SciELO - Scientific Electronic Library Online

 
vol.55 issue4Chronic inflammatory demyelinating polyradiculoneuropathy: study of 18 patientsMagnetic resonance in HTLV-I associated myelopathy: leukoencephalopathy and spinal cord atrophy author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Abstract

GONCALVES-COELHO, Thiago D.; PINHEIRO, Carlos Newton D.; FERRAZ, Ezon V.A.P.  and  ALONSO-NIETO, José Luiz. Clusters of Bell's palsy. Arq. Neuro-Psiquiatr. [online]. 1997, vol.55, n.4, pp. 722-727. ISSN 0004-282X.  http://dx.doi.org/10.1590/S0004-282X1997000500007.

The idiopathic facial paralysis or Bell's palsy installs abruptly or within a few hours, without any apparent cause. It corresponds to approximately 75% of all peripheral facial palsies. Three theories try to explain its pathogenecity: vascular-ischemic, viral and auto-immune. We reviewed the records of the EMG Sector, Hospital do Servidor Público Estadual (São Paulo, Brazil), from 1985 to 1995 and found 239 cases of Bell's palsy. Data were analysed according to age, gender, seasonal distribution of cases. There was a predominance of cases in the 31 - 60 age bracket (40.59 %). The female gender was responsible to 70.71 % of cases. There was a predominance of cases in winter (31.38 %) and autumn (30.13 %), which was statiscally significant. These findings let us to suppose that Bell's palsy predominates in females, in 41-60 years age bracket, and occurs predominantly in cold months. There are groups of clusters throughout temporal distribution of cases and cases are dependent on one each other or on factors affecting them all, which reinforces the infectious hypothesis (there is a rise in the incidence of viral upper respiratory tract infection during cold months).

Keywords : Bell's palsy; facial paralysis; electromyography; sazonality; epidemiology.

        · abstract in Portuguese     · text in English     · pdf in English