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Head and Neck
Differential Diagnosis
Temporal Bone
Clinically Based Differentials
Peripheral Facial Nerve Paralysis
Peripheral Facial Nerve Paralysis
Nicholas A. Koontz, MD
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DIFFERENTIAL DIAGNOSIS

    ESSENTIAL INFORMATION

    • Key Differential Diagnosis Issues

      • Helpful Clues for Common Diagnoses

        • Helpful Clues for Less Common Diagnoses

          • Helpful Clues for Rare Diagnoses

            • Alternative Differential Approaches

              Selected References

              1. Jindal G et al: Imaging evaluation and treatment of vascular lesions at the skull base. Radiol Clin North Am. 55(1):151-166, 2017
              2. Kuya J et al: Usefulness of high-resolution 3D multi-sequences for peripheral facial palsy: differentiation between Bell's palsy and Ramsay Hunt syndrome. Otol Neurotol. 38(10):1523-1527, 2017
              3. Lingam RK et al: A meta-analysis on the diagnostic performance of non-echoplanar diffusion-weighted imaging in detecting middle ear cholesteatoma: 10 years on. Otol Neurotol. 38(4):521-528, 2017
              4. Chevallier KM et al: Differentiating pediatric rhabdomyosarcoma and Langerhans cell histiocytosis of the temporal bone by imaging appearance. AJNR Am J Neuroradiol. 37(6):1185-9, 2016
              5. Chung MS et al: The clinical significance of findings obtained on 3D-FLAIR MR imaging in patients with Ramsay-Hunt syndrome. Laryngoscope. 125(4):950-5, 2015
              6. Gamss C et al: Imaging evaluation of the suprahyoid neck. Radiol Clin North Am. 53(1):133-44, 2015
              7. Ho ML et al: Anatomy and pathology of the facial nerve. AJR Am J Roentgenol. 204(6):W612-9, 2015
              8. Singh AK et al: Imaging spectrum of facial nerve lesions. Curr Probl Diagn Radiol. 44(1):60-75, 2015
              9. McRackan TR et al: Facial nerve outcomes in facial nerve schwannomas. Otol Neurotol. 2012 Jan;33(1):78-82. Erratum in: Otol Neurotol. 33(3):472, 2012
              10. Magliulo G et al: Facial nerve dehiscence and cholesteatoma. Ann Otol Rhinol Laryngol. 120(4):261-7, 2011
              11. Benoit MM et al: Facial nerve hemangiomas: vascular tumors or malformations? Otolaryngol Head Neck Surg. 142(1):108-14, 2010
              12. Nakata S et al: 3D-FLAIR MRI in facial nerve paralysis with and without audio-vestibular disorder. Acta Otolaryngol. 130(5):632-6, 2010
              13. Finsterer J: Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol. 265(7):743-52, 2008
              14. Moody MW et al: Incidence of dehiscence of the facial nerve in 416 cases of cholesteatoma. Otol Neurotol. 28(3):400-4, 2007
              15. Quaranta N et al: Facial paralysis associated with cholesteatoma: a review of 13 cases. Otol Neurotol. 28(3):405-7, 2007
              16. Critchley EP: Multiple sclerosis initially presenting as facial palsy. Aviat Space Environ Med. 75(11):1001-4, 2004
              17. Park SU et al: The usefulness of MR imaging of the temporal bone in the evaluation of patients with facial and audiovestibular dysfunction. Korean J Radiol. 3(1):16-23, 2002
              18. Martin N et al: Haemangioma of the petrous bone: MRI. Neuroradiology. 34(5):420-2, 1992
              19. Curtin HD et al: "Ossifying" hemangiomas of the temporal bone: evaluation with CT. Radiology. 164(3):831-5, 1987
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              References
              Tables

              Tables

              DIFFERENTIAL DIAGNOSIS

                ESSENTIAL INFORMATION

                • Key Differential Diagnosis Issues

                  • Helpful Clues for Common Diagnoses

                    • Helpful Clues for Less Common Diagnoses

                      • Helpful Clues for Rare Diagnoses

                        • Alternative Differential Approaches

                          Selected References

                          1. Jindal G et al: Imaging evaluation and treatment of vascular lesions at the skull base. Radiol Clin North Am. 55(1):151-166, 2017
                          2. Kuya J et al: Usefulness of high-resolution 3D multi-sequences for peripheral facial palsy: differentiation between Bell's palsy and Ramsay Hunt syndrome. Otol Neurotol. 38(10):1523-1527, 2017
                          3. Lingam RK et al: A meta-analysis on the diagnostic performance of non-echoplanar diffusion-weighted imaging in detecting middle ear cholesteatoma: 10 years on. Otol Neurotol. 38(4):521-528, 2017
                          4. Chevallier KM et al: Differentiating pediatric rhabdomyosarcoma and Langerhans cell histiocytosis of the temporal bone by imaging appearance. AJNR Am J Neuroradiol. 37(6):1185-9, 2016
                          5. Chung MS et al: The clinical significance of findings obtained on 3D-FLAIR MR imaging in patients with Ramsay-Hunt syndrome. Laryngoscope. 125(4):950-5, 2015
                          6. Gamss C et al: Imaging evaluation of the suprahyoid neck. Radiol Clin North Am. 53(1):133-44, 2015
                          7. Ho ML et al: Anatomy and pathology of the facial nerve. AJR Am J Roentgenol. 204(6):W612-9, 2015
                          8. Singh AK et al: Imaging spectrum of facial nerve lesions. Curr Probl Diagn Radiol. 44(1):60-75, 2015
                          9. McRackan TR et al: Facial nerve outcomes in facial nerve schwannomas. Otol Neurotol. 2012 Jan;33(1):78-82. Erratum in: Otol Neurotol. 33(3):472, 2012
                          10. Magliulo G et al: Facial nerve dehiscence and cholesteatoma. Ann Otol Rhinol Laryngol. 120(4):261-7, 2011
                          11. Benoit MM et al: Facial nerve hemangiomas: vascular tumors or malformations? Otolaryngol Head Neck Surg. 142(1):108-14, 2010
                          12. Nakata S et al: 3D-FLAIR MRI in facial nerve paralysis with and without audio-vestibular disorder. Acta Otolaryngol. 130(5):632-6, 2010
                          13. Finsterer J: Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol. 265(7):743-52, 2008
                          14. Moody MW et al: Incidence of dehiscence of the facial nerve in 416 cases of cholesteatoma. Otol Neurotol. 28(3):400-4, 2007
                          15. Quaranta N et al: Facial paralysis associated with cholesteatoma: a review of 13 cases. Otol Neurotol. 28(3):405-7, 2007
                          16. Critchley EP: Multiple sclerosis initially presenting as facial palsy. Aviat Space Environ Med. 75(11):1001-4, 2004
                          17. Park SU et al: The usefulness of MR imaging of the temporal bone in the evaluation of patients with facial and audiovestibular dysfunction. Korean J Radiol. 3(1):16-23, 2002
                          18. Martin N et al: Haemangioma of the petrous bone: MRI. Neuroradiology. 34(5):420-2, 1992
                          19. Curtin HD et al: "Ossifying" hemangiomas of the temporal bone: evaluation with CT. Radiology. 164(3):831-5, 1987