Can Facial Paralysis be a Rare Complication of Hypertension?

Year 2023, Volume: 14 Issue: 2, 46 - 48, 07.07.2023

Burcin Balaban

https://doi.org/10.33706/jemcr.1287073

Abstract

Facial paralysis is a disorder that can result from a wide spectrum of etiologies including traumatic, infectious, congenital, neurologic, systemic, neoplastic, and iatrogenic causes. It has significant functional, psychological, and social consequences. The most common cause of fascial nerve paralysis is idiopathic facial nerve palsy (Bell’s palsy). There is a relationship between facial nerve paralysis and severe systemic hypertension. In this report we present a 43-year-old female patient with fascial paralysis who had a history of hypertension.

Keywords

Facial paralysis, hypentension, Bell’s palsy, etiology

References

• 1. Melvin TA, Lim CJ. Overview of facial paralysis: current concepts. Facial Plast Surg. 2008; 5. 24(2):155–163.
• 2. Bergeron CM, Moe KS. The evaluation and treatment of upper eyelid paralysis. Facial Plast Surg 2008;24:220–230.
• 3. Meltzer NE, Alam DS. Facial paralysis rehabilitation: state of the art. Curr Opin Otolaryngol Head Neck Surg 2010; 18:232–237.
• 4. Al-Muharraqi MA, O'Sullivan EC. Unilateral Facial Nerve Paralysis Following An Infected Lower Third Molar. Int J Oral Maxillofac Surg 2010; 39: 192-5.
• 5. Greco A, Gallo A, Fusconi M, Marinelli C, Macri GF, de Vincentiis M. Bell's palsy and autoimmunity. Autoimmun Rev 2012;12:323-8.
• 6. Eviston TJ, Croxson GR, Kennedy PG, Hadlock T, Krishnan AV. Bell's palsy: aetiology, clinical features and multidisciplinary care. J Neurol Neurosurg Psychiatry. 2015;86(12):1356-1361.
• 7. Moxon W. Apoplexy Into the canal of fallopius in a case of Bright’s disease causing facial paralysis. Trans Path So 1869;20:420–421.
• 8. Savadi-Oskouei D, Abedi A, Sadeghi-Bazargani H. Independent role of hypertension in Bell’s palsy: a case-control study. Eur Neurol 2008;60:253–257.
• 9. Cha CI, Hong CK, Park MS, Yeo SG. Comparison of facial nerve paralysis in adults and children. Yonsei Med J. 2008;49(5):725-734.
• 10. Singhi P, Jain V. Bell's palsy in children. Semin Pediatr Neurol.2003;10:289-97.
• 11. Dong Sik Chang, Jun Lee, Sun Ae Shin, Ho Yun Lee. Characteristics of patients with acute peripheral facial palsy showing Varicella zoster virus DNA in saliva. J Med Virol. 2018;90:959–964.
• 12. MacArthur AM, Minson S. Facial nerve paralysis in hypertension: Answers. Pediatr Nephrol. 2021;36(2):305-306.
• 13. Jörg R, Milani GP, Simonetti GD, Bianchetti MG, Simonetti BG. Peripheral facial nerve palsy in severe systemic hypertension: a systematic review. Am J Hypertens. 2013;26(3):351-356.
• 14. Lewis VE, Peat DS, Tizard EJ. Hypertension and facial palsy in middle aortic syndrome. Arch Dis Child. 2001;85(3):240-241.
• 15. Wang CS, Sakai M, Khurram A, Lee K. Facial nerve palsy in children: A case series and literature review. Otolaryngology Case Reports 2021; 20(10):100297.
• 16. Yoo MC, Soh Y, Chon J, et al. Evaluation of Factors Associated With Favorable Outcomes in Adults With Bell Palsy. JAMA Otolaryngol Head Neck Surg. 2020;146(3):256-263.
• 17. Madhok VB, Gagyor I, Daly F, et al. Corticosteroids for Bell's palsy (idiopathic facial paralysis). Cochrane Database Syst Rev. 2016;7(7):CD001942.
• 18. Sullivan FM, Swan IR, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell's palsy. N Engl J Med. 2007;357(16):1598-1607.
• 19. Monsanto RD, Bittencourt AG, Bobato Neto NJ, Beilke SC, Lorenzetti FT, Salomone R. Treatment and Prognosis of Facial Palsy on Ramsay Hunt Syndrome: Results Based on a Review of the Literature. Int Arch Otorhinolaryngol. 2016;20(4):394-400.
• 20. Gantz BJ, Rubinstein JT, Gidley P, Woodworth GG. Surgical management of Bell's palsy. Laryngoscope. 1999;109(8):1177-1188.