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Bell's palsy before Bell: Evert Jan Thomassen à Thuessink and idiopathic peripheral facial paralysis

  • R C van de Graaf (a1), F F A IJpma (a2), J-P A Nicolai (a1) and P M N Werker (a1)

Abstract

Bell's palsy is the eponym for idiopathic peripheral facial paralysis. It is named after Sir Charles Bell (1774–1842), who, in the first half of the nineteenth century, discovered the function of the facial nerve and attracted the attention of the medical world to facial paralysis. Our knowledge of this condition before Bell's landmark publications is very limited and is based on just a few documents. In 1804 and 1805, Evert Jan Thomassen à Thuessink (1762–1832) published what appears to be the first known extensive study on idiopathic peripheral facial paralysis. His description of this condition was quite accurate. He located several other early descriptions and concluded from this literature that, previously, the condition had usually been confused with other afflictions (such as ‘spasmus cynicus’, central facial paralysis and trigeminal neuralgia). According to Thomassen à Thuessink, idiopathic peripheral facial paralysis and trigeminal neuralgia were related, being different expressions of the same condition. Thomassen à Thuessink believed that idiopathic peripheral facial paralysis was caused by ‘rheumatism’ or exposure to cold. Many aetiological theories have since been proposed. Despite this, the cold hypothesis persists even today.

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Corresponding author

Address for correspondence: Dr R C van de Graaf, Department of Plastic Surgery, University Medical Center Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands. E-mail: robertcvandegraaf@histplastsurg.com

Footnotes

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Presented at the Working Meetings of the International Society of the History of Otorhinolaryngology in Barcelona, Spain, 22 October 2007, and in Berlin, Germany, 23 August 2008.

