scholarly journals Cephalic tetanus manifesting as isolated facial nerve palsy- a case report from rural Armenia

2021 ◽  
Vol 15 (11) ◽  
pp. 1770-1773
Author(s):  
Armen Kishmiryan ◽  
Jeevan Gautam ◽  
Deeksha Acharya ◽  
Bishnu Mohan Singh ◽  
Armen Ohanyan ◽  
...  
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Early Recognition ◽  
Cranial Nerves ◽  
Tetanus Antitoxin ◽  
The Face ◽  
Cephalic Tetanus ◽  
Initiation Of Therapy

Cephalic tetanus is a rare clinical form of tetanus, clinically characterized by trismus and cranial nerve palsy involving one or more cranial nerves, facial nerve being the most common. We report a case of cephalic tetanus with left-sided lower motor facial nerve palsy in a 66-year-old non-immunized patient after an untreated laceration injury. The patient had dysphagia, spasm of the muscles of mastication, asymmetry of the left side of the face, cough, shortness of breath, and stiffness of neck muscles. The presentation was unique given that the facial nerve palsy appeared prior to the occurrence of trismus, which misled the initial diagnosis towards Bell's palsy. He was successfully treated with tetanus antitoxin without any adverse events. Although widespread use of tetanus vaccine has led to a dramatic decline in this fatal disease, sporadic disease occurrence is still possible, particularly in individuals without up-to-date vaccinations. In this case report we illustrate the importance of early recognition of cephalic tetanus prior to the development of the full clinical picture. The early initiation of therapy is the key to recovery from this deadly disease. Physicians are encouraged to include cephalic tetanus as a cause of facial nerve palsy in their differential. In particular, paying attention to cases manifesting early after head or neck injury.

scholarly journals Recurrent phosphaturic mesenchymal tumour of the temporal bone causing deafness and facial nerve palsy

2012 ◽  
Vol 126 (7) ◽  
pp. 721-724 ◽  
Author(s):  
M I Syed ◽  
M Chatzimichalis ◽  
M Rössle ◽  
A M Huber
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Facial Nerve ◽  
Temporal Bone ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Early Recognition ◽  
Mesenchymal Tumour ◽  
Radiological Investigation ◽  
Phosphaturic Mesenchymal Tumour

AbstractObjective:We describe the first reported case of a phosphaturic mesenchymal tumour, mixed connective tissue variant, invading the temporal bone.Case report:A female patient presented with increasing deafness. On examination there appeared to be a mass behind an intact tympanic membrane. Further radiological investigation showed a vascular mass occupying the middle ear, mastoid and internal auditory meatus. This was surgically resected and revealed to be a benign phosphaturic mesenchymal tumour, mixed connective tissue variant. The tumour recurred a year later, presenting as facial nerve palsy. A revision procedure was carried out; the tumour was excised with the sacrifice of a segment of the facial nerve, and a facial-hypoglossal nerve anastomosis was performed.Conclusion:This case report highlights the occurrence of this benign but sometimes aggressive tumour, of which both clinicians and pathologists should be aware. Early recognition of the condition remains of utmost importance to minimise the debilitating consequences of long-term osteomalacia in affected patients, and to prevent extracranial and intracranial complications caused by the tumour.

scholarly journals Idiopathic Facial Nerve Paralysis & Response to Physiotherapy in Pregnant Woman; A Case Report

2021 ◽  
Vol 35 (3) ◽  
pp. 75-77
Author(s):  
Wajida Perveen
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Late Complication ◽  
Extreme Condition ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
The Face

Facial nerve palsy is a common condition affecting both genders and all age group. However, its incidence in pregnant females needs greater care. It may affect only lower half of the face or full one side of the face or in extreme condition bilateral sides. Symptoms include deviation of angle of mouth towards sound side, flattening of nasolabial folds, loss of forehead wrinkles and inability to completely close the eyelid along with loss of taste on anterior two third of tongue. Here we present a rare case report of facial nerve palsy in a pregnant woman in third trimester of pregnancy. She was offered an evidence based physiotherapy treatment regime along with pharmacological treatment and she recovered; however late complication of “Ptosis” was reported.

TRANSIENT FACIAL NERVE PALSY AFTER SCALP BLOCK FOR AWAKE CRANIOTOMY: A CASE REPORT

2018 ◽  
Vol 4 (5) ◽  
pp. 369-371
Author(s):  
Rajashree U Gandhe . ◽  
Chinmaya P Bhave . ◽  
Avinash S Kakde . ◽  
Neha T Gedam .
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Awake Craniotomy ◽  
Scalp Block

scholarly journals Obstructive hydrocephalus and facial nerve palsy secondary to vertebrobasilar dolichoectasia: Case Report

2018 ◽  
Vol 9 (1) ◽  
pp. 60 ◽  
Author(s):  
Hussein Kamel ◽  
Kazim Mohammed ◽  
Javeed Iqbal ◽  
John Mathew ◽  
Ghanem Al-Sulaiti
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Obstructive Hydrocephalus ◽  
Vertebrobasilar Dolichoectasia

scholarly journals Isolated facial nerve palsy from intra-aural tick infestation – a case report

