Bell's palsy differential diagnosis: Difference between revisions

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Revision as of 18:45, 26 March 2013

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-==Differentiating Bell's palsy from other Diseases==
-===Lyme Disease===
-:*Facial nerve palsy is the most common cranial neuropathy associated with Lyme meningitis.
-:*Screening for antibodies to B.burgdorferi  not recommended among patients with seventh nerve palsy with no additional manifestations of Lyme disease.
-:*Findings suggestive of possible Lyme disease include the development of facial palsy in a young patient, heart block, arthritis, vertigo, and hearing loss.
-===HIV===
-:*[[HIV]] infection rarely causes facial palsy.
-:*Onset at the time of sero-conversion when a [[CSF]] lymphocytosis is usually present.
-:*In the later stages when cellular immunity wanes, the facial palsy is typically due to another infection such as Zoster, chronic demyelinating polyradiculopathy, or meningeal lymphomatosis.
-===Melkersson-Rosenthal Syndrome===
-:*Facial paralysis, episodic facial swelling, and a fissured tongue, typically beginning in adolescence, with recurrent episodes of facial palsy.
-:*Incomplete forms of this syndrome outnumber those with the classic triad.
-:*The cause is unknown, and treatment unproven.
-===Other Entities===
-:*Bacterial infection of the middle ear (otitis media)
-:*[[Cholesteatoma]], or tumors should be suspected if the onset of facial palsy is gradual.
-:*[[Sarcoidosis]], especially in patients with bilateral facial palsy.
-:*Sjogren's syndrome is an unusual cause.
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Bell's palsy differential diagnosis: Difference between revisions

Revision as of 18:45, 26 March 2013

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