Clinical and etiological features of peadiatric facial neuropathy and their role in predicting outcomes

The aim: to characterize the clinical and etiological features of facial palsy (FP) in children of different ages at the present stage and their correlation with the outcome and duration of the disease.Materials and methods: the data of 68 children with FP were obtained. The neurological examination...

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Main Authors: M. A. Irikova, E. Yu. Skripchenko, V. B. Voitenkov, N. V. Marchenko, N. V. Skripchenko, O. V. Goleva, I. B. Petrov
Format: Article
Language:Russian
Published: Journal Infectology 2023-10-01
Series:Журнал инфектологии
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Online Access:https://journal.niidi.ru/jofin/article/view/1539
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author M. A. Irikova
E. Yu. Skripchenko
V. B. Voitenkov
N. V. Marchenko
N. V. Skripchenko
O. V. Goleva
I. B. Petrov
author_facet M. A. Irikova
E. Yu. Skripchenko
V. B. Voitenkov
N. V. Marchenko
N. V. Skripchenko
O. V. Goleva
I. B. Petrov
author_sort M. A. Irikova
collection DOAJ
description The aim: to characterize the clinical and etiological features of facial palsy (FP) in children of different ages at the present stage and their correlation with the outcome and duration of the disease.Materials and methods: the data of 68 children with FP were obtained. The neurological examination with an assessment of the level of facial nerve damage and the severity of FP using the House-Brackmann scale (HB), the concomitant symptoms and the etiological verification of a possible infectious agent were performed to all children. Also, their correlation with the outcomes and duration of the disease were assessed.Results: in the etiological structure infectious FP are more common in children under 12 years of age, with a predominance of herpesviruses and enteroviruses, whereas, more than half of the cases in children over the age of 12 years are idiopathic (Bell’s palsy), less often herpesviruses. A longer course and the probability of an unfavorable are significantly more often observed in the group of children under 12 years of age. There was also a significant correlation between the severity of FP according to HB with the outcomes and duration of the disease.Conclusion: The results confirm the importance and necessity of laboratory confirmation of a possible etiological agent associated with the development of FP. The severity of FP doesn’t depend on the age of the child, but correlates with the outcome and duration of the disease, more less with the synkinesia. A promising direction for further research is to clarify the climatic factors affecting the incidence of FP.
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series Журнал инфектологии
spelling doaj-art-a1fe441bea6448c2baab90bbc99db2152025-08-20T03:38:30ZrusJournal InfectologyЖурнал инфектологии2072-67322023-10-01153394310.22625/2072-6732-2023-15-3-39-431098Clinical and etiological features of peadiatric facial neuropathy and their role in predicting outcomesM. A. Irikova0E. Yu. Skripchenko1V. B. Voitenkov2N. V. Marchenko3N. V. Skripchenko4O. V. Goleva5I. B. Petrov6Pediatric Research and Clinical Center for Infectious DiseasesPediatric Research and Clinical Center for Infectious Diseases; Saint-Petersburg State Pediatric Medical UniversityPediatric Research and Clinical Center for Infectious Diseases; Federal Research and Clinical Center of Specialized Medical Care and Medical TechnologiesPediatric Research and Clinical Center for Infectious DiseasesPediatric Research and Clinical Center for Infectious Diseases; Saint-Petersburg State Pediatric Medical UniversityPediatric Research and Clinical Center for Infectious DiseasesPediatric Research and Clinical Center for Infectious DiseasesThe aim: to characterize the clinical and etiological features of facial palsy (FP) in children of different ages at the present stage and their correlation with the outcome and duration of the disease.Materials and methods: the data of 68 children with FP were obtained. The neurological examination with an assessment of the level of facial nerve damage and the severity of FP using the House-Brackmann scale (HB), the concomitant symptoms and the etiological verification of a possible infectious agent were performed to all children. Also, their correlation with the outcomes and duration of the disease were assessed.Results: in the etiological structure infectious FP are more common in children under 12 years of age, with a predominance of herpesviruses and enteroviruses, whereas, more than half of the cases in children over the age of 12 years are idiopathic (Bell’s palsy), less often herpesviruses. A longer course and the probability of an unfavorable are significantly more often observed in the group of children under 12 years of age. There was also a significant correlation between the severity of FP according to HB with the outcomes and duration of the disease.Conclusion: The results confirm the importance and necessity of laboratory confirmation of a possible etiological agent associated with the development of FP. The severity of FP doesn’t depend on the age of the child, but correlates with the outcome and duration of the disease, more less with the synkinesia. A promising direction for further research is to clarify the climatic factors affecting the incidence of FP.https://journal.niidi.ru/jofin/article/view/1539facial palsychildrenbell’s palsyherpesvirusesenteroviruseshouse-brockmann scale
spellingShingle M. A. Irikova
E. Yu. Skripchenko
V. B. Voitenkov
N. V. Marchenko
N. V. Skripchenko
O. V. Goleva
I. B. Petrov
Clinical and etiological features of peadiatric facial neuropathy and their role in predicting outcomes
Журнал инфектологии
facial palsy
children
bell’s palsy
herpesviruses
enteroviruses
house-brockmann scale
title Clinical and etiological features of peadiatric facial neuropathy and their role in predicting outcomes
title_full Clinical and etiological features of peadiatric facial neuropathy and their role in predicting outcomes
title_fullStr Clinical and etiological features of peadiatric facial neuropathy and their role in predicting outcomes
title_full_unstemmed Clinical and etiological features of peadiatric facial neuropathy and their role in predicting outcomes
title_short Clinical and etiological features of peadiatric facial neuropathy and their role in predicting outcomes
title_sort clinical and etiological features of peadiatric facial neuropathy and their role in predicting outcomes
topic facial palsy
children
bell’s palsy
herpesviruses
enteroviruses
house-brockmann scale
url https://journal.niidi.ru/jofin/article/view/1539
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AT vbvoitenkov clinicalandetiologicalfeaturesofpeadiatricfacialneuropathyandtheirroleinpredictingoutcomes
AT nvmarchenko clinicalandetiologicalfeaturesofpeadiatricfacialneuropathyandtheirroleinpredictingoutcomes
AT nvskripchenko clinicalandetiologicalfeaturesofpeadiatricfacialneuropathyandtheirroleinpredictingoutcomes
AT ovgoleva clinicalandetiologicalfeaturesofpeadiatricfacialneuropathyandtheirroleinpredictingoutcomes
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