2020 ◽  
Vol 16 (4) ◽  
pp. 430-432
Author(s):  
Thilaga Rajendran ◽  
◽  
Jeyasakthy Saniasiaya ◽  
Yatiee Swany Lahuri ◽  
Norhaslinda Binti Abdul Gani ◽  
...  
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Late Effects ◽  
Nerve Palsy ◽  
Tick Infestation ◽  
Facial Nerve Palsy ◽  
Outpatient Clinics ◽  
Close Observation ◽  
Tick Paralysis

The incidence of tick infestation reported by ear-nose-throat outpatient clinics is high, though the exact reason is unknown. Affected patients generally recover well without any local or systemic sequelae. Tick-induced facial nerve palsy is less commonly reported in the literature. In this case report, we present our experience in managing a case of delayed isolated facial nerve palsy from intra-aural tick infestation in a child. The case highlights the possibility of late effects of tick paralysis occurring hours after tick removal. Close observation and awareness are crucial to detect any signs of neurotoxicity associated with tick infestation.

scholarly journals Cephalic tetanus as a differential diagnosis of facial nerve palsy

2017 ◽  
pp. bcr2016216440 ◽  
Author(s):  
Yuki Kotani ◽  
Kenji Kubo ◽  
Satoko Otsu ◽  
Toshihide Tsujimoto
Keyword(s):  
Differential Diagnosis ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Cephalic Tetanus

Primary cutaneous CD8 + cytotoxic T‐cell lymphoma of the face with intraoral involvement, presenting facial nerve palsy after chemotherapy

2022 ◽  
Author(s):  
Daphine Caxias Travassos ◽  
Heitor Albergoni Silveira ◽  
Evânio Vilela Silva ◽  
Beatriz Zamboni Martins Panucci ◽  
Nilson Coelho da Silva Filho ◽  
...  
Keyword(s):  
T Cell ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Cell Lymphoma ◽  
T Cell Lymphoma ◽  
Cytotoxic T Cell ◽  
The Face

ASYMMETRIC CRYING FACIES: A CLINICAL ODDITY

2021 ◽  
pp. 7-8
Author(s):  
Dilesh Kohat ◽  
Vishwanath Patil ◽  
Kusum Mahajan
Keyword(s):  
Facial Nerve ◽  
Clinical Examination ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Facial Asymmetry ◽  
Associated Anomalies ◽  
Benign Condition ◽  
Rare Congenital Disorder ◽  
The Face ◽  
Clinical Description

Background – Congenital hypoplasia of depressor angularis oris muscle (CHDAOM), which is often confused with unilateral facial nerve palsy, is a rare congenital disorder presenting with asymmetric crying facies in a newborn. Accurate diagnosis of this condition is imperative in order to ensure further screening to rule out associated anomalies and appropriate management. We report a late preterm male Clinical description – neonate who was noticed to have facial asymmetry selectively during episodes of crying. During quiet or sleeping state, the face was symmetrical. Clinical examination did not reveal any other facial abnormality or any evidence of facial nerve palsy. Associated anomalies were Management – ruled out by thorough evaluation. In view of isolated CHDAOM, parents were explained regarding benign course of the condition. The neonate was discharged after an uneventful hospital stay. This case report emphasizes the importance of a Conclusion – detailed clinical examination in the diagnosis of CHDOAM. CHDOAM, if occurring in isolation, is a benign condition and does not require any intervention. Parental counselling is the cornerstone of management. However, the diagnosis of CHDAOM should raise suspicion for other associated congenital anomalies and warrants a thorough evaluation.

scholarly journals Bilateral facial nerve involvement in a patient with Tolosa–Hunt syndrome

2020 ◽  
Vol 33 (5) ◽  
pp. 424-427
Author(s):  
Ajay A Madhavan ◽  
David R DeLone ◽  
Jared T Verdoorn
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Cranial Nerves ◽  
Corticosteroid Treatment ◽  
Resonance Imaging ◽  
Hunt Syndrome ◽  
Facial Nerves

Tolosa–Hunt syndrome is characterized by unilateral retro-orbital headaches and cranial nerve palsies, usually involving cranial nerves III–VI. It is rare for other cranial nerves to be involved, although this has previously been reported. We report a 19-year-old woman presenting with typical features of Tolosa–Hunt syndrome but ultimately developing bilateral facial nerve palsies and enhancement of both facial nerves on magnetic resonance imaging. The patient presented with unilateral retro-orbital headaches and palsies of cranial nerves III–VI. She was diagnosed with Tolosa–Hunt syndrome but was non-compliant with her corticosteroid treatment due to side effects. She returned with progressive left followed by right facial nerve palsy. Her corresponding follow-up magnetic resonance imaging scans showed sequential enhancement of the left and right facial nerves. She ultimately had clinical improvement with IV methylprednisolone. To our knowledge, Tolosa–Hunt syndrome associated with bilateral facial nerve palsy and corroborative facial nerve enhancement on magnetic resonance imaging has not previously been described. Moreover, our patient’s clinical course is instructive, as it demonstrates that this atypical presentation of Tolosa–Hunt syndrome can indeed respond to corticosteroid treatment and should not be mistaken for other entities such as Bell’s palsy.

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