Navigation Links
Is it Bell's palsy or a stroke? Emergency physicians have the answer
Date:7/25/2013

WASHINGTON Emergency physicians correctly identified nearly 100 percent of patients with Bell's palsy, the symptoms of which are nearly identical to potentially life-threatening diseases such as stroke and brain tumors. The results of a study of 6 years of California patient records were published online yesterday in Annals of Emergency Medicine ("Potential Misdiagnoses of Bell's Palsy in the Emergency Department").

"Even lacking established guidelines for diagnosing Bell's palsy, which is the most common cause of paralysis of one side of the face, emergency physicians make the right call nearly every time," said lead study author Jahan Fahimi, MD, MPH, of Alameda County Medical Center in Oakland, Calif. and the University of California, San Francisco. "The dramatic and distressing nature of facial paralysis often brings patients to the ER for evaluation, often with a concern that they are having a stroke. The combination of thorough history-taking and detailed physical exam allows emergency physicians to determine which patients have a dangerous condition and which can safely be discharged home. While there may be a role for imaging, such as CT or MRI, the overwhelming majority of patients can be evaluated without advanced diagnostic tests."

Researchers analyzed 43,979 records for patients discharged from California emergency departments with a diagnosis of Bell's palsy. At 90-day follow up, 0.8 percent of those patients received an alternate diagnosis, such as stroke, brain bleed, brain tumor, central nervous system infection, Guillain-Barre syndrome, Lyme disease, ear infection or herpes zoster. When restricted to only life-threatening alternative diagnoses associated with central facial paralysis, only 0.3 percent were misdiagnosed.

Patients with Bell's palsy commonly manifest partial or complete weakness of the muscles of half of the face, resulting in an inability t
'/>"/>

Contact: Julie Lloyd
jlloyd@acep.org
American College of Emergency Physicians
Source:Eurekalert

Page: 1 2

Related medicine news :

