{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:10:14Z","timestamp":1790226614787,"version":"4.1.0"},"reference-count":25,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,1,23]]},"abstract":"<jats:p>Isolated facial nerve palsy is a common presentation of Bell\u2019s palsy, but rarely seen in pontine lesions. The patient being reported is a middle-aged man who developed isolated facial nerve palsy and was initially treated as Bell\u2019s palsy. However, on MRI of the brain, he was found to have pontine haemorrhage. He was managed conservatively and improved. Pontine haemorrhage as an aetiology for isolated facial nerve palsy is a rare scenario, which often goes misdiagnosed and treated as Bell\u2019s palsy.<\/jats:p>","DOI":"10.1136\/bcr-2017-223214","type":"journal-article","created":{"date-parts":[[2018,2,6]],"date-time":"2018-02-06T07:25:16Z","timestamp":1517901916000},"page":"bcr-2017-223214","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Pontine haemorrhage disguised as Bell\u2019s palsy"],"prefix":"10.1136","volume":"2018","author":[{"given":"Ummer","family":"Karadan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3973-6800","authenticated-orcid":false,"given":"Robin George","family":"Manappallil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chellenton","family":"Jayakrishnan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramesh Naga","family":"Supreeth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,2,5]]},"reference":[{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.1","unstructured":"Bell\u2019s palsy: prognosis and treatment. http:\/\/www.uptodate.com\/contents\/bells-palsy-prognosis-and-treatment?"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.329.7465.553"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.3","doi-asserted-by":"crossref","first-page":"352","DOI":"10.17659\/01.2017.0096","article-title":"Pontine infarct masquerading as Bell\u2019s Palsy","volume":"7","author":"Karadan","year":"2017","journal-title":"Journal of Case Reports"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.4","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70025-0"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2004.12.012"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.6","doi-asserted-by":"publisher","DOI":"10.1097\/00005072-197107000-00015"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.7","unstructured":"Campbell WW . Pocket guide & toolkit to DeJong\u2019s Neurologic Examination. 1st ed: Lippincott Williams & Wilkins, 2008:119\u201326."},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.8","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1055\/s-2007-1002024","article-title":"[Spontaneous pontine hemorrhage]","volume":"52","author":"Bewermeyer","year":"1984","journal-title":"Fortschr Neurol Psychiatr"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.9","first-page":"640","article-title":"[Spontaneous pontine hemorrhage. An analysis of 38 cases]","volume":"59","author":"Bewermeyer","year":"1988","journal-title":"Nervenarzt"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.10","unstructured":"Silverstein AJ . Primary pontine haemorrhage. In: Vinken PJ , Bruyn GW , eds. Handbook of Clinical Neurology, Vascular diseases of Nervous System. Amsterdam: North Holland Inc, 1972:37\u201353."},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.11","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.30.5.383"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.12","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1136\/jnnp.2005.078915","article-title":"Eight-and-a-half syndrome Journal of Neurology","volume":"77","author":"Nandhagopal","year":"2006","journal-title":"Neurosurgery & Psychiatry"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.13","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1097\/00041327-200503000-00015","article-title":"One-and-a-half syndrome with facial diplegia: the 15 1\/2 syndrome?","volume":"25","author":"Bae","year":"2005","journal-title":"J Neuroophthalmol"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.14","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1097\/WNO.0b013e3182737855","article-title":"A case of complete lateral gaze paralysis and facial diplegia: the 16 syndrome","volume":"33","author":"Connors","year":"2013","journal-title":"J Neuroophthalmol"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.15","doi-asserted-by":"crossref","unstructured":"Karadan U , Supreeth RN , Manappallil RG , et al . Twenty-Four Syndrome: An Untold Presentation of Pontine Hemorrhage. J Stroke Cerebrovasc Dis 2018.doi:10.1016\/j.jstrokecerebrovasdis.2017.12.007","DOI":"10.1016\/j.jstrokecerebrovasdis.2017.12.007"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.16","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1080\/000164802760370736","article-title":"Bell\u2019s palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies","volume":"549","author":"Peitersen","year":"2002","journal-title":"Acta Otolaryngol Suppl"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.17","unstructured":"Patten J . Neurological differential diagnosis. 2nd ed: Springer, 2000:172\u20133."},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.18","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1161\/01.STR.11.1.84","article-title":"Primary pontine hemorrhage: clinicopathological correlations","volume":"11","author":"Goto","year":"1980","journal-title":"Stroke"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.19","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1097\/00002142-199606000-00003","article-title":"Magnetic resonance imaging of cranial nerve VII","volume":"8","author":"Perry","year":"1996","journal-title":"Top Magn Reson Imaging"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.20","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1159\/000007990","article-title":"Peripheral facial palsy: etiology, diagnosis and treatment","volume":"41","author":"Roob","year":"1999","journal-title":"Eur Neurol"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.21","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813487302"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.22","first-page":"73","article-title":"Peripheral facial paralysis as initial manifestation of hypertension in a child","volume":"44","author":"Aynaci","year":"2002","journal-title":"Turk J Pediatr"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.23","first-page":"197","article-title":"Clinical study of unilateral peripheral facial nerve paralysis in Nigerians","volume":"16","author":"Bademosi","year":"1987","journal-title":"Afr J Med Med Sci"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.24","doi-asserted-by":"crossref","first-page":"83","DOI":"10.4103\/2231-0738.77540","article-title":"Severe systemic hypertension presenting with infranuclear facial palsy","volume":"1","author":"Kumar","year":"2011","journal-title":"Int J Nutr Pharmacol Neurol Dis"},{"key":"2025042702444841000_2018.feb05_1.bcr-2017-223214.25","doi-asserted-by":"publisher","DOI":"10.1345\/aph.19129"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-223214","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:44:55Z","timestamp":1745747095000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-223214"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,5]]},"references-count":25,"alternative-id":["10.1136\/bcr-2017-223214"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-223214","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,5]]}}}