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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
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.
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N Engl J Med 2005;
352:416-418, Jan 27, 2005.
Correspondence
This article has been cited by other articles:
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