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Gadolinium-Enhanced MRI and Positron Emission Tomography in Bell’s palsy: A Preliminary Report

  • M. Engström
  • L. Jonsson
  • K.-Å. Thuomas
  • A. Lilja
  • M. Bergström
Conference paper

Abstract

An inflammatory edema with secondary ischemia of the facial nerve may be the cause of Bell’s palsy [1, 5]. This may accord with the transient facial nerve enhancement on gadolinium-enhanced magnetic resonance imaging (GadMRI) that we recently have reported [4]. In this previous study [4] we used carbohydrate and gadolinium in an attempt to improve the GadMRI technique. The aim of the present preliminary study was to see if readministration of gadolinium may give additional information when examining patients with Bell’s palsy on high-Tesla MR equipment. Furthermore, we report our limited experience from three investigations using positron emission tomography (PET), a unique imaging technique which allows in vivo measurements of the anatomical distribution and rates of specific biochemical reactions [9].

Keywords

Positron Emission Tomography Facial Nerve Herpes Zoster Positron Emission Tomography Examination Nonparetic Side 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Adour KK, Byl FM, Hilsinger RL Jr, Kahn ZM, Sheldon MI., (1978) The true nature of Bell’s palsy: analysis of 1,000 consecutive patients. Laryngoscope 88: 787–801PubMedGoogle Scholar
  2. 2.
    Aviel A, Ostfeld E, Burstein R, Marshak G, Bentwich Z., (1983) Peripheral blood T and B lymphocyte subpopulations in Bell’s palsy. Ann Otol Rhinol Laryngol 92: 187–191PubMedGoogle Scholar
  3. 3.
    Daniels DL, Czervionke LF, Millen SJ, Haberkamp TJ, Meyer GA, Hendrix LE, Leighton PM, Williams AL, Haughton VM., (1989) MR imaging of facial nerve enhancement in Bell’s palsy or after temporal bone surgery. Radiology 171: 807–809PubMedGoogle Scholar
  4. 4.
    Engström M, Thuomas K-Å, Naeser P, Stålberg E, Jonsson L., (1993) Facial nerve enhancement in Bell’s palsy demonstrated by different gadolinium-enhanced MRI techniques. Arch Otolaryngol Head Neck Surg 119: 221–225PubMedCrossRefGoogle Scholar
  5. 5.
    Fisch U, Esslen E., (1972) Total intratemporal exposure of the facial nerve. Arch Otolaryngol 95: 335–341PubMedCrossRefGoogle Scholar
  6. 6.
    Jonsson L, Sjöberg O, Thomander L., (1988) Depression of T cells in Bell’s palsy. Ann Otol Rhinol Laryngol 97: 138–141PubMedGoogle Scholar
  7. 7.
    Korzec K, Sobol SM, Kubal W, Mester SJ, Winzelberg G, May M., (1991) Gadolinium-enhaned magnetic resonance imaging of the facial nerve in herpes zoster oticus and Bell’s palsy: clinical implications. Am J Otol 12: 163–168PubMedGoogle Scholar
  8. 8.
    Murphy TP, Teller DC., (1991) Magnetic resonance imaging of the facial nerve during Bell’s palsy. Otolaryngol Head Neck Surg 105: 667–674PubMedGoogle Scholar
  9. 9.
    Phelps ME, Mazziotta JC., (1985) Positron emission tomography: human brain function and biohemistry. Science 228: 799–809PubMedCrossRefGoogle Scholar
  10. 10.
    Schwaber MK, Larson TC, Zealer DL, Creasy J., (1990) Gadolinium-enhanced MRI in Bell’s palsy. Laryngoscope 100: 1264–1269PubMedCrossRefGoogle Scholar
  11. 11.
    Stenquist M, Engstrom M, Thuomas K-A, Jonsson L., (1993) Inflammatory paranasal sinus disease in Bell’s palsy demonstrated by MRI. Am J Otol 14: 295–300PubMedCrossRefGoogle Scholar
  12. 12.
    Tien R, Dillon WP, Jackler RK., (1990) Contrast-enhanced MR imaging of the facial nerve in 11 patients with Bell’s palsy. AJNR 11: (AJR 155): 735–741PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • M. Engström
    • 1
    • 2
  • L. Jonsson
    • 1
    • 2
  • K.-Å. Thuomas
    • 3
  • A. Lilja
    • 4
  • M. Bergström
    • 4
  1. 1.Department of Oto-Rhino-LaryngologyUppsala UniversityUppsalaSweden
  2. 2.Department of Head & Neck SurgeryUppsala UniversityUppsalaSweden
  3. 3.Diagnostic RadiologySweden
  4. 4.PET-CentreUppsala UniversitySweden

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