Leptospirosis is a zoonosis of worldwide occurrence caused by the spirochete Leptospira interrogans. It is an acute feverish disease with a broad clinical spectrum and follows a characteristic biphasic course. Bilateral facial palsy is a rare clinical condition and the differential diagnosis of its causes is extensive. The objective of this exploratory study, presented as a case report, is to d...

We report on a case of facial nerve palsy associated with Kawasaki disease in a 2-year-old boy. Facial nerve palsy is one of the rare neurological manifestations of Kawasaki disease. Twenty-seven other cases that have been reported in the literature are reviewed. There is a high incidence of coronary artery aneurysm (52%) and a female predilection in patients with Kawasaki disease. The facial p...

Neurological manifestations in patients infected with human immunodeficiency virus can significantly increase overall morbidity and mortality. These complications are neither limited to a specific location in the nervous system nor a focal time period in the disease's progression. A literature review yielded several cases of peripheral facial palsy associated with HIV seropositivity, but few ca...

We treated a 27-year-old man with Heerfordt's syndrome and hearing loss. Physical examination showed swelling of both parotid glands, right peripheral facial palsy and uveitis(iridocyclitis), but no skin lesions. Chest X-ray showed typical bilateral hilar lymphadenopathy. Biopsies of the parotid gland and the gastrocnemius muscle showed epithelioid granulomas. The above findings were consistent...

Peripheral blood mononuclear cells (PBMCs) are multipotent, and plasma contains growth factors involving tissue regeneration. We hypothesized that transplantation of PBMC-plasma will promote the recovery of paralyzed facial muscles in Bell palsy. This case report describes the effects of PBMC-plasma transplantations in a 27-year-old female patient with right side Bell palsy. On the affected sid...

Facial nerve palsy may represent an important complication of head trauma; yet, an adequate surgical treatment can reduce negative effects of such injuries. The surgical treatment usually consists of nerve decompression, nerve anastomosis and graft technique with n. auricularis magnus. In this study a retrospective analysis of the patients treated from the traumatic facial palsy in a ten-year p...

Each year in the UK, around 1 in 5,000 people develop Bell’s palsy, which is characterised by unilateral facial weakness of rapid onset (Rowlands 2002,Holland 2004). The condition can develop at any age, but seems to be most common in those aged between 15 and 60 years (Peitersen 1982). In about 71% of patients, it resolves spontaneously without treatment, but 13% are left with slight facial we...

MRI appearances of the facial nerve in an HIV infected patient with acute facial nerve palsy A 27 year old white HIV positive homosexual man presented with a 6 day history of right mandibular and posterior auricular pain progressing to right facial weakness on day 7. Examination showed a right lower motor neu-ron facial palsy. On MRI performed on day 7, coronal (fig A) and axial (fig B) T1 weig...

OBJECTIVES/HYPOTHESIS To define an objective, easy to perform, rapid method for the assessment of ocular synkinesis by employing both the Facial Assessment by Computer Evaluation software and a modification of the Glasgow Facial Palsy Scale. STUDY DESIGN Retrospective study. METHODS Fifty normal subjects and 50 patients with known ocular synkinesis were studied. Measurements of ocular synki...

OBJECTIVE To determine the effectiveness of steroids, acyclovir, and surgical facial nerve decompression in Bell's palsy. METHODS The authors identified articles by searching MEDLINE and selected those that prospectively compared outcomes in patients treated with steroids, acyclovir, or surgery with patients not receiving these modalities. The authors graded the quality of each study (class I...