Non-idiopathic peripheral facial palsy: prognostic factors for outcome

AbstractObjectivesThere is a lack of data on patients ’ and diagnostic factors for prognostication of complete recovery in patients with non-idiopathic peripheral facial palsy (FP).MethodsCohort register-based study of 264 patients with non-idiopathic peripheral FP and uniform diagnostics and standardized treatment in a university hospital from 2007 to 2017 (47% female, median age: 57  years). Clinical data, facial grading, electrodiagnostics, motor function tests, non-motor function tests, and onset of prednisolone therapy were assessed for their impact on the probability of complete recovery using univariable and multivariable statistics.ResultsThe most frequent reason for a non-idiopathic peripheral FP was a reactivation of Varicella Zoster Virus (VZV; 36.4%). Traumatic origin had a higher proportion of complete FP (52.9%). Furthermore, in traumatic FP, the mean interval between onset and start of prednisolone therapy was longer than in other cases (5.6  ± 6.2 days). Patients with reactivation of VZV, Lyme disease or otogenic FP had a significant higher recovery rate (p = 0.002,p 
Source: European Archives of Oto-Rhino-Laryngology - Category: ENT & OMF Source Type: research

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Semin Neurol 2021; 41: 673-685 DOI: 10.1055/s-0041-1726358Facial palsy is a common neurologic concern and is the most common cranial neuropathy. The facial nerve contains motor, parasympathetic, and special sensory functions. The most common form of facial palsy is idiopathic (Bell's palsy). A classic presentation requires no further diagnostic measures, and generally improves with a course of corticosteroid and antiviral therapy. If the presentation is atypical, or concerning features are present, additional studies such as brain imaging and cerebrospinal fluid analysis may be indicated. Many conditions may present with f...
Source: Seminars in Neurology - Category: Neurology Authors: Tags: Review Article Source Type: research
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Source: Medicine - Category: Internal Medicine Authors: Tags: Bacterial infections Source Type: research
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Source: Archives de Pediatrie - Category: Pediatrics Authors: Source Type: research
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Source: Journal of Dental Hygiene - Category: Dentistry Authors: Source Type: research
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