Headache anticipating Bell's palsy: can we prevent the facial palsy by diagnosing and treating early?

Authors

  • Marcelo Moraes Valença Universidade Federal de Pernambuco
  • Luciana Patrízia A. Andrade-Valença Universidade Federal de Pernambuco
  • Laryssa Azevedo Universidade Federal de Pernambuco
  • Mário Luciano de Mélo Silva Júnior Universidade Federal de Pernambuco
  • Hugo André de Lima Martins Universidade Federal de Pernambuco
  • Amanda Araújo da Silva Universidade Federal de Pernambuco
  • Louana C. Silva Universidade Federal de Pernambuco
  • Daniella Araújo de Oliveira Universidade Federal de Pernambuco
  • Mariana de Carvalho Leal Gouveia Universidade Federal de Pernambuco
  • Sílvio Caldas Neto Universidade Federal de Pernambuco

DOI:

https://doi.org/10.48208/HeadacheMed.2013.20

Keywords:

Facial palsy, Diagnostic criteria, Diagnosis, Headache

Abstract

Bell's palsy is a peripheral facial palsy with high incidence, which has some associated factors such as pregnancy, diabetes mellitus and hypertension, in addition to infection by some subtypes of the herpes virus, i.e. herpes simplex and herpes zoster sine herpete. A common feature of patients with Bell's palsy is the occurrence of ipsilateral headache of periauricular location, days before the onset of the paralysis. It is questionable, therefore, whether it is possible to identify a characteristic pattern of this pain in order to prevent disease progression or mitigate the possible development of motor deficit by initiating appropriate and immediate treatment to suppress the inflammatory process of the facial nerve. We report the case of a 50-year-old man with facial palsy on the right side, with pain in the ipsilateral retroauricular. At the age of 15 he reported a previous episode of facial palsy, also on the right side, with severe retroauricular pain, similar to the current recurrence. We propose diagnostic criteria for the retroauricular headache associated with idiopathic peripheral facial palsy.

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Author Biographies

Marcelo Moraes Valença, Universidade Federal de Pernambuco

Unidade Funcional de Neurologia e Neurocirurgia, Departamento de Neuropsiquiatria, Universidade Federal de Pernambuco, Recife, PE, Brasil

Luciana Patrízia A. Andrade-Valença, Universidade Federal de Pernambuco

Unidade Funcional de Neurologia e Neurocirurgia, Departamento de Neuropsiquiatria, Universidade Federal de Pernambuco, Recife, PE, Brasil, Serviço de Neurologia e Neurocirurgia, Hospital Esperança, Recife, PE, Brasil

Laryssa Azevedo, Universidade Federal de Pernambuco

Unidade Funcional de Neurologia e Neurocirurgia, Departamento de Neuropsiquiatria, Universidade Federal de Pernambuco, Recife, PE, Brasil.

Mário Luciano de Mélo Silva Júnior, Universidade Federal de Pernambuco

Unidade Funcional de Neurologia e Neurocirurgia, Departamento de Neuropsiquiatria, Universidade Federal de Pernambuco, Recife, PE, Brasil

Hugo André de Lima Martins, Universidade Federal de Pernambuco

Unidade Funcional de Neurologia e Neurocirurgia, Departamento de Neuropsiquiatria, Universidade Federal de Pernambuco, Recife, PE, Brasil

Amanda Araújo da Silva, Universidade Federal de Pernambuco

Unidade Funcional de Neurologia e Neurocirurgia, Departamento de Neuropsiquiatria, Universidade Federal de Pernambuco, Recife, PE, Brasil

Louana C. Silva, Universidade Federal de Pernambuco

Unidade Funcional de Neurologia e Neurocirurgia, Departamento de Neuropsiquiatria, Universidade Federal de Pernambuco, Recife, PE, Brasil

Daniella Araújo de Oliveira, Universidade Federal de Pernambuco

Departamento de Fisioterapia, Universidade Federal de Pernambuco, Recife, PE, Brasil

Mariana de Carvalho Leal Gouveia, Universidade Federal de Pernambuco

Serviço de Otorrinolaringologia, Universidade Federal de Pernambuco, Recife, PE, Brasil,

Sílvio Caldas Neto, Universidade Federal de Pernambuco

Serviço de Otorrinolaringologia, Universidade Federal de Pernambuco, Recife, PE, Brasil

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Published

31/12/2013

How to Cite

1.
Valença MM, Andrade-Valença LPA, Azevedo L, Silva Júnior ML de M, Martins HA de L, Silva AA da, Silva LC, Oliveira DA de, Gouveia M de CL, Caldas Neto S. Headache anticipating Bell’s palsy: can we prevent the facial palsy by diagnosing and treating early?. HM [Internet]. 2013 Dec. 31 [cited 2021 Oct. 24];4(4):105-11. Available from: https://headachemedicine.com.br/index.php/hm/article/view/389

Issue

Section

Case Report

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