Multiple sclerosis facial paralysis
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Diagnosis And Treatment Of Facial Palsy
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Congenital vs acquired facial palsy
Original communication. Authors Authors and affiliations T. A year-old patient presented to the emergency department complaining of brief episodes of vertigo and nausea with vomiting, which had occurred the day before. Overview of the epidemiology, diagnosis, and disease progression associated with multiple sclerosis. Lying still, the vertigo reduced. Brain MRI showed disseminated supra- and infratentorial white matter lesions, which included also lesions at the level of the pons. J Neurol Neurosurg Psychiatry. Discussion Isolated idiopathic peripheral facial palsy Bell's palsy is considered to be a disease of the peripheral nervous system, while MS is defined as a disease of the central nervous system [ 1 , 6 ]. He was further not able to furrow his right forehead and complained of right-sided tinnitus and numbness of the right side of his face. Pontine stroke presenting as isolated facial nerve palsy mimicking Bell's palsy. Blood examination was normal for full blood count. Author information Copyright and License information Disclaimer. However, in light of the reported episodes of vertigo and nausea pointing to a brain stem lesion, we decided to perform a brain MRI that showed three demyelinating lesions in the supratentorial, periventricular region. Facial palsy was usually associated with other brainstem signs, while two patients showed only facial palsy 1 and 3 years after the onset of MS.
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