When the bell tolls on Bell's palsy: finding occult malignancy in acute-onset facial paralysis
AM Quesnel, RW Lindsay, TA Hadlock - American journal of otolaryngology, 2010 - Elsevier
PURPOSE: This study reports 4 cases of occult parotid malignancy presenting with sudden-
onset facial paralysis to demonstrate that failure to regain tone 6 months after onset
distinguishes these patients from Bell's palsy patients with delayed recovery and to propose
a diagnostic algorithm for this subset of patients. MATERIALS AND METHODS: A case
series of 4 patients with occult parotid malignancies presenting with acute-onset unilateral
facial paralysis is reported. RESULTS: Initial imaging on all 4 patients did not demonstrate a …
onset facial paralysis to demonstrate that failure to regain tone 6 months after onset
distinguishes these patients from Bell's palsy patients with delayed recovery and to propose
a diagnostic algorithm for this subset of patients. MATERIALS AND METHODS: A case
series of 4 patients with occult parotid malignancies presenting with acute-onset unilateral
facial paralysis is reported. RESULTS: Initial imaging on all 4 patients did not demonstrate a …
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