Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0030552 (paresis)
 5,831 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

During a 1-year period, 8400 patient presentations to a psychiatric emergency service were screened for the conversion symptom of extremity paresis/paralysis. Of 4220 unduplicated presentations, three patients had this complaint. These cases were reviewed and followed up. All had received a DSM-III diagnosis of conversion disorder, but in each case the patient's conversion symptom was attributed to organic disease. This had medicolegal consequences in one case and threatened legal consequences in the others. Although the frequency of this alleged conversion symptom was 0.07%, in reality it was 0.0%. Guidelines for the management of the alleged conversion symptom of paresis/paralysis are discussed.
Gen Hosp Psychiatry 1991 May
PMID:The misdiagnosis of conversion disorder in a psychiatric emergency service. 159 52

This study examines 55 cases involving patients who underwent submandibular gland excision. Their preoperative diagnostic examinations, postoperative complications, and glandular pathology are discussed. Sialolithiasis was the main histopathological finding, followed by chronic sialadenitis. Temporary paresis of the mandibular branch of the facial nerve was the most common postoperative complication. Removing the submandibular salivary gland may be followed by a number of complications, most of which can be avoided if the appropriate surgical technique is applied.
Gen Dent
PMID:A study of 55 submandibular salivary gland excisions. 1554 19

Bilateral facial paralysis is a rare condition and therefore represents a diagnostic challenge. We report the case of a 34-year-old healthy woman with sequential bilateral facial paralysis as a sole manifestation of sarcoidosis. She initially presented with an isolated left sided Bell's palsy without any symptoms to suggest alternative diagnoses. Within a month there was progression to peripheral facial paresis on the contra lateral side, prompting a diagnosis of Lyme disease. Her physical examination and chest x-ray did not reveal any clinical evidence of sarcoidosis. After failing to respond to an empiric trial of intravenous ceftriaxone for a presumptive diagnosis of Lyme disease, computed tomography scan of the chest was ordered which demonstrated bilateral hilar lymphadenopathy. Bronchoscopic biopsy confirmed a diagnosis of sarcoidosis. The patient then made a complete recovery on steroid therapy. We discuss the differential diagnosis of facial diplegia and focus on the clinical presentation, diagnosis and treatment of neurosarcoidosis.
J Gen Intern Med 2006 Jul
PMID:Bilateral facial paralysis: case presentation and discussion of differential diagnosis. 1680 63

The posterior superior alveolar nerve (PSAN) is a major sensory branch of the maxillary division of the trigeminal nerve. A PSAN block is a dental nerve block used for profound anesthesia of the maxillary molars. Complications arising from the PSAN block include hematoma formation, transient diplopia, blurred vision, and temporary blindness. This article presents a case of temporary paresis in the lateral pterygoid muscle following a PSAN block that utilized a 27-gauge long needle. The anatomical parameters and pathogenesis of such a complication are reviewed.
Gen Dent
PMID:Transitory paresis of the lateral pterygoid muscle during a posterior superior alveolar nerve block--a case report. 1805 May 79

Clinicians should be alert to traumatic fourth nerve palsy in patients with double vision after head injury. In most cases with traumatic fourth nerve palsy, the imaging tests fail to show abnormal findings. In the cases of bilateral superior oblique paresis, the sensitivity of Bielschowsky head-tilt test is 40%.
J Gen Fam Med 2020 Jul
PMID:Traumatic bilateral fourth nerve palsy: Double vision induced by downward gaze after head injury. 3330 34