Clinical Case Database / Category: Patient Management

Facial nerve palsy

Publication details

Kim To MBBS, BSc (Hons), Aanand Acharya MA, FRCS (ORL-HNS)
Foundation Years Journal, volume 7, issue 4, p.20 (123Doc Education, London, April 2013)

Abstract

This case based discussion focuses around the presentation of a pregnant lady to the A&E department with sudden onset left-sided facial paralysis. The key aspects of the foundation curriculum that will be covered include good clinical care (eliciting a history, examination, diagnosis, clinical decision making, safe prescribing); maintaining good medical practice (lifelong learning, evidencebased guidelines); relationship with patients and communication skills; and working with colleagues (communication with colleagues, teamwork for patient safety, interface with different specialties).

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

Authors

Kim To MBBS, BSc (Hons)

FY2 in A&E
Good Hope Hospital
Rectory Road
Sutton Coldfield
Birmingham
B75 7RR
kto@doctors.org.uk

Aanand Acharya MA, FRCS (ORL-HNS)

Specialist Registrar in ENT
Birmingham Children’s Hospital
Steelhouse Lane
Birmingham
B4 6NH

References

1. British National Formulary. Corticosteroids – Pregnancy and breastfeeding http://www.medicinescomplete.com/mc/bnf/current/200132.htm#_200132 Last accessed July 2012.
2. Rowlands S, Hooper R, Hughes R, Burney P. The epidemiology and treatment of Bell’s palsy in the UK. Eur J Neurol 2002; 9:63-7.
3. Tiemstra JD, Khatkhate N. Bell’s Palsy: Diagnosis and Management. Am Fam Physician 2007; 76:997-1002.
4. Jain V, Deshmukh A, Gollomp S. Bilateral facial paralysis case presentation and discussion of differential diagnosis 2006; 21:C7-10.
5. Pitts DB, Adour KK, Hilsinger RL Jr. Recurrent Bell’s Palsy: analysis of 140 patients. Laryngoscope 1988;98:535-40.
6. Rahman I, Sadiq SA. Ophthalmic Management of Facial Nerve Palsy: A Review. Surv Ophthalmol 2007; 52:121-44.
7. Wagner G, Klinge H, Sachse MM. Ramsay Hunt Syndrome. J Dtsch Dermatol Ges 2012; 10: 238-44.
8. Volpi A. Severe complications of herpes zoster. Herpes 2007; 14: suppl 2(35-9).
9. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg 1985; 93:146-7.
10. Veillon F, Taboada LR, Eid MA et al. Pathology of the facial nerve. Neuroimaging Clin N Am. 2008; 18:309-320.
11. Standard Computerised Revalidation Instrument for Prescribing and Therapeutics (SCRIPT). Prescribing in pregnancy. http://www.safeprescriber.org/module/view/25. Last accessed July 2012.
12. Murakami S, Mizobuchi M, Nakashiro Y et al., Bell palsy and herpes simplex virus: identification of viral DNA in endoneurial fluid and muscle. Ann Intern Med 1996; 124:27-30.
13. Salinas RA, Alvarez G, Daly F, Ferreira J. Corticosteroids for Bell’s palsy (idiopathic facial paralysis). Cochrane Database Syst Rev 2010; 17:CD001942.
14. Sullivan FM, Swan IR, Donnan PT et al., Early treatment with Prednisolone
or acyclovir in Bell’s palsy. NEJM 2007; 18:1598-607.

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

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.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.