Facial Nerve Paralysis Following Endovascular Embolization: A Case Report and Review of the Literature

Objective: We report a case of facial nerve paralysis post-endovascular embolization of a sigmoid sinus dural arterio-venous fistula from initial presentation to current management and discuss the merits of observation versus decompression through a systematic review of relevant literature. Patient: 61 F with right facial palsy Intervention: Following a single intravenous dexamethasone injection with oral steroids over 2 months, patient was observed with no additional treatment other than Botox chemodenervation and facial rehabilitation. Outcome and Results: The patient initially presented with complete right facial palsy (HB 6/6). Post-op CT imaging indicated Onyx (ev3, Irvine, California, USA) particles present at the geniculate segment of the facial nerve. Observation was chosen over surgical intervention. At the most current follow up of 8 months, facial function has improved substantially (HB 2/6). Conclusion: Facial palsy is a serious, though rare, complication of transarterial endovascular embolization. With our case report and literature review, we highlight not only how conservative observation is the recommended treatment, but also that facial nerve recovery should be expected to reach near complete recovery, but not sooner than in 3 months.

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S230 – MRI Findings in Delayed Facial Palsy after Stapedectomy

Otolaryngology ◽

10.1016/j.otohns.2008.05.405 ◽

2008 ◽

Vol 139 (2_suppl) ◽

pp. P152-P152 ◽

Cited By ~ 1

Author(s):

Marc Cohen ◽

Claudia Kirsch ◽

Abie Mendelsohn ◽

Akira Ishiyama

Keyword(s):

Facial Nerve ◽

Facial Paralysis ◽

Facial Palsy ◽

Rare Complication ◽

Internal Auditory Canal ◽

Facial Nerve Paralysis ◽

Mri Findings ◽

Nerve Paralysis ◽

Oral Corticosteroids ◽

Magnetic Resonance Imaging Mri

Objectives 1) To retrospectively review the pathophysiology and radiologic features of delayed facial palsy after stapedectomy. 2) To discuss the management strategy of this unusual problem. Methods 450 stapedectomies performed at our institution were retrospectively reviewed from 1997 to 2007. A total of 2 patients in this series developed a delayed facial paralysis postoperatively. The clinical presentation, radiographic characteristics on magnetic resonance imaging (MRI), and the management of these patients are presented. Results A total of 2 patients out of 450 stapedectomies within a 10-year period developed the rare complication of delayed facial paralysis (postoperative days 12 and 41, respectively). Both patients developed rapidly progressive complete facial nerve paralysis preceded by periauricular pain and dysguesia. No sign of infection was present in the operated ear. MRI with gadolinium of the internal auditory canal demonstrated gadolinium enhancement of the labyrinthine portion of the facial nerve as seen in Bell's palsy. Both patients were treated with oral corticosteroids and antiviral medications. Subsequent imaging revealed decreased enhancement of the facial nerve with complete resolution of facial paralysis. Conclusions In the rare complication of delayed facial paralysis after stapedectomy, MR imaging is a useful diagnostic tool to dictate the treatment strategy. Delayed facial paralysis following stapedectomy can be treated medically when the MRI scan demonstrates enhancement of the facial nerve in the labyrinthine segment.

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Posttraumatic Cholesteatoma Complicated by a Facial Paralysis: A Case Report

Case Reports in Otolaryngology ◽

10.1155/2012/262958 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3

Author(s):

M. Chihani ◽

A. Aljalil ◽

M. Touati ◽

B. Bouaity ◽

H. Ammar

Keyword(s):

Case Report ◽

Facial Nerve ◽

Temporal Bone ◽

Facial Paralysis ◽

External Auditory Canal ◽

Rare Complication ◽

Facial Nerve Paralysis ◽

Nerve Paralysis ◽

Bone Damage ◽

Different Types

The posttraumatic cholesteatoma is a rare complication of different types of the temporal bone damage. Its diagnosis is often done after several years of evolution, sometimes even at the stage of complications. A case of posttraumatic cholesteatoma is presented that was revealed by a facial nerve paralysis 23 years after a crash of the external auditory canal underlining the importance of the otoscopic and radiological regular monitoring of the patients with a traumatism of the temporal bone.

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Facial nerve paralysis: A case report of rare complication in uncontrolled diabetic patient with mucormycosis

Journal of Natural Science Biology and Medicine ◽

10.4103/0976-9668.149195 ◽

2015 ◽

Vol 6 (1) ◽

pp. 226 ◽

Cited By ~ 3

Author(s):

Vandana Shekar ◽

Vishwanath Rangdhol ◽

Madhulika Naidu ◽

Jeelani Sikander

Keyword(s):

Case Report ◽

Facial Nerve ◽

Diabetic Patient ◽

Rare Complication ◽

Facial Nerve Paralysis ◽

Nerve Paralysis

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Post-surgery cholesteatoma complicated by facial nerve paralysis: A case report from Afghanistan

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2021.105916 ◽

2021 ◽

Vol 82 ◽

pp. 105916

Author(s):

Sharifeh Haghjoo ◽

Sayed Hamid Mousavi ◽

Yeganeh Farsi ◽

Ali Ahmad Makarem Nasery ◽

Fawzia Negin ◽

...

Keyword(s):

Case Report ◽

Facial Nerve ◽

Facial Nerve Paralysis ◽

Nerve Paralysis ◽

Post Surgery

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Recurrent bilateral peripheral facial palsy

The Journal of Laryngology & Otology ◽

10.1017/s0022215100108199 ◽

1989 ◽

Vol 103 (1) ◽

pp. 117-119 ◽

Cited By ~ 36

Author(s):

N. Stahl ◽

T. Ferit

Keyword(s):

Facial Nerve ◽

Facial Palsy ◽

Common Finding ◽

Facial Nerve Paralysis ◽

Nerve Paralysis ◽

Peripheral Facial Palsy ◽

Local Disease ◽

Idiopathic Facial Palsy

AbstractFacial nerve paralysis is a common otolaryngological diagnosis. Recurrent unilateral peripheral facial palsy is found in about 7 per cent of the cases. Simultaneous bilateral facial palsy is relatively uncommon and occurs in 0.3–2.0 per cent of cases of facial palsy. Recurrent. simultaneous, bilateral, idiopathic facial palsy to the best of our knowledge has never been reported. A case of recurrent, simultaneous, bilateral, idiopathic facial palsy is presented. No evidence of systemic or local disease was found in both attacks of peripheral facial palsies. The association with states of stress is the only common finding between the two attacks.

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