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{
    "pk": 1263,
    "title": "An Uncommon Diagnosis of Necrotizing Mastoiditis Presenting as Bell’s Palsy: A Case Report",
    "subtitle": null,
    "abstract": "<b>Introduction: </b>The benign nature of Bell’s palsy has led to a lack of a standardized work-up, and dangerous underlying mimics are at risk of being missed.<br><p><br></p><p><b>Case Report:</b> An 84-year-old female with a history of vertigo presented to the emergency department with a left-sided facial droop consistent with Bell’s palsy. After further work-up, the patient was diagnosed with bilateral necrotizing mastoiditis.</p><p><br></p><p><b>Conclusion: </b>Unilateral facial weakness involving the forehead and palpebral fissures is often diagnosed as idiopathic Bell’s palsy. Various pathologies can present with unilateral facial weakness, and the differential needs to remain broad.<br></p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report"
        },
        {
            "word": "Bell's Palsy"
        },
        {
            "word": "Necrotizing Mastoiditis"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6ts799kt",
    "frozenauthors": [
        {
            "first_name": "Parker",
            "middle_name": "",
            "last_name": "Maddox",
            "name_suffix": "",
            "institution": "Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania",
            "department": ""
        },
        {
            "first_name": "Claire",
            "middle_name": "",
            "last_name": "Abramoff",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, Einstein Medical Center Philadelphia, Philadelphia, Pennsylvania",
            "department": "Emergency Department"
        }
    ],
    "date_submitted": "2023-06-19T14:29:50.449000Z",
    "date_accepted": "2023-09-07T23:03:10.989000Z",
    "date_published": "2023-11-08T14:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1263/galley/3811/download/"
    },
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            "label": "Layout",
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            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1263/galley/1554/download/"
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        {
            "label": "Final Article",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1263/galley/3811/download/"
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    ]
}