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Facial palsy: etiology, outcome and management in children.
- Source :
-
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society [Eur J Paediatr Neurol] 2011 May; Vol. 15 (3), pp. 209-13. Date of Electronic Publication: 2010 Dec 14. - Publication Year :
- 2011
-
Abstract
- Background: Currently there is much controversy whether to treat idiopathic facial palsy with corticosteroids with sparse data on the natural course of the disease in children.<br />Methods: We performed a prospective study on all children <15 years of age who were admitted to our unit for facial palsy between 1st July 1998 to 30th June 2008. All patients received a standardized work-up and follow-up. Therapy consisted of symptomatic treatment either with (in case of neuroborreliosis) or without a 14 day course of intravenous antibiotics.<br />Findings: 106 patients were included in our study. The calculated incidence for facial palsy was 21.1/100000/year for children <15 years. The incidence for neuroborreliosis (NB) in this age group was calculated to be 4.9/100000/year. The overall rate of complete recovery was 97.6% with significantly faster recovery in younger children and in patients with NB as compared to idiopathic facial palsy. Both patients with incomplete recovery were at least 14 years old and presented late in the course of the disease.<br />Conclusion: Based on the rate of 97.6% spontaneous complete recovery we believe that the routine use of corticosteroids in children with facial palsy is not justified, unless there is new data from controlled trials in children.<br /> (Copyright © 2010 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Adolescent
Adrenal Cortex Hormones adverse effects
Anti-Bacterial Agents administration & dosage
Ceftriaxone administration & dosage
Child
Child, Preschool
Comorbidity trends
Facial Paralysis epidemiology
Female
Germany epidemiology
Humans
Infant
Lyme Neuroborreliosis epidemiology
Male
Prospective Studies
Adrenal Cortex Hormones administration & dosage
Facial Paralysis drug therapy
Facial Paralysis etiology
Lyme Neuroborreliosis complications
Lyme Neuroborreliosis drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1532-2130
- Volume :
- 15
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society
- Publication Type :
- Academic Journal
- Accession number :
- 21159531
- Full Text :
- https://doi.org/10.1016/j.ejpn.2010.11.004