[Isolated and recurrent peripheral facial paralysis in human infection with human immunodeficiency virus (HIV)].
Unilateral facial palsies were observed in three patients with positive serology for HIV. Two patients presented a second unilateral peripheral seventh nerve palsy after extraction of a tooth. Recovery was complete in each case. Peripheral neuropathies are present in 20% of cases with AIDS but cranial neuropathies are uncommon, affecting only 2 to 3% of patients. The seventh and the fifth are the most frequent cranial nerves involved. The reported isolation of HIV in the cerebrospinal fluid and from the nerve suggests a direct role of this agent. In this study an indirect mechanism such as a vascular spasm may also favour the occurrence of these facial palsies.
Uldry
P A
PA
Service de neurologie, Centre hospitalier universitaire vaudois, Lausanne.
Regli
F
F
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D000368:Aged; D005154:Facial Nerve; D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D009894:Opportunistic Infections / Q000150:complications; D012008:Recurrence; D014081:Tooth Extraction / Q000009:adverse effects; D014276:Trigeminal Nerve
Paralysie faciale périphérique isolée et récidivante dans l'infection à human immunodeficiency virus (HIV).