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Examination of Supranuclear Lesion Localizations of Peripheral Facial Palsy Induced by Acute Stroke
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Research Article
VOLUME: 75 ISSUE: 2
P: 226-230
June 2022

Examination of Supranuclear Lesion Localizations of Peripheral Facial Palsy Induced by Acute Stroke

J Ankara Univ Fac Med 2022;75(2):226-230
DOI: 10.4274/atfm.galenos.2022.32704
Fatma Yılmaz Can
Beyza Nur Çetin
Umur Poyraz
Halil Önder
1. Sağlık Bilimleri Üniversitesi, Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, Ankara, Türkiye
No information available.
No information available
Received Date: 28.01.2022
Accepted Date: 18.04.2022
Publish Date: 30.06.2022
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ABSTRACT

Objectives:

In central facial palsy developing after unilateral cerebral stroke, dysfunction of the upper facial muscles is usually not observed. However, in some cases, weakness is reported to develop in the upper facial muscles due to stroke. This study aims to examine the supranuclear lesion localizations of peripheral-type facial palsy induced by acute ischemic stroke.

Materials and Methods:

Ten patients, who were hospitalized due to stroke in Clinic of Neurology, University of Health Sciences Turkey, Dışkapı Yıldırım Beyazıt Training and Research Hospital between 2019 and 2021 and who were determined to have peripheral type facial palsy in the examination findings, were included in our study. The radiological and clinical characteristics of the patients were analyzed retrospectively. Lesion locations at brain diffusion-weighted imaging were examined. Demographic characteristics and ischemic stroke risk factors were determined by scanning file notes.

Results:

At diffusion-weighted imaging examinations of the patients, the lesion localizations were on corticobulbar tract reaching to pons from cortex in 4 cases. In two cases, the total medial cerebral artery affected the irrigation area. While it was on precentral gyrus- primary motor cortex in a case, it was on centrum semiovale-putamen-internal capsule posterior limb in a case. In a case, the lesion was localized on the anterior cerebral artery irrigation area. In one case, the primary motor cortex was adjacent to the subcortical white matter.

Conclusion:

In our retrospective scanning results, we determined that peripheral-type facial palsy due to supranuclear lesions developed in 10 patients with stroke. We thought that the upper and lower facial muscles were receiving motor projections from the contralateral, primary motor cortex. In addition, we declare that cerebrovascular diseases should also be considered in patients aged 60 years and above and developing peripheral-type facial palsy with metabolic and vascular risk factors.

Keywords: Acute Stroke, Peripheral Facial Palsy, Supranuclear Lesion Localization

References

1
Brazis PW, Masdeu JC, Biller J. Localization in Clinical Neurology. Publisher: Lippincot Williams-Wilkins.Translation Edit. Emre M. 5. baskı. Güneş Tıp Kitap Evleri. Ankara; 287-288.
2
Sohn YH, Voller B, Dimyan M, et al. Cortical control of voluntary blinking: a transcranial magnetic stimulation study. Clin Neurophysiol. 2004;115:341-347.
3
Morecraft RJ, Louie JL, Herrick JL, et al. Cortical innervation of the facial nucleus in the non-human primate: a new interpretation of the effects of stroke and related subtotal brain trauma on the muscles of facial expression. Brain. 2001;124:176-208.
4
Yildiz N, Ertekin C, Ozdemirkiran T, et al. Corticonuclear innervation to facial muscles in normal controls and in patients with central facial paresis. J Neurol. 2005;252:429-435.
5
Onder H, Albayrak L, Polat H. Frontal lobe ischemic stroke presenting with peripheral type facial palsy: A crucial diagnostic challenge in emergency practice. Turk J Emerg Med. 2017;17:112-114.
6
Hebant B, Richard C, Ahtoy P, et al. Isolated peripheral-type facial palsy due to contralateral precentral gyrus cavernoma hemorrhage. J Clin Neurosci. 2020;72:452-453.
7
Hebant B, Costentin G, Slama M, et al. Precentral gyrus infarct presenting as isolated contralateral peripheral-type facial palsy. Neuroloy. 2018;91:421-422.
8
Mahadevappa K, Vora A, Graham A, et al. Facial paralysis: a critical review of accepted explanation. Med Hypotheses. 2010;74:508-509.
9
Bora A, Taşdemir A, Durmuş K, ve ark. Pons Hemorajisine Bağlı Periferik Fasiyal Paralizili Nadir Bir Olgu. ENTcase. 2018;4:1-5.
10
Jenny AB, Saper CB. Organization of the facial nucleus and corticofacial projection in the monkey: a reconsideration of the upper motor neuron facial paralysis. Neurology. 1987;37:930-939.
11
Kuypers HG. Corticobular connexions to the pons and lower brain-stem in man: an anatomical study. Brain. 1958;81:364-388.
12
Cattaneo L, Saccani E, Giampaulis PD, et al. Central facial palsy revisited: a clinical-radiological study. Ann Neurol. 2010;68:404-408.
13
Paradiso G, Cunic D, Gunraj C, et al. Representation of facial muscles in human motor cortex. J Physiol. 2005;567:323-336.
14
Hopf HC, Müller-Forell W, Hopf NJ. Localization of emotional and volitional facial paresis. Neurology. 1992;42:1918-1923.
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