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At least 289 records · Page 16Linked to original sources
PubMed2003

Bilateral simultaneous facial paralysis--differential diagnosis and treatment options. A case report and review of literature.

Bilateral facial paralysis or paresis of peripheral origin is a rare condition and therefore represents a diagnostic challenge. We here present a case of a previously healthy woman who was hospitalized for symptoms of meningitis. On the second day of her hospital stay, she developed bilateral facial paresis. Later, the patient developed also tachycardia and dysrhythmias. A thorough diagnostic procedure including lumbar puncture, routine blood investigation with serological tests, MRI of the brain, Holter monitoring and transoesophageal echocardiographia, revealed meningitis with radiculitis, facial paresis and myocarditis. The clinical triad of meningitis, radiculitis and facial palsy is known as the Bannwarth Syndrome (Lyme disease). The patient was treated with ceftriaxone and recovered well. Despite repeatedly taken serological tests, Borrelia burgdorferi immunoglobulins were not detected. Acquired bilateral facial paralysis can occur in several diseases of infectious, neurological, idiopathic, iatrogenic, toxic, neoplastic or traumatic origin. In this article, we review the differential diagnoses and treatment options of bilateral facial paresis and present a scheme that is helpful in the diagnostic evaluation of this condition.

Adult↗
PubMed2002

[The use of muscle autograft denatured by microwave for repair of gap in removal of facial neuroma].

OBJECTIVE: To study the clinical value of muscle autograft denatured by microwave for repair of gap in removal of facial neuroma. METHODS: A case of patient with a larger facial nerve Schwann cell neuroma was reported. Based on the good results of our experimental research on rats recently, we completed the operation by transmastoid approach for removal of facial neuroma, and the gap of the nerve was repaired with muscle autograft denatured by microwave. RESULTS: The patient was followed up for one year, and her facial function recovery on the affected side was satisfactory. CONCLUSION: Muscle autograft denatured by microwave technique is convenient, highly efficient for repairing facial nerve gap after removal of facial neuroma.

Adult↗
PubMed1992

[Isolated sub-orbital plexiform neurofibroma].

An unexpected finding on histology in a 73 years old patient was an isolated suborbital plexiform neurofibroma. Since this tumor is specific for von Recklinghausen's disease, the diagnosis was that of a minor form of the disease. The different cephalic manifestations of von Recklinghausen's disease are reviewed.

Aged↗
PubMed2004

[Facial nerve schwannomas. Report of a case].

Facial nerve schwannomas are relatively uncommon lesions. The clinical features depend upon the localization and extent of the lesion. The most common presenting symptom is that of a slowly progressive facial nerve palsy, because of facial schwannoma usually are located near the geniculate ganglion. A case of facial schwannoma is reported: a woman presenting a sudden facial palsy did not respond to medical and rehabilitation treatment. First, a Bell's palsy was diagnosed and then the facial nerve schwannoma with imaging techniques. A review about facial nerve schwannomas is reported.

Facial Neoplasms↗
PubMed1992

[Epitheses of the face].

Despite progress in maxillofacial cancer surgery, most patients present disfiguration of their faces. External prostheses are a pleasing alternative to camouflaging maxillofacial mutilations after tumor ablation. Established indications for external prosthesis are: 1. the patient refusing soft-tissue reconstruction, 2. patient's multimorbidity, and, 3. the impossibility of fully reconstructing a specific maxillofacial defect. Consequently, the benefits of applying external prosthesis include the simple camouflage of an unsightly tumor defect, the ease in supervising any possible local tumor growth beneath the external prosthesis as well as helping to prevent patient's isolation. Thus, external prostheses are a good option in the rehabilitation of maxillofacial surgery patients.

Adult↗
PubMed1991

Metastatic angiosarcoma with thrombocytopenia and intratumoral indium-111-platelet deposition.

A 66-yr-old woman with cutaneous angiosarcoma of the face presented with thrombocytopenia and metastases to the skeleton. Scintigraphic imaging with 111In-oxine-labeled autologous platelets demonstrated localization of radiolabeled platelets at sites of metastatic tumor. This imaging study suggests intratumoral destruction of platelets by the metastases of the malignant vascular tumor as the cause of the patient's thrombocytopenia.

Aged↗
PubMed1991

Somato-sensory evoked potentials in facial pain diagnosis.

This study analyses the possibilities of somato-sensory evoked potentials following trigeminal stimulation in order to classify pain sensations provoked by the trigeminal nerve. 43 patients suffering from trigeminal neuralgia, atypical facial pain and from pain due to carcinoma were investigated. Pain sensations correlated with the responses of the evoked potentials--usually with increased latencies. However, it was not possible to point out specific correlative pathological peaks for individual diseases. Therefore, the judgement of TSEP alterations requires knowledge of each patient's clinical symptoms.

Adult↗
PubMed1991

The many faces of adult leukemia.

This article describes the facial complications of adult leukemia, as derived from a study of more than 3,000 patients treated at the University of Texas M.D. Anderson Hospital during the past 25 years. Facial leukemia cutis, leukemia-associated facial hemorrhages, leukemia-induced cranial nerve facial palsies, and leukemia-provoked pure and mixed facial infections are discussed.

Adult↗
PubMed1991

[Oral and maxillofacial multiple primary cancers].

Among 2989 patients with oral and maxillofacial cancers treated in our department from 1953 to 1985, 49 cases (1.63%) had the multiple primary lesions. The double primary cancers occurred in 44 cases (89.8%), three or more in 5 cases (10.2%). The multiple foci in an organ happened in 16 cases, different organ of systems in 23, and two systems in 10 cases. The followup in 49 cases (92.4%) for 3-27 years revealed the survival rates as follow: 76% (3 yrs), 69% (5 yrs), 42% (10 yrs), and 33% (15 yrs). The aggressive surgical intervention should be performed in oral and maxillofacial multiple primary cancers for a good therapeutic result.

Adult↗