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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European archives of oto-rhino-laryngology and head & neck 249 (1993), S. 488-491 
    ISSN: 1434-4726
    Keywords: Bell's palsy ; Lyme disease ; Borrelia burgdorferi ; Whole B. burgdorferi antigen ; Flagellum protein antigen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Ninety-eight patients with facial paralysis were studied by an indirect enzyme-linked immunosorbent assay (ELISA) employing two types of Borrelia burgdorferi antigen, namely sonic extract and flagellum protein of B. burgdorferi. IgG or IgM antibodies were detected by sonic extract ELISA in 22 (32.4%) of 68 patients with Bell's palsy, and in 2 (10.0%) of 20 patients with varicella-zoster virus infection. This difference was statistically significant (P〈0.05). A positive reaction was more frequent with the sonic extract antigen, while the positive rates were significantly increaesd in Bell's palsy patients with hyperglobulinemia (P〈0.05). IgM antibodies were also significantly more frequently observed in patients who developed Bell's palsy between October and March (P〈 0.05). Since none of the patients had a history suggestive of Lyme disease, some kind of non-specific reaction and certain undefined factors linked to a positive reaction against B. burgdorferi could be involved in Bell's palsy.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European archives of oto-rhino-laryngology and head & neck 251 (1994), S. 278-282 
    ISSN: 1434-4726
    Keywords: Bell's palsy ; Pathogenesis ; Thrombinantithrombin III complex ; α-2 plasmin inhibitor-plasmin complex ; Hypercoagulability
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Eighty-four patients were examined for blood coagulability during the acute phase of Bell's palsy. Abnormally high levels of thrombin-antithrombin III complex (TAT) and α-2 plasmin inhibitor-plasmin complex (PIC) were found, with these increases statistically significant. Values tended to be higher in patients within 3 days after occurrence of the palsy when compared to values in patients 4 days or more later. Abnormal TAT and PIC levels in the acute phase then tended to become normalized during the convalescent phase of the disease. These findings indicated that activation of intravascular coagulability had occurred, with patients entering a temporary clot-forming state. Among the several hypotheses for the etiology of Bell's palsy, our findings support a circulation disorder as an influential factor.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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