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{
    "pk": 886,
    "title": "Medial Pontomedullary Stroke Mimicking Severe Bell’s Palsy: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Patients with acute unilateral upper and lower facial palsy frequently present to the emergency department fearing they have had a stroke, but many cases are benign Bell’s palsy.\nCase Report:\n We present a rare case of a medial pontomedullary junction stroke causing upper and lower hemifacial paralysis associated with severe dysphagia and contralateral face and arm numbness.\nConclusion:\n Although rare, pontine infarct must be considered in patients who present with both upper and lower facial weakness. Unusual neurologic symptoms (namely diplopia, vertigo, or dysphagia) and signs (namely gaze palsy, nystagmus, or contralateral motor or sensory deficits) should prompt evaluation for stroke.",
    "language": "en",
    "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": "Bell’s Palsy"
        },
        {
            "word": "pontine stroke"
        },
        {
            "word": "MRI"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3tg861kn",
    "frozenauthors": [
        {
            "first_name": "Benjamin",
            "middle_name": "",
            "last_name": "Boodaie",
            "name_suffix": "",
            "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        },
        {
            "first_name": "Manish",
            "middle_name": "",
            "last_name": "Amin",
            "name_suffix": "",
            "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        },
        {
            "first_name": "Katayoun",
            "middle_name": "",
            "last_name": "Sabetian",
            "name_suffix": "",
            "institution": "Kern Medical, Department of Neurology, Bakersfield, California",
            "department": "None"
        },
        {
            "first_name": "Daniel",
            "middle_name": "",
            "last_name": "Quesada",
            "name_suffix": "",
            "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        },
        {
            "first_name": "Tyler",
            "middle_name": "",
            "last_name": "Torrico",
            "name_suffix": "",
            "institution": "Ross University School of Medicine, Department of Medicine, Miramar, Florida",
            "department": "None"
        }
    ],
    "date_submitted": "2020-07-21T05:44:52+08:00",
    "date_accepted": "2020-07-21T05:44:52+08:00",
    "date_published": "2020-07-21T05:45:57+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/886/galley/634/download/"
        }
    ]
}