[Skip to Content]
[Skip to Content Landing]
October 28, 1974

Goring by Bull and Bell Palsy

Author Affiliations

Great Lakes Naval Hospital Great Lakes, III

JAMA. 1974;230(4):540. doi:10.1001/jama.1974.03240040018020

To the Editor.—  Dr. Thomas, in a recent contribution (229:139, 1974), recalled that Tapia syndrome, unilateral 10th and 12th nerve palsies, was caused in the classic case by being gored by a bull. It has always been a curiosity to me, and useful in teaching, that the classic case of Bell palsy, as I understand it, was caused by a bull-goring, in fact, by a bull-tossing: "The horn entered behind the upright portion of the left jaw, tearing the portio dura of the seventh nerve where it came forward from the stylo-mastoid foramen."1 Thus, the expression "Bell palsy" is not exclusively synonomous with "idiopathic" facial paralysis.