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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.
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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

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