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I n t e r n a t i o n a l C o n f e r e n c e o n
Physicians, Surgeons and
Case Reports
November 19-20 , 2018
Par i s , France
Medical Case Reports
ISSN: 2471-8041
PSCR 2018
F
unctional paresis is a psychogenic phenomenon resulting in patients complaining of weakness and disturbances in function
without pathology. Often patients with function symptoms have a history of depression and anxiety. Here we discuss a case
of an 18 year old female who self-referred into the local dental emergency clinic regarding an acute right-sided facial swelling
and a right-sided facial paresis. Further investigation revealed the likely cause of her right parotid swelling was a mucous plug
or sialolith that subsequently passed. It transpired the right facial paresis which was not a new presentation and the patient
had been under the care of a consultant neurologist for functional hemiparesis. Interestingly, the patient had worked in a stroke
ward at the time of onset of the hemiparesis. Due to the limited history expressed by the patient and clinical findings, upper
motor neurone pathology was suspected initially. This case highlights the importance of liaising with other specialties in order to
proceed with the correct management.
Claire.graham6@nhs.netRight-sided facial swelling with functional
hemiparesis: a diagnosis dilemma
Claire Graham, Samantha Reid, Colette Balmer and Kathryn
Taylor
Royal Liverpool University Dental Hospital, UK
Med Case Rep. 2018, Volume:4
DOI: 10.21767/2471-8041-C2-006