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Clinical Practice
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Volume 351:1323-1331 September 23, 2004 Number 13
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Bell's Palsy
Donald H. Gilden, M.D.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A healthy 50-year-old man notices that his face is drooping on the right side. On examination, facial asymmetry is evident, and some saliva has accumulated on the right side of the patient's mouth. When the patient attempts to close his eyes, his right eye does not close, although it rolls upward, and he is unable to show his teeth or inflate his . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Diagnosis

Brain MRI

Electrodiagnostic Studies

Medical Treatment

Surgical Decompression

Areas of Uncertainty

Cause of Bell's Palsy

Treatment

Guidelines

Summary and Recommendations


Source Information

From the Departments of Neurology and Microbiology, University of Colorado Health Sciences Center, Denver.

Address reprint requests to Dr. Gilden at the University of Colorado Health Sciences Center, 4200 E. 9th Ave., Mail Stop B182, Denver, CO 80262, or at don.gilden@uchsc.edu.


Related Letters:

Bell's Palsy
Stuart M. E., Strite S. A., Magaldi J. A., Djalilian H. R., Gilden D. H.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:416-418, Jan 27, 2005. Correspondence

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