Clinical Case Database / Category: Case Based Discussion

Assessment, diagnosis and treatment of facial palsy

Publication details

Dr. E. Naomi Smith, Mr. Ian Bottrill
Foundation Years Journal, volume 4, issue 7, p.15 (123Doc Education, London, July 2010)

Abstract

This case-based discussion focusses on a patient who presented with a leftsided facial palsy. The assessment, differential diagnoses and treatment of the patient's facial palsy will be discussed, together with an overview of the relevant anatomy.

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Authors

Dr. E. Naomi Smith

Foundation Year 2 in Cardiology
John Radcliffe Hospital
Oxford
elizabeth.smith@doctors.org.uk

Mr. Ian Bottrill

ENT Consultant
Stoke Mandeville Hospital
Buckinghamshire Hospitals NHS Trust

References

1. Ronthal M. (2009) Bell's palsy: Prognosis and treatment. http://utdol. com/online/content/topic.do?topicKey=neuropat/8722&selectedTitle =1~36&source=search_result. Last accessed December 2009.
2. Dr. Quinn's Online Textbook of Otolaryngology (2007) Bell's Palsy: To Treat or Not to Treat. February 14. http://www.utmb.edu/otoref/Grnds/Bellspalsy-070214/Bells-palsy-070214.pdf Last accessed December 2009.
3. Corbridge RJ. (1998) Essential ENT in Practice. Oxford: Oxford University Press.
4. Dr. Quinn's Online Textbook of Otolaryngology (2009) Facial Nerve Trauma. June 29. http://www.utmb.edu/otoref/Grnds/facial-nervetrauma-090629/fac-nerve-090629.pdf. Last accessed December 2009.
5. Leighton S, Robson A, Rusell J. (2006) Hall & Colman's Diseases of the Ear, Nose and Throat. 15th Edition. China: Churchill Livingstone.
6. Talley NJ, O'Connor S. (2006) Clinical Examination: A Systematic Guide to Clinical Diagnosis. 5th Edition. Australia: Elsevier.
7. Dr. Quinn's Online Textbook of Otolaryngology (2009) Facial Nerve Paralysis: Ocular Management. March 29. http://www.utmb.edu/otoref/Grnds/Fac-Nerve-eye-060329/Fac-nerve-eye-060329.pdf Last accessed December 2009.
8. Ramsey MJ, DerSimonian R, Holtel MR, Burgess LP.(2000) Corticosteroid treatment for idiopathic facial nerve paralysis: a meta-analysis. Laryngoscope. 110(3 Part 1):335-341.
9. de Almeida JR, Al Khabori M, Guyatt GH, et al. (2009) Combined corticosteroid and antiviral treatment for Bell palsy: a systematic review and meta-analysis. JAMA. 302(9):985-993.
10. Adour KK, Ruboyianes JM, Von Doersten PG, et al. (1996) Bell's palsy treatment with acyclovir and prednisone compared with prednisone alone: a double-blind, randomized, controlled trial. Ann Otol Rhinol Laryngol. 105(5):371-378.
11. Sullivan, FM, Swan, IR, Donnan, PT, et al. (2007) Early treatment with prednisolone or acyclovir in Bell's palsy. N Engl J Med; 357:1598.
12. Engström M, Berg T, Stjernquist-Desatnik A, et al.(2008) Prednisolone and valaciclovir in Bell's palsy: a randomised, double-blind, placebo-controlled, multicentre trial. Lancet Neurol. 7(11):993-1000. Epub 2008 October 10.
13. Ronthal M.(2009) Bell's palsy: Prognosis and treatment. http://utdol.com/online/content/topic.do?topicKey=neuropat/8722&selectedTitle=1~36&source=search_result. Last accessed December 2009.
14. Crossman, AR, Neary D. (2003) Neuroanatomy, an Illustrated Colour Text. 2nd Edition, Spain: Churchill Livingstone.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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