JORDI CARRATALA, M.D.; XAVIER PINTO, M.D.; ANTONI MARTINEZ-AMENOS, M.D., Ph.D.
To the editor: In the August issue, Kraus and Massey (1) report the association of Bell's palsy and acute myocardial infarction in three patients without finding an etiopathogenic explanation. We doubt the existence of this association because, in our opinion, Patients 1 and 2 had a disorder that could account for the origin of the Bell's palsy. These patients were hypertensive, and Patient 1 was also diabetic. Moreover, in the third patient, the facial palsy appeared 3 weeks after the acute myocardial infarction, and so it is difficult to establish a cause-and-effect relationship.
The association of hypertension and facial palsy
CARRATALA J, PINTO X, MARTINEZ-AMENOS A. Acute Myocardial Infarction and Facial Palsy. Ann Intern Med. ;105:972. doi: 10.7326/0003-4819-105-6-972_2
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Published: Ann Intern Med. 1986;105(6):972.
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