Not all facial paralysis is Bell's palsy: a case report.
PMID 10414775 · Archives of physical medicine and rehabilitation · 1999 · DOI 10.1016/s0003-9993(99)90240-x
Authors: J S Brach; J M VanSwearingen
Abstract
Bell's palsy or idiopathic facial paralysis is the most common cause of unilateral facial paralysis. This case report describes a patient referred for physical therapy evaluation and treatment with a diagnosis of Bell's palsy. On initial presentation in physical therapy the patient had unilateral facial paralysis, ipsilateral regional facial pain and numbness, and a history of a gradual, progressive onset of symptoms. The process of evaluating this patient in physical therapy, as well as the recognition of signs and symptoms typical and atypical of Bell's palsy, are described. This report emphasizes the importance of early recognition of the signs and symptoms inconsistent with a diagnosis of Bell's palsy, and indications for prompt, appropriate referral for additional diagnostic services.
Adult; Carcinoma, Adenoid Cystic; Diagnosis, Differential; Electromyography; Facial Paralysis; Humans; Male; Neurologic Examination; Parotid Neoplasms; Physical Therapy Modalities; Referral and Consultation; Surveys and Questionnaires
Cite
J S Brach; J M VanSwearingen. Not all facial paralysis is Bell's palsy: a case report. Archives of physical medicine and rehabilitation (1999). PMID 10414775. DOI 10.1016/s0003-9993(99)90240-x.