Facial weakness multiple sclerosis
Less common symptoms include sialorrhea, facial palsy, taste alterations, trigeminal neuralgia and tinnitus. Curiously, Hartman et al. Mr XY, 32 year of age, presents with a history of rapidly progressive, right-sided facial paralysis. Hemifacial spasm presents in a typical and atypical form. Maxillofacial manifestations such as trigeminal neuralgia and trigeminal sensory neuropathy have been reported in MS [ 63 ].
What is Bell's palsy?
Facial Paralysis (Facial Nerve Clinic)
The teeth were healthy, without caries or defective restorations. Neurology ; Residents and Fellows contest rules International Ophthalmologists contest rules. The medical history revealed that the patient had experienced parasthesia of the lower half of the right side of her face and of the right side of her tongue approximately 6 months previously Fig. The patient was partially edentulous in the upper and lower arches. Original article contributed by :.
Oral and Maxillofacial Manifestations of Multiple Sclerosis
Electrogustometry may be very useful for diagnosis and monitoring of MS; Sarmiento et al. She had no muscle weakness, or auditory or visual problems. Sialorrhoea and drooling are conditions of hypersalivation [ 89 ] that may be found in many neurodegenerative disorders [ 90 ]; in MS they are usually found in the advanced stages of the disease. Therefore, in patients with progressive facial nerve neuropathy, it is important to consider perineural spread even in the absence of a history of cutaneous cancers. Simultaneously, intermittent hypoxia could increase oxidative stress and, combined with alterations in hypocapnia sensitivity thresholds, may worsen neurodegeneration in patients with MS, leading to CSA [ , ]. Through various mechanisms inhibition of tubular secretion, modifying albumin fixation sites, etc. Correspondence to: Dr.
Melkersson-Rosenthal syndrome and orofacial granulomatosis. Intraoral examination revealed no sensory or motor deficiencies. There are a number of tests available to diagnose hemifacial spasm. Both dysphonia and dysarthria may be correlated to an alteration of the expiratory and phonatory times [ ]. Bilateral facial paralysis: Case presentation and discussion of differential diagnosis. The history should specifically enquire about the onset and timing of symptoms.