Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-28T08:21:22.249Z Has data issue: false hasContentIssue false
  • English
  • Français

Bilateral facial nerve palsies: Groote Schuur Hospital experience

Published online by Cambridge University Press:  29 June 2007

P. J. Wormald ,
S. L. Sellars  and
J. C. de Villiers
P. J. Wormald*
Affiliation:
Departments of Otolaryngology and Neurosurgery, Cape Town.
S. L. Sellars
Affiliation:
Departments of Otolaryngology and Neurosurgery, Cape Town.
J. C. de Villiers
Affiliation:
Departments of Otolaryngology, Groote Schuur Hospital, Cape Town.
*
Dr P.J. Wormald, Department of Otolaryngology, Groote Schuur Hospital, Obervatory 7925, South Africa.
Get access Rights & Permissions [Opens in a new window]

Abstract

Bilateral facial nerve palsies are rare. This article details the Cape Townexperience of 24 patients with this condition seen over the past 20 years and highlights the three main groups in which these bilateral facial nerve palsies occurred. These are Bell's palsy, fracture of the temporal bones and sclerosteosis. Avariety of other rare causes was also found. Bell's palsy remains a diagnosis of exclusion though there has been some evidence to suggest implication of the Herpes simplex virus. The mechanism whereby temporal bone fractures cause bilateral facial nerve palsies is discussed. The clinical presentation and management of sclerosteosis is also discussed

Keywords

Facial paralysisSclerosteosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 8 , August 1991 , pp. 625 - 627
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adour, K., Byl, F., Hilsinger, R., Kahn, Z., Sheldon, M. (1978) The true nature of Bell's palsy: analysis of 1000 consecutive patients. Laryngoscope, 88: 787–801.CrossRefGoogle Scholar
Beighton, P., Davidson, J., Durr, L., Hamersma, H. (1977) Sclerosteosis–an autosomal recessive disorder. Clinical Genetics, 11: 1–7.CrossRefGoogle ScholarPubMed
Beighton, P., Hamersma, H. (1976) The clinical features of scleosteosis: A review of the manifestations in twenty-five affected individuals. Annals of Internal Medicine, 84: 393–397.CrossRefGoogle ScholarPubMed
Beighton, P., Hamersma, H. (1979) Sclerosteosis in South Africa. South African Medical Journal, 55: 783–788.Google ScholarPubMed
de Villiers, J. (1971) Fracture-dislocation of the petrous temporal bone. Journal of Neurology, Neurosurgery and Psychiatry, 34: 104–109.Google Scholar
Masaki, S., Matsumoto, M. (1971) Congenital bilateralfacial paralysis. Archives of Otolaryngology, 94: 260–263.Google Scholar
May, M., Hardin, W. (1978) Facial palsy: interpretation of neurological findings. Laryngoscope, 88: 1352–1362.CrossRefGoogle Scholar
McGovern, F. (1965) Bilateral Bell's palsy. Laryngoscope, 70: 1070–1079.CrossRefGoogle Scholar
Prescott, C. (1988) Idiopathic facial nerve palsy. Journal of Laryngology and Otology, 102: 403–407.CrossRefGoogle ScholarPubMed
Rauchbach, E., May, M., Stroud, M. (1975) Vestibular involve-ment in Bell's palsy. Laryngoscope, 85: 1396–1398.CrossRefGoogle Scholar
Sellars, S. (1983) Idiopathic facial nerve palsy. South African Medical Journal, 64: 379–381.Google ScholarPubMed
Stein, R., Tonning, F. M. (1973) Acute peripheral facial palsy. Archives of Otolaryngology, 98: 187–190.Google Scholar