Medial Pontomedullary Stroke Mimicking Severe Bell's Palsy: A Case Report.

Autor:	Boodaie B; Kern Medical, Department of Emergency Medicine, Bakersfield, California., Amin M; Kern Medical, Department of Emergency Medicine, Bakersfield, California., Sabetian K; Kern Medical, Department of Neurology, Bakersfield, California., Quesada D; Kern Medical, Department of Emergency Medicine, Bakersfield, California., Torrico T; Ross University School of Medicine, Department of Medicine, Miramar, Florida.
Jazyk:	angličtina
Zdroj:	Clinical practice and cases in emergency medicine [Clin Pract Cases Emerg Med] 2020 Aug; Vol. 4 (3), pp. 380-383.
DOI:	10.5811/cpcem.2020.5.46965
Abstrakt:	Introduction: Patients with acute unilateral upper and lower facial palsy frequently present to the emergency department fearing they have had a stroke, but many cases are benign Bell's palsy. Case Report: We present a rare case of a medial pontomedullary junction stroke causing upper and lower hemifacial paralysis associated with severe dysphagia and contralateral face and arm numbness. Conclusion: Although rare, pontine infarct must be considered in patients who present with both upper and lower facial weakness. Unusual neurologic symptoms (namely diplopia, vertigo, or dysphagia) and signs (namely gaze palsy, nystagmus, or contralateral motor or sensory deficits) should prompt evaluation for stroke.
Databáze:	MEDLINE
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