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Ventrolateral pontomedullary junction ischaemic stroke imitating isolated facial nerve palsy
Pract Neurol. 2023 Aug 3:pn-2023-003839. doi: 10.1136/pn-2023-003839. Online ahead of print.ABSTRACTA 75-year-old woman presenting with unilateral lower motor neurone facial weakness was ultimately diagnosed with an ischaemic stroke at the pontomedullary junction affecting the facial nerve fascicles. Isolated, unilateral, upper and lower facial weakness is typically caused by lesions affecting the facial nerve, such as Bell's palsy, though rarely can be a manifestation of acute ischaemic stroke. It is important for neurologists and emergency providers to determine appropriately which patients with facial weakness require n...
Source: Practical Neurology - August 3, 2023 Category: Neurology Authors: Patrick Hartnett Daniela Zambrano Source Type: research

E-049 Complications of middle meningeal artery embolization - a systematic review
ConclusionThe published literature suggests that MMA embolization is a generally well-tolerated procedure, but with a low risk of significant complications, including, but not limited to stroke, seizures, visual obscurations, and facial palsy. Further studies and sub-analyses are needed to fully characterize the incidence of such complications.Disclosures J. Gerstl: None. M. Shafi: None. S. Badikol: None. N. Nawabi: None. R. Mekary: None. M. Sukumaran: None. A. Kappel: None. A. Feroze: None. T. Smith: None. M. Aziz-Sultan: None.
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Gerstl, J., Shafi, M., Badikol, S., Nawabi, N., Mekary, R., Sukumaran, M., Kappel, A., Feroze, A., Smith, T., Aziz-Sultan, M. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

A case with prolonged headache after COVID-19 vaccination and later developed Bell's palsy
CONCLUSION: Reactivation of latent herpes virus has been suggested as one of the possible mechanisms underlying the phenomenon, but the causal pathophysiology related to the symptom needs further validation. Moreover, in the event of facial palsy post-vaccination, alternative diagnoses such as Guillain-Barre syndrome (GBS), Ramsey-Hunt syndrome, Lyme disease, trauma, central nervous system infection (CNS) infection, or stroke should also be considered.PMID:37198509
Source: Acta Neurologica Taiwanica - May 17, 2023 Category: Neurology Authors: Yi-Yang Hsiao Ling-Jun Liu Yo-Lin Lin Source Type: research

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