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June 1966

Recurrent Facial Palsy and Tumor: Misdiagnosed Bell's Palsy

Author Affiliations

From the Department of Neurology, St. Michael's Hospital, Toronto.

Arch Otolaryngol. 1966;83(6):543-546. doi:10.1001/archotol.1966.00760020545009

FACIAL paralysis produced by compression or infiltration of the facial nerve by a tumor is slow in its development and unremitting in its course. The sudden onset of facial palsy with subsequent remissions and relapses is, therefore, not generally thought to result from involvement of the nerve by a neoplasm anywhere along its intracranial or extracranial course. This report describes the rare association of recurrent episodes of facial paralysis and intracranial tumor, and documents the seventh such case in medical literature.

Report of a Case  A 38-year-old garment worker was admitted to the Neurological Institute of New York in May 1964, because of increasingly recurrent attacks of visual blurring for five months. At the age of 12 he had suddenly developed a left facial paresis without previous symptoms of illness. The paresis cleared slowly over the following weeks, leaving minimal but perceptible facial weakness. When he was 18 years old

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