Herpetic facial palsy

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Patient information: See related handout on Bell's palsywritten by the authors of this article. Bell's palsy is a peripheral palsy of the facial nerve that results in muscle weakness on one side of the face. Affected patients develop unilateral facial paralysis over one to three days with forehead involvement and no other neurologic abnormalities.

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In response to the article by Baringer, 1 we describe herein 2 cases of Bell palsy with unfavorable evolution in the course of herpes simplex virus infections. Patient 1 was a year-old woman who, 5 days after the appearance of mucocutaneous lesions compatible with herpes simplex virus type 1, developed facial palsy with torpid evolution and irreversible residual damage. Patient 2 was a year-old man with chronic lymphocytic leukemia with herpetic exanthema in the left ear suggestive of Ramsay Hunt syndrome.

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Bell's palsy is a type of facial paralysis that results in an inability to control the facial muscles on the affected side. The cause of Bell's palsy is unknown. The condition normally gets better by itself with most achieving normal or near-normal function.

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While there are many different causes of facial palsy see belowoften no cause is identified idiopathic. Idiopathic facial palsy is known as Bell's palsy, which is reasonably common in children. The facial nerve also controls eyelid closure and is partly involved with taste sensation for the front part of the tongue.

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To preserve these articles as they originally appeared, The Times does not alter, edit or update them. Occasionally the digitization process introduces transcription errors or other problems. USING highly refined genetic techniques, medical researchers in Japan have identified the common cold sore virus, herpes simplex, as the likely cause of most cases of Bell's palsy, a debilitating facial paralysis for which there is currently no specific treatment.

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Half of patients surveyed by Facial Palsy UK with an eventual diagnosis of Ramsay Hunt syndrome had been misdiagnosed and half had not received the correct treatment in the optimum time period risking their recovery. Mnemonic for Facebook — spot the warning signs of Ramsay Hunt syndrome. Mnemonic for Twitter — spot the warning signs of Ramsay Hunt syndrome.

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This article includes discussion of herpes zoster oticus, aural herpes zoster, aural zoster, cephalic herpes zoster, cephalic zoster, geniculate ganglion syndrome, geniculate ganglionitis, geniculate herpes, geniculate herpes zoster, geniculate zoster, herpes zoster auricularis, herpes zoster auris, herpes zoster cephalicus, herpes zoster oticus, herpetic geniculate ganglionitis, Ramsay-Hunt syndrome, and zoster sine herpete. The foregoing terms may include synonyms, similar disorders, variations in usage, and abbreviations. The author explains the clinical presentation, pathophysiology, diagnostic work-up, and management of herpes zoster oticus, ie, a form of herpes zoster with peripheral facial nerve impairment due to varicella-zoster virus.

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Can you tell me anything about the link with this condition and the herpes virus? I'd like to know the answers to the following questions:. Bell's palsy can be caused by viral damage to the facial nerve.

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Current Treatment Options in Neurology. Oral prednisone has been studied extensively, although some reports have suggested a higher recovery rate with intravenous steroids. Given the existing data, we support the use of oral prednisone in those patients with complete facial palsy, and no contraindications to their use Fig. The risk and cost of acyclovir is low enough that we support its use, with oral steroids, in those patients with complete facial paralysis.

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