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References

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1Koehler, PJ, Bruyn, GW, Pearce, JMS. Neurological Eponyms. Oxford: Oxford University Press, 2000;187–93
2Van de Graaf, RC. The early history of the facial nerve, facial muscles and facial paralysis. In: Beurskens, CHG, van Gelder, RS, Heymans, PG, Manni, JJ, Nicolai, JPA, eds. The Facial Palsies, Complementary Approaches. Utrecht: Lemma, 2005;135–47
3Van de Graaf, RC, Nicolai, JPA. Bell's palsy before Bell: Cornelis Stalpart van der Wiel's observation of Bell's palsy in 1683. Otol Neurotol 2005;26:1235–8
4Pearce, JMS. Bell's or Friedreich's palsy. J Neurol Neurosurg Psychiatry 1999;67:732
5Wilkins, RH, Brody, IA. Bell's palsy and Bell's phenomenon. Arch Neurol 1969;21:661–9
6Zulch, KJ. Idiopathic facial paralysis. In: Vinken, PJ, Bruyn, GW. Handbook of Clinical Neurology, Disease of the Nerves Part II. New York: North-Holland, 1970;241302
7May, M, Schaitkin, BM. The Facial Nerve. New York: Thieme, 2000
8Bell, C. On the nerves; giving an account of some experiments on their structure and functions, which lead to a new arrangement of the system. Philos Trans R Soc Lond B Biol Sci 1821;111:398424
9Bell, C. Appendix to the Papers on the Nerves, Republished from the Royal Society's Transactions. London: Longman, 1827
10Bell, C. Clinical lecture on partial paralysis of the face. London Med Gaz 1827;1:747–50, 769–70
11Bell, C. On the nerves of the face; being a second paper on that subject. Philos Trans R Soc Lond B Biol Sci 1829;119:317–30
12Bell, C. The Nervous System of the Human Body. London: Henry Renshaw, 1844
13Shaw, J. On partial paralysis. Medico-Chirurgical Transactions 1823;12:105–51
14Mettler, CC. History of Medicine. Philadelphia, Toronto: Blakiston, 1947
15Romberg, MH. A Manual of the Nervous System of Man. London: Sydenham Society, 1853
16Dieffenbach, JF. Ueber halbseitige Gesichtslähmung und Durchschneidung der Muskeln der Gesunden Geischtshälfte dabei [About Cutting the Muscles of the Healthy Side of the Face in Cases of Unilateral Facial Paralysis.] Med Zeit 1841;37:179–81
17Sanders, R. On facial hemiplegia and paralysis of the facial nerve. Lancet 1865;86:452–4
18Wilde, WR. Practical Observations on Aural Surgery and the Nature and Treatment of Diseases of the Ear. London: John Churchill, 1853
19Hutchinson, J, Hughlings Jackson, J. Cases of paralysis of the portio dura. Medical Times Gazette 1861;1:606–8
20Douglas, J. August 18th, 1704. Blackburn 18.4. (xx). Blackburn Cabinet, Hunterian Library, Glasgow. In: Thomas, KB. Facial palsy before Bell. Middlesex Hosp J 1963;63:254–6
21Bird, TD. Nicolaus, A. Friedreich's description of peripheral facial nerve paralysis in 1798. J Neurol Neurosurg Psychiatry 1979;42:56–8
22Stalpart van der Wiel, C. Eerste deel, van het tweede hondert-getal der seldsame Aanmerkingen, soo in de Genees- als Heel- en Snykonst, meest by eygen ondervinding van tijt tot tijt, vergadert, en opgestelt [First part of the second hundred rare observations in medicine, surgery and anatomy, mainly collected and reported by myself]. Gravenhage: Daniel Geselle, 1686
23Friedreich, NA. De Paralysi Musculorum Faciei Rheumatica [On rheumatic paralysis of the facial muscles]. Würzburg: Rienner, 1797
24Index Catalogue of The Library of the Surgeon-General's Office, United States Army. Authors and Subjects. Washington: Government Printing Office 1889;10:448–50
25Schuurman, JB. Twee gevallen van paralysis rheumatica musculorum faciei. In: Thomassen à Thuessink, EJ. Opuscula [two cases of rheumatic paralysis of the facial muscles]. Groningen: 1804
26Thomassen à Thuessink, EJ. Verhandeling over de paralysis rheumatica musculorum faciei [Report on rheumatic paralysis of the facial muscles]. Het Medisch Magazijn Leijden 1804;3:91–9
27Forsten Verschuir, WH. De Paralysi Musculorum Faciei, sic dicta Rheumatica [On Rheumatic Paralysis of the Facial Muscles]. Groningen: Abraham Groenewolt, 1804 (English translation, Dijkers, H, van de Graaf, RC)
28Thomassen à Thuessink, EJ. Paralysis musculorum faciei rheumatica, en prosopalgia (verlamming der aangezichtsspieren en gezichtspijn) [rheumatic facial paralysis and facial pain]. Groningen: Waarnemingen, 1805
29Terwisscha van Scheltinga, G. Historie van Academisch Ziekenhuis en Medische Faculteit te Groningen in de professoren buurt [History of University Hospital and Medical School in Groningen in the professors neighbourhood]. Groningen: Stichting ‘200 jaar AZG’, 2004
30Tammeling, BP. 175 Jaar AZG. Groningen: Letsch, 1978
31Friedreich, NA. Ueber die rheumatische Lähmung der Gesichtsmuskeln [On rheumatic paralysis of the facial muscles]. Journal der Erfindungen, Theorien und Widersprüche in der Natur- und Arzneiwissenschaft 1798;7:83095
32Peitersen, E. Bell's palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol 2002;(suppl 549):430
33Callisen, ACP. Medicinisches Schriftsteller-Lexicon, Copenhagen, 1834:20:108
34Anonymous Reviewer. Appendix to the Papers on the Nerves, republished from the Philosophical Transactions. By Charles Bell; containing Consultations and Cases Illustrative of the Facts announced in those papers. 8vo, pp.140, with a Plate of the Respiratory Nerves. Longman and Co.1827. Medico-Chirurgical Review and Journal of Practical Medicine 1827;1:412–23
35Davis, DD. On acute rheumatism. Lancet 1841;i:572–9
36Harvey, W. Rheumatism, Gout and Neuralgia, as Affecting the Head and Ear with Remarks on Some Forms of Headaches, in Connexion with Deafness. London: Henry Renshaw, 1852;23
37English, PC. Emergence of rheumatic fever in the nineteenth century. The Milbank Quarterly 1989;67(suppl 1):3349
38Meininger, JV, Verkroost, CM. Catarrh, catarrhal fever and catarrhal disease. Ned Tijdschr Geneesk [in Dutch] 1972;116:2330
39Beyerman, DH. Een geval van periphere facialis-paralyse (a frigore) [A Case of peripheral facial paralysis (a frigore)]. Ned Tijdschr Geneesk 1903;47:333–42
40Finsterer, J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol 2008;265:743–52
41Rath, B, Linder, T, Cornblath, D, van de Graaf, RC, Ijpma, FFA, Nicolai, AJ-P, Werker, PMN. “All that palsies is not Bell's [1]” – the need to define Bell's palsy as an adverse event following immunization. Vaccine 2007;26:114
42Dieffenbach, KM. Facial paralysis in the early Nineteenth Century. Plast Reconstr Surg 2008;122:995–6

Keywords

Bell's palsy before Bell: Evert Jan Thomassen à Thuessink and idiopathic peripheral facial paralysis

  • R C van de Graaf (a1), F F A IJpma (a2), J-P A Nicolai (a1) and P M N Werker (a1)

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