Cerebrospinal fluid in acute peripheral facial palsy |
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Authors: | André Kohler Michel Chofflon Roman Sztajzel Michel R Magistris |
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Institution: | Clinique de Neurologie, H?pital Cantonal Universitaire, CH-1211 Geneva 14, Switzerland Tel.: +41-22-3728348 Fax: +41-22-3728350, CH
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Abstract: | Cerebrospinal fluid (CSF) is rarely analyzed in peripheral facial palsy, and reports in the literature are scarce. We report
the CSF findings in 265 patients with acute isolated peripheral facial palsy. The CSF findings were abnormal in 11% of 230
patients with idiopathic peripheral facial palsy, in 60% of 17 patients with Ramsay Hunt syndrome (pleocytosis), in 25% of
8 patients with Lyme disease, in all of 8 patients with HIV infection, and in 2 other patients (sarcoidosis and herpes simplex).
We conclude from this large series that the CSF is usually normal in idiopathic peripheral facial palsy. If the CSF is abnormal,
a specific cause should be sought.
Received: 17 October 1997 Accepted: 24 June 1998 |
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Keywords: | Facial nerve palsy Bell’ s palsy Ramsay Hunt syndrome Lyme disease HIV infection |
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