W. E. KRAUS, M.D.; E. W. MASSEY, M.D.
To the editor: We write to report three cases of idiopathic peripheral facial nerve paralysis (Bell's palsy) occurring in temporal association with acute myocardial infarction. We calculate the probability of observing three such cases by chance in rapid succession to be small (p < 0.001), and want to draw attention to a potentially important association.
Patient 1: A 59-year-old man with hypertension and diabetes mellitus had a subendocardial myocardial infarction. Neurologic findings were normal. Cardiac catheterization, with intravenous streptokinase and percutaneous transluminal coronary angioplasty, was done for evaluation of persistent angina. On the third hospital day, the patient developed paresthesias
KRAUS WE, MASSEY EW. Idiopathic Facial Nerve Paralysis and Acute Myocardial Infarction. Ann Intern Med. ;105:304–305. doi: 10.7326/0003-4819-105-2-304_2
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Published: Ann Intern Med. 1986;105(2):304-305.
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