Bell’s Palsy: Symptoms Preceding and Accompanying the Facial Paresis
This individual prospective cohort study aims to report and analyze the symptoms preceding and accompanying the facial paresis in Bell’s palsy (BP). Two hundred sixty-nine patients affected by BP with a maximum delay of 48 hours from the onset were enrolled in the study. The evolution of the facial...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/801971 |
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| author | Daniele De Seta Patrizia Mancini Antonio Minni Luca Prosperini Elio De Seta Giuseppe Attanasio Edoardo Covelli Andrea De Carlo Roberto Filipo |
| author_facet | Daniele De Seta Patrizia Mancini Antonio Minni Luca Prosperini Elio De Seta Giuseppe Attanasio Edoardo Covelli Andrea De Carlo Roberto Filipo |
| author_sort | Daniele De Seta |
| collection | DOAJ |
| description | This individual prospective cohort study aims to report and analyze the symptoms preceding and accompanying the facial paresis in Bell’s palsy (BP). Two hundred sixty-nine patients affected by BP with a maximum delay of 48 hours from the onset were enrolled in the study. The evolution of the facial paresis expressed as House-Brackmann grade in the first 10 days and its correlation with symptoms were analyzed. At the onset, 136 patients presented postauricular pain, 114 were affected by dry eye, and 94 reported dysgeusia. Dry mouth was present in 54 patients (19.7%), facial pain, hyperlacrimation, aural fullness, and hyperacusis represented a smaller percentage of the reported symptoms. After 10 days, 39.9% of the group had a severe paresis while 10.2% reached a complete recovery. Dry mouth at the onset was correlated with severe grade of palsy and was prognostic for poor recovery in the early period. These outcomes lead to the deduction that the nervus intermedius plays an important role in the presentation of the BP and it might be responsible for most of the accompanying symptomatology of the paresis. Our findings could be of important interest to early address a BP patient to further examinations and subsequent therapy. |
| format | Article |
| id | doaj-art-f3fcea3555444dbf970ddd15122a7746 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-f3fcea3555444dbf970ddd15122a77462025-02-03T01:20:27ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/801971801971Bell’s Palsy: Symptoms Preceding and Accompanying the Facial ParesisDaniele De Seta0Patrizia Mancini1Antonio Minni2Luca Prosperini3Elio De Seta4Giuseppe Attanasio5Edoardo Covelli6Andrea De Carlo7Roberto Filipo8Department of Sense Organs, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Sense Organs, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Sense Organs, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Neurology, Sapienza University of Rome, ItalyDepartment of Sense Organs, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Sense Organs, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Sense Organs, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Sense Organs, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Sense Organs, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyThis individual prospective cohort study aims to report and analyze the symptoms preceding and accompanying the facial paresis in Bell’s palsy (BP). Two hundred sixty-nine patients affected by BP with a maximum delay of 48 hours from the onset were enrolled in the study. The evolution of the facial paresis expressed as House-Brackmann grade in the first 10 days and its correlation with symptoms were analyzed. At the onset, 136 patients presented postauricular pain, 114 were affected by dry eye, and 94 reported dysgeusia. Dry mouth was present in 54 patients (19.7%), facial pain, hyperlacrimation, aural fullness, and hyperacusis represented a smaller percentage of the reported symptoms. After 10 days, 39.9% of the group had a severe paresis while 10.2% reached a complete recovery. Dry mouth at the onset was correlated with severe grade of palsy and was prognostic for poor recovery in the early period. These outcomes lead to the deduction that the nervus intermedius plays an important role in the presentation of the BP and it might be responsible for most of the accompanying symptomatology of the paresis. Our findings could be of important interest to early address a BP patient to further examinations and subsequent therapy.http://dx.doi.org/10.1155/2014/801971 |
| spellingShingle | Daniele De Seta Patrizia Mancini Antonio Minni Luca Prosperini Elio De Seta Giuseppe Attanasio Edoardo Covelli Andrea De Carlo Roberto Filipo Bell’s Palsy: Symptoms Preceding and Accompanying the Facial Paresis The Scientific World Journal |
| title | Bell’s Palsy: Symptoms Preceding and Accompanying the Facial Paresis |
| title_full | Bell’s Palsy: Symptoms Preceding and Accompanying the Facial Paresis |
| title_fullStr | Bell’s Palsy: Symptoms Preceding and Accompanying the Facial Paresis |
| title_full_unstemmed | Bell’s Palsy: Symptoms Preceding and Accompanying the Facial Paresis |
| title_short | Bell’s Palsy: Symptoms Preceding and Accompanying the Facial Paresis |
| title_sort | bell s palsy symptoms preceding and accompanying the facial paresis |
| url | http://dx.doi.org/10.1155/2014/801971 |
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