1. Kettlebell Exercises Expert Lorna Kleidman Recommends Applying Kettlebells to Maximize Aerobic Training
2. Kettlebells Expert Lorna Kleidman Wants You to Relive Your Workout and Stay Honest
3. Kettlebell Expert, Lorna Kleidman, Comments on Taking Kettlebells Seriously
4. Nano-devices that cross blood-brain barrier open door to treatment of cerebral palsy
5. OU research team developing robotic devices to aid infants with cerebral palsy
6. Is housework a health hazard? Sheet-Fitting palsy described by wake forest baptist physicians
7. High-tech cerebral palsy research at SDSU
8. Acclaimed Texas Surgeon Offers Hope through Expertise in Erb’s Palsy Surgery
9. Cerebral Palsy Lawsuit Inquiries Now Being Accepted by Resource4thePeople; Complimentary Consultations Available for Consumers
10. Young Boy with Cerebral Palsy Receives Completely Renovated Home with Help From ProGroup Network
11. Open House Event to Benefit Two Local Charities; Cerebral Palsy and FACES, A Child Abuse Prevention Organization
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/17/2014)... Battle Creek, MI (PRWEB) September 17, 2014 ... Recovery , an open-ended drug and alcohol treatment program ... gives them a solid foundation in recovery they can ... and depression. , “About 20% of Americans who are ... or both,” commented A Forever Recovery’s CEO Per ...
(Date:9/17/2014)... has been reserved for the very healthy. Astronauts ... highest physical and psychological standards to prepare them ... of commercial spaceflight, average people can now fly ... very little information about what medical conditions or ... spaceflight environment, as most medical conditions have never ...
(Date:9/17/2014)... In its latest blog post, Best ... having family close by during a stay in rehab can ... is successful, is highlighting a member of the therapeutic care ... of addicts across the country and around the world: dogs. ... the blood pressure, heart rate, and stress levels in recovering ...
(Date:9/17/2014)... 2014 North Central Surgical Center is ... awards for their top-notch services. The hospital was the ... and GYN surgery. , Hospital-wide, North Central was the ... have received this award for two years in a ... percent in the nation for Patient Safety in 2014 ...
(Date:9/17/2014)... WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- A blood ... could provide doctors with a better assessment of the ... If used routinely, this blood test could ... working and actually begins promoting tumor growth, the researchers ... given to patients with advanced prostate cancer and often ...
Breaking Medicine News(10 mins):Health News:Latest A Forever Recovery Blog Post Explores the Link Between Addiction and Depression 2Health News:Latest A Forever Recovery Blog Post Explores the Link Between Addiction and Depression 3Health News:Space: The final frontier… open to the public 2Health News:Latest Best Drug Rehabilitation Blog Post Highlights How Dogs are Helping Addicts Recover 2Health News:North Central Surgical Center Receives Several Accolades 2Health News:DNA Blood Test Might Identify Status of Prostate Cancer 2
... Romania. But now new cases of deaths of birds have been ... in all directions from the Danube Delta. This delta is a ... all the birds that come to Europe. ... infected with bird flu. ,Bird flu is caused by ...
... loss of lung functions may be prevented by Vitamin ... lungs stand to benefit from greater concentrations of the ... breakfast cereals, dairy products and fatty fish. Exposure to ... vitamin D. ,The University of Auckland’s researchers ...
... depot fire accident has been described as an environmental tragedy ... flames are reportedly spewing out a toxic cocktail of chemicals.// ... fuel tank led to the suspension of the firefighting efforts. ... signal had been given. ,As many as 150 ...
... of patients who suffer from Parkinson disease as a ... to a study conducted by the University of Alabama.// ... the levodopa medication for bringing the symptoms under control. ... levodopa medication may result in dyskinesias and motor fluctuations ...
... Scotland figures have revealed that about 34% of the ... or overweight. The Information Statistics Division (ISD) has published ... directly connected to latter year // problems like ... disease, which may prove to be an expensive proposition ...
... increase in demand for Palliative care for treatment of ... Hospitals, which has been reported in the Journal of ... chemotherapy or other treatments no more works, it is ... their suffering. It is found that there is a ...
Cached Medicine News:Health News:Study Says Vitamin D Is Good For Lungs 2Health News:Firefighters Continue To Battle Blaze 2
(Date:9/17/2014)... NEW YORK , Sept. 17, 2014 /PRNewswire/ ... Summary GlobalData,s new report, "Germany ... market data on the Germany Gynecological Devices market. ... dollars, volume (in units) and average prices (in ... Devices (Transcervical Sterilization Devices (Micro-inserts) and Mechanical Sterilization ...
(Date:9/17/2014)... Sept. 17, 2014  Dr. Stephen Loyd , ... House today for National Recovery Month, stars in a ... released today. Consumer advocates were also joined by a ... out after losing her fiancée because of a preventable ... had a history of crack cocaine abuse. Proposition 46 ...
(Date:9/17/2014)... , Sept. 17, 2014  Decision Resources ... (CD/UC) patients eligible for biologic therapy, only ... biologic. Surveyed gastroenterologists cite patients, discomfort with ... low penetration rates, followed by cost-related issues ... patients receiving biologics, Janssen Biotech,s Remicade and ...
Breaking Medicine Technology:Germany Gynecological Devices Market Outlook to 2020 2Germany Gynecological Devices Market Outlook to 2020 3Doctor Recovering From 100-Pill-A-Day Addiction Stars In New Ad Supporting Prop 46; Appears At White House for National Recovery Month, Says Consumer Watchdog Campaign 2Doctor Recovering From 100-Pill-A-Day Addiction Stars In New Ad Supporting Prop 46; Appears At White House for National Recovery Month, Says Consumer Watchdog Campaign 3The Majority of Surveyed Gastroenterologists Agree that Biologics Should be Prescribed to More Patients in the Crohn's Disease and Ulcerative Colitis Treatment Paradigm 2The Majority of Surveyed Gastroenterologists Agree that Biologics Should be Prescribed to More Patients in the Crohn's Disease and Ulcerative Colitis Treatment Paradigm 3
Provides 30% more magnification and twice the field of view. Adjustable focus, with insufflator bulb....
Features a built-in throat illuminator, providing 30% more magnification and twice the field of view. Adjustable focus....
... The Novus Spectra photocoagulator delivers ... in diode-pumped solid-state (DPSS) technology. Diode ... power from the compact Novus Spectra ... ensures stable beam output and system ...
A standard, durable and reliable indirect....
Medicine Products: