Clinical Case Database / Category: Patient Management
Facial nerve palsy
Kim To MBBS, BSc (Hons), Aanand Acharya MA, FRCS (ORL-HNS)
Foundation Years Journal, volume 7, issue 4, p.20 (123Doc Education, London, April 2013)
This case based discussion focuses around the presentation of a pregnant lady to the A&E department with sudden onset left-sided facial paralysis. The key aspects of the foundation curriculum that will be covered include good clinical care (eliciting a history, examination, diagnosis, clinical decision making, safe prescribing); maintaining good medical practice (lifelong learning, evidencebased guidelines); relationship with patients and communication skills; and working with colleagues (communication with colleagues, teamwork for patient safety, interface with different specialties).
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Kim To MBBS, BSc (Hons)
FY2 in A&E
Good Hope Hospital
Aanand Acharya MA, FRCS (ORL-HNS)
Specialist Registrar in ENT
Birmingham Childrenâ€™s Hospital
1. British National Formulary. Corticosteroids â€“ Pregnancy and breastfeeding http://www.medicinescomplete.com/mc/bnf/current/200132.htm#_200132 Last accessed July 2012.
2. Rowlands S, Hooper R, Hughes R, Burney P. The epidemiology and treatment of Bellâ€™s palsy in the UK. Eur J Neurol 2002; 9:63-7.
3. Tiemstra JD, Khatkhate N. Bellâ€™s Palsy: Diagnosis and Management. Am Fam Physician 2007; 76:997-1002.
4. Jain V, Deshmukh A, Gollomp S. Bilateral facial paralysis case presentation and discussion of differential diagnosis 2006; 21:C7-10.
5. Pitts DB, Adour KK, Hilsinger RL Jr. Recurrent Bellâ€™s Palsy: analysis of 140 patients. Laryngoscope 1988;98:535-40.
6. Rahman I, Sadiq SA. Ophthalmic Management of Facial Nerve Palsy: A Review. Surv Ophthalmol 2007; 52:121-44.
7. Wagner G, Klinge H, Sachse MM. Ramsay Hunt Syndrome. J Dtsch Dermatol Ges 2012; 10: 238-44.
8. Volpi A. Severe complications of herpes zoster. Herpes 2007; 14: suppl 2(35-9).
9. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg 1985; 93:146-7.
10. Veillon F, Taboada LR, Eid MA et al. Pathology of the facial nerve. Neuroimaging Clin N Am. 2008; 18:309-320.
11. Standard Computerised Revalidation Instrument for Prescribing and Therapeutics (SCRIPT). Prescribing in pregnancy. http://www.safeprescriber.org/module/view/25. Last accessed July 2012.
12. Murakami S, Mizobuchi M, Nakashiro Y et al., Bell palsy and herpes simplex virus: identification of viral DNA in endoneurial fluid and muscle. Ann Intern Med 1996; 124:27-30.
13. Salinas RA, Alvarez G, Daly F, Ferreira J. Corticosteroids for Bellâ€™s palsy (idiopathic facial paralysis). Cochrane Database Syst Rev 2010; 17:CD001942.
14. Sullivan FM, Swan IR, Donnan PT et al., Early treatment with Prednisolone
or acyclovir in Bellâ€™s palsy. NEJM 2007; 18:1598-607.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.