{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T10:37:36Z","timestamp":1762079856900,"version":"build-2065373602"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":6772,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1997,11]]},"abstract":"<jats:p>Eleven patients with mild or moderate acute idiopathic peripheral facial palsy, so\u2010called Bell's palsy, were serially examined by gadolinium\u2010DTPA\u2010enhanced MRI on mean days 11, 40, and 97 (third examination, <jats:italic>n<\/jats:italic> = 10) after the onset of palsy. Results of the clinical and neurophysiologic assessment of facial nerve function were compared with the gadolinium\u2010enhanced MRI findings. Eight of the 11 patients demonstrated contrast enhancement of the facial nerve at the initial examination, but in 7 of them, the enhancement had disappeared by the time of the serial follow\u2010up gadolinium\u2010enhanced MRI scans. The disappearance of facial nerve enhancement was found to be related to clinical and neurophysiologic improvements in facial nerve function during recovery from Bell's palsy. The three patients whose scans were negative at the initial gadolinium\u2010enhanced MRI examination had the same clinical severity of palsy, but initially they had milder neurophysiologic involvement than those who demonstrated enhancement; these three patients did not exhibit enhancement at serial follow\u2010up scans. These findings indicate that the presence of enhancement at the initial MRI scan is not necessarily indicative of a poor prognosis for recovery.<\/jats:p>","DOI":"10.1016\/s0194-59989770031-7","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T13:22:23Z","timestamp":1664371343000},"page":"559-566","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Serial Gadolinium\u2010Enhanced Magnetic Resonance Imaging and Assessment of Facial Nerve Function in Bell's Palsy"],"prefix":"10.1002","volume":"117","author":[{"given":"Mats","family":"Engstr\u00f6m","sequence":"first","affiliation":[{"name":"Department of Oto\u2010Rhino\u2010Laryngology and Head and Neck Surgery Uppsala University Akademiska sjukhuset Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahin","family":"Abdsaleh","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Uppsala University Akademiska sjukhuset Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e5kan","family":"Ahlstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Uppsala University Akademiska sjukhuset Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Johansson","sequence":"additional","affiliation":[{"name":"Department of Oto\u2010Rhino\u2010Laryngology and Head and Neck Surgery Uppsala University Akademiska sjukhuset Uppsala Sweden"},{"name":"Department of Diagnostic Radiology Uppsala University Akademiska sjukhuset Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik","family":"St\u00e5lberg","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurophysiology Uppsala University Akademiska sjukhuset Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Jonsson","sequence":"additional","affiliation":[{"name":"Department of Oto\u2010Rhino\u2010Laryngology and Head and Neck Surgery Uppsala University Akademiska sjukhuset Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1972.00770080529008"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197808000-00019"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.171.3.2717756"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199012000-00003"},{"key":"e_1_2_7_6_1","first-page":"735","article-title":"Contrast\u2010enhanced MR imaging of the facial nerve in 11 patients with Bell's palsy","volume":"11","author":"Tien R","year":"1990","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110500506"},{"key":"e_1_2_7_8_1","first-page":"163","article-title":"Gadolinium\u2010enhanced magnetic resonance imaging of the facial nerve in herpes zoster oticus and Bell's palsy: Clinical implications","volume":"12","author":"Korzec K","year":"1991","journal-title":"Am J Otol"},{"key":"e_1_2_7_9_1","first-page":"93","article-title":"Gd\u2010DTPA enhanced MR imaging in Bell's palsy","volume":"11","author":"Matsumoto Y","year":"1991","journal-title":"Facial N Res Jpn"},{"key":"e_1_2_7_10_1","first-page":"107","article-title":"Depicting of affected facial nerve with gadolinium\u2010enhanced magnetic resonance imaging in peripheral facial palsy","volume":"11","author":"Yanagida M","year":"1991","journal-title":"Facial N Res Jpn"},{"key":"e_1_2_7_11_1","first-page":"362","article-title":"Idiopathische Fazialisparese und Magnetresonanztomographie (MRT)","volume":"39","author":"Doringer E","year":"1991","journal-title":"HNO"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1993.01880140111017"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-997946"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489409128325"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00593685"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489509139371"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300202"},{"key":"e_1_2_7_18_1","first-page":"533","volume-title":"Facial nerve surgery. 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