apr 5;27:101339. Epub 2022 Apr 5.

Department of Ophthalmology, Tung Wah Eastern Hospital, Hong Kong Contact information.

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Staged upper and lower lip reanimation following facial palsy: Peer-reviewed, patient-rated and objective outcomes.

J Plast Reconstr Aesthet Surg 2022 Jun 10;75(6):1861-1869. Epub 2022 Mar 10.

St Andrews' Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, United Kingdom.

Background: One approach to reanimating both upper and lower lips following facial palsy is through staged surgery: cross-face nerve grafting at stage I, free gracilis muscle transfer to levators at stage II and pedicled anterior belly of digastric muscle transfer (ABDMT) to depressors at stage III. The results of this approach were hitherto unquantified.

Methods: This study retrospectively assessed peer-reviewed, patient-rated and objective outcomes following staged reanimation in adults between 2010 and 2020. Read More

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A cross-sectional analysis of facial palsy-related quality of life in 125 patients: Comparing linear, quadratic and cubic regression analyses.

Clin Otolaryngol 2022 Jul 29;47(4):541-545. Epub 2022 Apr 29.

Department of Plastic Surgery, University Medical Center Groningen and University of Groningen, Groningen, the Netherlands.

Introduction: Facial function correlates with quality of life in facial palsy. Previous studies have examined a linear relationship; based on clinical experience, we hypothesize a curved regression (i.e. Read More

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Systemic Steroids for Otolaryngology-Head and Neck Surgery Disorders: An Evidence-Based Primer for Clinicians.

Otolaryngol Head Neck Surg 2022 Mar 29:1945998221087664. Epub 2022 Mar 29.

Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.

Objective: To offer pragmatic, evidence-informed guidance on the use of systemic corticosteroids (SCS) for common otolaryngologic disorders.

Data Sources: PubMed, Cochrane Library, and American Academy of Otolaryngology-Head and Neck Surgery Foundation clinical practice guidelines.

Review Methods: A comprehensive search of published literature through November 2021 was conducted on the efficacy of SCS, alone or in combination with other treatments, for managing disorders in otolaryngology and the subdisciplines. Read More

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Association between covid-19 vaccination, SARS-CoV-2 infection, and risk of immune mediated neurological events: population based cohort and self-controlled case series analysis.

BMJ 2022 03 16;376:e068373. Epub 2022 Mar 16.

Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.

Objective: To study the association between covid-19 vaccines, SARS-CoV-2 infection, and risk of immune mediated neurological events.

Design: Population based historical rate comparison study and self-controlled case series analysis.

Setting: Primary care records from the United Kingdom, and primary care records from Spain linked to hospital data. Read More

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Minimally invasive temporalis tendon transposition and upper lid lipofilling for immediate and secondary facial reanimation in patients treated for malignant tumors of the parotid gland.

J Craniomaxillofac Surg 2022 May 9;50(5):419-425. Epub 2022 Mar 9.

Maxillo Facial Surgery Department, ASST Santi Paolo e Carlo, Milan, University of Milan, Italy.

Treatment for facial nerve-invading parotid malignancies usually results in complete facial palsy. The authors present a novel technique to treat facial palsy following radical parotid surgery and retrospectively evaluate results in terms of soft tissue symmetry at rest and during smiling and eyelid closure using the eFACE system. 9 patients with facial palsy following parotid malignancies resection or undergoing parotidectomy with planned facial nerve resection for tumor invasion were treated with the association of mini-invasive temporalis flap rotation and upper lid lipofilling to restore symmetry of the middle facial third at rest and during smiling and eyelid closure. Read More

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Bell's palsy after Sputnik V COVID-19 (Gam-COVID-Vac) vaccination.

Clin Case Rep 2022 Feb 23;10(2):e05468. Epub 2022 Feb 23.

Department of Neurology School of Medicine Isfahan University of Medical Sciences Isfahan Iran.

A possible association between Bell's palsy and COVID-19 vaccination has been suggested previously. Here, we report two cases of facial nerve hemiparalysis following the Sputnik V COVID-19 vaccination in a 27-year-old female patient and a 58-year-old male patient who were both clinically diagnosed with Bell's palsy. Read More

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February 2022

Relationship between serum gonadal hormone levels and synkinesis in postmenopausal women and man with idiopathic facial paralysis.

Auris Nasus Larynx 2022 Oct 26;49(5):782-789. Epub 2022 Feb 26.

Department of Neurosurgery, Shanghai Jiaotong University School of Medicine, Xinhua Hospital, Shanghai, 20092, China. Electronic address:

Objective: To investigate whether serum gonadal hormone levels are correlated to the development of facial synkinesis following Bell's palsy in postmenopausal women and man.

Methods: A total of 149 patients with Bell's palsy were enrolled in this study. All patients were instructed in standard treatment strategy by expert staff from their first visit. Read More

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October 2022

Response to the Letter to the Editor in response to "Hepatitis E virus and Bell's palsy".

Eur J Neurol 2022 Jun 22;29(6):e17-e18. Epub 2022 Feb 22.

Clinic of Neurology and Neurophysiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

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Letter to the Editor in response to "Hepatitis E virus and Bell's palsy".

Eur J Neurol 2022 Jun 21;29(6):e19. Epub 2022 Feb 21.

Department of Kaya Chikitsa, Sham-e-Ghausia Minority Ayurved Medical College and Hospital, Ghazipur, India.

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Vitamin C Deficiency as a Risk Factor for Bell's Palsy: A New Association.

Cureus 2022 Jan 12;14(1):e21143. Epub 2022 Jan 12.

Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.

A 28-year-old female developed gum hypertrophy after five months of Bell's palsy (BP). The vitamin C level was severely low. After vitamin C supplementation for one month, gingival hypertrophy was completely resolved. Read More

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January 2022

Artificial Intelligence-Enabled Social Media Analysis for Pharmacovigilance of COVID-19 Vaccinations in the United Kingdom: Observational Study.

JMIR Public Health Surveill 2022 05 27;8(5):e32543. Epub 2022 May 27.

School of Computing, Edinburgh Napier University, Edinburgh, United Kingdom.

Background: The rollout of vaccines for COVID-19 in the United Kingdom started in December 2020. Uptake has been high, and there has been a subsequent reduction in infections, hospitalizations, and deaths among vaccinated individuals. However, vaccine hesitancy remains a concern, in particular relating to adverse effects following immunization (AEFIs). Read More

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When paediatric facial nerve paralysis is not a Bell's palsy: A case of cerebellopontine angle tumour.

J Taibah Univ Med Sci 2022 Feb 4;17(1):141-145. Epub 2021 Sep 4.

Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.

Facial nerve paralysis in children is a rare clinical condition that can lead to serious complications. Due to their rare occurrence, tumours, especially in the cerebellopontine angle, may be overlooked. We report a case of cerebellopontine angle tumour in an 8-year-old boy who presented with a right-sided lower motor neuron type of facial nerve palsy. Read More

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February 2022