Prognosis of patients with recurrent facial palsy

Chung, Dae; Park, Dong; Byun, Jae; Park, Moon; Lee, So; Yeo, Seung
January 2012
European Archives of Oto-Rhino-Laryngology;Jan2012, Vol. 269 Issue 1, p61
Academic Journal
No studies to date have classified recurrent facial palsy according to the House-Brackmann grade, thus limiting any comparisons between patients with recurrent and primary facial palsy. The aims of the study were to analyze the degree of recovery from recurrent facial palsy and factors affecting the degree of recovery and to compare with patients recovering from primary facial palsy. Seventy-two patients with recurrent facial palsy were treated by the same treatment approach as 1,185 patients with general facial palsy. Underlying disease, palsy side, and extent of recovery were measured. Temporal bone magnetic resonance image (MRI), Electroneurography (ENoG), electromyography (EMG), and initial House-Brackmann grade were assessed and compared by statistical analyses. Recovery rate of facial palsy were compared and related risk factors were analyzed. We found that recovery to better than House-Brackmann grade II was more common in patients with primary (88.4%, 1,047/1,185) than with recurrent (72.2%, 52/72) facial palsy. Recovery was observed in 80.6% (25/31) of patients with recurrence on the ipsilateral side and in 72% (18/25) with recurrence on the contralateral side. The accuracies of ENoG and EMG were 76.4 and 84.7%, respectively. In MRI, 26.4% patients showed enhancement findings. Multivariate logistic regression analysis showed that initiation of treatment within 7 days and unfavorable EMG results were significant risk factors in patients with recurrent facial palsy. The recovery rate was lower in patients with recurrent than with primary facial palsy, but there were no significant differences in recovery rates between recurrences on the ipsilateral and contralateral sides. The prognosis of patients with recurrent facial palsy was associated with initiation of treatment within 7 days, with EMG shown to be the most reliable test.


Related Articles

  • Susac's syndrome as HIV-associated immune reconstitution inflammatory syndrome. Ferretti, Francesca; Gerevini, Simonetta; Colombo, Bruno; Testa, Manuela; Guffanti, Monica; Franciotta, Diego; Bernardi, Gaetano; Lazzarin, Adriano; Cinque, Paola // AIDS Research & Therapy;2013, Vol. 10, p22 

    Susac's Syndrome (SS) is an autoimmune endotheliopathy of cerebral, retinal and cochlear arterioles. We report of an HIV-infected woman who developed a first SS episode following a spontaneous reduction of plasma viral load and several relapses six years later, following initiation of combined...

  • Perils of Intravascular Methylprednisolone Injection into the Vertebral Artery. Okubadejo, Gbolahan O.; Talcott, Michael R.; Schmidt, Robert E.; Sharma, Aseem; Patel, Alpesh A.; Mackey, R. Brian; Guarino, Anthony H.; Moran, Christopher J.; Riew, K. Daniel // Journal of Bone & Joint Surgery, American Volume;Sep2008, Vol. 90-A Issue 9, p1932 

    Background: Intravascular injection of particulate steroids during cervical nerve root blocks has been postulated to be a source of catastrophic neurologic complications that might be avoided with the use of non-particulate steroids. The objective of this study was to compare the effects of...

  • Autologous Chondrocyte Implantation in the Knee Joint: Open Compared with Arthroscopic Technique. Ferruzzi, Alberto; Buda, Roberto; Faldini, Cesare; Vannini, Francesca; Di Caprio, Francesco; Luciani, Deianira; Giannini, Sandro // Journal of Bone & Joint Surgery, American Volume;Nov2008 Supplement 4, Vol. 90-A, p90 

    The article presents the results of research which was conducted in an effort to compare the long term results of two groups of patients with osteochondral lesions in the knee joint who were treated with two different procedures. Researchers evaluated the patients with magnetic resonance imaging...

  • Myocardial deformation parameters predict outcome in patients with repaired tetralogy of Fallot. Orwat, Stefan; Diller, Gerhard-Paul; Kempny, Aleksander; Radke, Robert; Peters, Brigitte; Kühne, Titus; Boethig, Dietmar; Gutberlet, Matthias; Dubowy, Karl-Otto; Beerbaum, Philipp; Sarikouch, Samir; Baumgartner, Helmut; German Competence Network for Congenital Heart Defects Investigators // Heart;Feb2016, Vol. 102 Issue 3, p209 

    Background: Parameters of myocardial deformation have been suggested to be superior to conventional measures of ventricular function and to predict outcome in repaired tetralogy of Fallot (ToF). We aimed to test the hypothesis that parameters of myocardial deformation on cardiac MRI...

  • Prediction of Midfoot Instability in the Subtle Lisfranc Injury: Comparison of Magnetic Resonance Imaging with Intraoperative Findings. Raikin, Steven M.; Elias, Ilan; Dheer, Sachin; Besser, Marcus P.; Morrison, William B.; Zoga, Adam C. // Journal of Bone & Joint Surgery, American Volume;Apr2009, Vol. 91-A Issue 4, p892 

    Background: The objective of the present study was to assess the utility of magnetic resonance imaging for the diagnosis of an injury to the Lisfranc and adjacent ligaments and to determine whether conventional magnetic resonance imaging is a reliable diagnostic tool, with manual stress...

  • Dermatomyositis. Mahil, Satveer; Marks, Daniel; McCormack, Mary; Rahman, Anisur // British Journal of Hospital Medicine (17508460);Feb2012, Vol. 73 Issue 2, pC18 

    The article offers information on Dermatomyositis, an idiopathic myopathy with characteristic cutaneous findings. It discusses the clinical features of the disorder which includes skeletal muscle disease, pulmonary and cardiac diseases, and the different investigation techniques such as blood...

  • My CRAZY FACE. Wallace, Theresa // Alive: Canada's Natural Health & Wellness Magazine;Sep2015, Issue 395, p49 

    A personal narrative is presented which explores the author's experience of recovering from Bell's palsy through facial reflexology.

  • Volumetric and anatomical MRI for hypoxic—ischemic encephalopathy: relationship to hypothermia therapy and neurosensory impairments. Parikh, Nehal A.; Lasky, R. E.; Garza, C. N.; Bonfante-Mejia, E.; Shankaran, S.; Tyson, J. E. // Journal of Perinatology;Feb2009, Vol. 29 Issue 2, p143 

    Objective:To relate volumetric magnetic resonance imaging (MRI) findings to hypothermia therapy and neurosensory impairments.Study Design:Newborns 36 weeks’ gestation with hypoxic–ischemic encephalopathy who participated in the National Institute of Child Health and Human...

  • MR imaging for planning vestibular schwannoma. Schneider, M.; Smee, R. I.; Chan, K. // Journal of Radiosurgery & SBRT;2013 Supplement 2.1, Vol. 2, p44 

    Purpose: MRI is routinely used to define the target volume for planning vestibular schwannomas for SRS. There are many MRI sequences available for planning these patients. The aim is to use the sequence that gives the most accurate representation of these targets, in order to achieve the best...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics