It sounds rare and I have to admit that I have not seen it often – but probably it is often overlooked in the busy ER. So here is one of the secondary facial palsy types that you should be able to recognize: the patient reports some swelling in the face (usually the upper lip) at least in the past, more often concomitant with the facial palsy. Search for the combination

  • facial/lip swelling (recurrent)
  • cheilitis granulomatosis (probably from incomplete recuperation from the swelling attacks)
  • lingua plicata
  • facial palsy.
In diagnosed patients quite a lot of neurological symptoms are reported more often than expected. You can find a lot of detail in the respective chapter in a  thesis on facial palsy.

One thought on “Melkersson-Rosenthal-Syndrome

  1. […] Tests: only if there are signs or symptoms of otitis or zoster, you need to involve an HEENT, otherwise a neurologician is enough to examine the meatus acusticus externus. Get an HIV, TPHA and lyme serology. Examine the parotis. Look for signs of Melkersson-Rosenthal-syndrome. […]

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