[A comparative study of the catecholamine content of the blood and urine in patients with facial paraspasm (Meige's syndrome)]. / Sravnitel'noe issledovanie soderzhaniia katekholaminov v krovi i moche u bol'nykh s litsevym paraspazom (sindrom Mezha).

Catecholamines and DOPA excretion and televant levels in blood were measured in 17 patients with facial paraspasm and in 24 healthy subjects. The findings gave evidence for sympathetic-adrenal system adrenal activation and more intensive catecholamine metabolism in patients, especially marked in those with generalised facial hyperkinesia.

[Bell's palsy (prevention and treatment)]. / Paralich Bella (voprosy lecheniia i profilaktiki).

The effectiveness of a variety of the most popular methods used for treatment Bell's paralysis is analyzed on a great number (1168 patients) of cases. It has been found that the results of the treatment are predetermined primarily by the gravity of the facial nerve affection. No convincing dependence of the treatment effect on the disease etiology was noted, except cases of Bell's paralysis of vascular etiology, the outcome of which was worse. A less favourable outcome was also observed in patients over 60 years of age and in cases of paralysis relapses. Of the methods of treating Bell's paralysis tested by the authors it was early use of perineural injections of hydrocortisone and novocaine in combination with the traditional methods (etiotropic, resorptive, and restorative means, electrotherapy, exercises) that proved to be the most efficacious. On the basis of the follow-up study of 676 patients recommendations on the treatment of residual phenomena of Bell's paralysis and on preventing the latter's relapses are given.

[Bell's palsy (etiology, pathogenesis, clinical picture, course, outcome)]. / Paralich Bella (étiologiia, patogenez, klinika, techenie, iskhod).

The authors studied 908 patients with Bell's paralysis. In 373 cases the etiology was cooling, in 52--vascular diseases, in 207 cases the etiology was not established. An analysis of the clinical picture development permits to assume that different modern theories of the pathogenesis of Bell's paralysis (the theory of primary ischemia, secondary ischemia a combination of primary and secondary ischemia) do not exclude each other, finding a different application depending upon the etiology of the paralysis. The report contains a detailed description of the clinical picture and development of Bell's paralysis. It is established, that the facial nerve in Bell's paralysis is usually affected in the inferior part of the Fallopian tube. A follow-up study of 536 patients demonstrated that in 174 cases (32.4%) (those who were discharged from the hospital with an incomplete therapeutical effect) a contracture of the mimical muscles was formed. In 70 of them the symptom of "crocodile tears" was found. In 73 patients there were homolateral relapses of Bell's paralysis.