1990Practica Oto-Rhino-LaryngologicaOpen access

Gadolinium-enhanced MR imaging in Bell's palsy. A preliminary report.

Yasushi Matsumoto, Yuji Kawamura, Naoaki Yanagihara, Hitoshi Miki, Masanori Sadamoto

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Abstract

We carried out magnetic resonance imaging (MRJ) in 3 cases of Bell's palsy. Case 1 was a 43 y. o. male, case 2 was a 21 y. o. female and case 3 was a 64 y. o. male. The diagnosis was in complete: Bell's palsy. Tl-weighted images (TR500/TE25-33) were taken before and after the intravenous administration of Gd-DTPA (0.1mmol/kg) using 0.5 Tesla superconductive type MRI 3, 8, and 11 days respectively after the onset. In the ipsilateral intratemporal facial nerve, enhancement of signalintensity was seen in the geniculate ganglion in casel, in the mastoid portion in case 2, and in the labyrinthine portion and geniculate ganglion in case 3. The possibility of imaging the facial nerve in Bell's palsy was demonstrated, and the diagnostic significance of Gd-enhanced MRI was discussed in this preliminary investigation.

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What this paper is about

We carried out magnetic resonance imaging (MRJ) in 3 cases of Bell's palsy. Case 1 was a 43 y. o. male, case 2 was a 21 y. o. female and case 3 was a 64 y. o. male. The diagnosis was in complete: Bell's palsy. Tl-weighted images (TR500/TE25-33) were taken before and after the intravenous administration of Gd-DTPA (0.1mmol/kg) using 0.5 Tesla superconductive type MRI 3, 8, and 11 days respectively after the onset. In the ipsilateral intratemporal facial nerve, enhancement of signalintensity was seen in the geniculate ganglion in casel, in the mastoid portion in case 2, and in the labyrinthine portion and geniculate ganglion in case 3. The possibility of imaging the facial nerve in Bell's palsy was demonstrated, and the diagnostic significance of Gd-enhanced MRI was discussed in this preliminary investigation.

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Available abstract

We carried out magnetic resonance imaging (MRJ) in 3 cases of Bell's palsy. Case 1 was a 43 y. o. male, case 2 was a 21 y. o. female and case 3 was a 64 y. o. male. The diagnosis was in complete: Bell's palsy. Tl-weighted images (TR500/TE25-33) were taken before and after the intravenous administration of Gd-DTPA (0.1mmol/kg) using 0.5 Tesla superconductive type MRI 3, 8, and 11 days respectively after the onset. In the ipsilateral intratemporal facial nerve, enhancement of signalintensity was seen in the geniculate ganglion in casel, in the mastoid portion in case 2, and in the labyrinthine portion and geniculate ganglion in case 3. The possibility of imaging the facial nerve in Bell's palsy was demonstrated, and the diagnostic significance of Gd-enhanced MRI was discussed in this preliminary investigation.

Key concepts: Geniculate ganglion, Bell's palsy, Palsy, Magnetic resonance imaging, Facial nerve, Medicine, Ramsay Hunt syndrome, Geniculate

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