scholarly journals Congenital unilateral facial palsy revealing a facial nerve agenesis: a case report and review of the literature

2019 ◽  
Vol 5 (1) ◽  
pp. 20180029
Author(s):  
Yaotse Elikplim Nordjoe ◽  
Ouidad Azdad ◽  
Mohamed Lahkim ◽  
Laila Jroundi ◽  
Fatima Zahrae Laamrani

Facial nerve aplasia is an extremely rare condition that is usually syndromic, namely, in Moebius syndrome. The occurrence of isolated agenesis of facial nerve is even rarer, with only few cases reported in the literature. We report a case of congenital facial paralysis due to facial nerve aplasia diagnosed on MRI, while no noticeable abnormality was detected on the temporal bone CT.

Author(s):  
Kiran Natarajan ◽  
Koka Madhav ◽  
A. V. Saraswathi ◽  
Mohan Kameswaran

<p>Bilateral temporal bone fractures are rare; accounting for 9% to 20% of cases of temporal bone fractures. Clinical manifestations include hearing loss, facial paralysis, CSF otorhinorrhea and dizziness. This is a case report of a patient who presented with bilateral temporal bone fractures. This is a report of a 23-yr-old male who sustained bilateral temporal bone fractures and presented 18 days later with complaints of watery discharge from left ear and nose, bilateral profound hearing loss and facial weakness on the right side. Pure tone audiometry revealed bilateral profound sensori-neural hearing loss. CT temporal bones &amp; MRI scans of brain were done to assess the extent of injuries. The patient underwent left CSF otorrhea repair, as the CSF leak was active and not responding to conservative management. One week later, the patient underwent right facial nerve decompression. The patient could not afford a cochlear implant (CI) in the right ear at the same sitting, however, implantation was advised as soon as possible because of the risk of cochlear ossification. The transcochlear approach was used to seal the CSF leak from the oval and round windows on the left side. The facial nerve was decompressed on the right side. The House-Brackmann grade improved from Grade V to grade III at last follow-up. Patients with bilateral temporal bone fractures require prompt assessment and management to decrease the risk of complications such as meningitis, permanent facial paralysis or hearing loss. </p>


2010 ◽  
Vol 125 (3) ◽  
pp. 318-320 ◽  
Author(s):  
N de Zoysa ◽  
J Stephens ◽  
G M D Mochloulis ◽  
P B D S Kothari

AbstractObjective:The authors present an extremely rare case of carcinoma of the tympanic membrane.Method:A case report and review of the literature concerning carcinoma of the tympanic membrane and temporal bone are presented and discussed.Results:The authors present a patient with recurrent otorrhoea and an abnormal tympanic membrane. Biopsy was inconclusive, but resection demonstrated squamous cell carcinoma of the tympanic membrane. We also discuss the investigation, diagnosis, natural history and management of this rare condition, as well as the staging and management of tumours of the temporal bone and the differences between these closely related but prognostically different entities.Conclusion:This rare entity can be managed by primary surgical resection if there is no evidence of metastasis.


2020 ◽  
pp. 014556132096893
Author(s):  
Dylan Jacob Cooper ◽  
Stanley Pelosi

We present a case of novel penetrating temporal bone trauma with a pintail comb causing facial paralysis. We describe a 42-year-old woman with acute facial paralysis, hearing loss, and dizziness following accidental tympanic membrane puncture. The patient underwent middle ear exploration with tympanoplasty and was found to have an intact but severely edematous facial nerve. The patient demonstrated less than 90% degeneration under electroneuronography and was treated medically without decompression, and by 6 months had exhibited complete resolution of facial nerve dysfunction with normal hearing. This case report highlights a unique cause of penetrating temporal bone trauma and supports the utility of electroneuronography in predicting the likelihood of recovery and need for decompression in patients where the facial nerve has obvious signs of trauma but remains grossly intact.


2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
M. Chihani ◽  
A. Aljalil ◽  
M. Touati ◽  
B. Bouaity ◽  
H. Ammar

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.


Author(s):  
Lakshmi Menon Ravunniarth ◽  
Safina Kauser

<p class="abstract">Facial paralysis associated with parotid disease is usually caused by a malignant process. Facial nerve palsy due to parotid gland abscess is very rare with only about 10 previously reported cases. Parotid abscess with facial palsy may be the first presenting symptom of underlying diabetes mellitus. We report a case of a 35-year-old man, not a known case of diabetes or hypertension, who presented with a right sided parotid abscess and difficulty in mouth opening with grade 4 facial nerve palsy, who on investigation was found to have underlying uncontrolled diabetes mellitus. Parotid abscess is mainly seen in elderly, diabetic and immunocompromised. Facial nerve palsy secondary to parotid abscess is a rare condition but probably underreported. Facial nerve palsy associated with parotid abscess is rare and may be one of the first presenting feature of uncontrolled diabetes mellitus.</p>


1990 ◽  
Vol 104 (10) ◽  
pp. 765-771 ◽  
Author(s):  
Mario Sanna ◽  
Carlo Zinia ◽  
Roberto Gamoletri ◽  
Enrico Pasanisi

AbstractBenign primary tumours of the facial nerve are uncommon. A slowly progressive facial palsy should be considered the result of a nerve tumour untilproven otherwise.Improvements in diagnostic imaging techniques of the temporal bone have increased the possibility of a correct pre-operative diagnosis but facial nerve tumours remain a frequently ignored or misdiagnosed entity as a consequence of their subtle and protean clinical manifestations.A series of 12 cases of primary facial nerve tumours is presented. The clinical features, diagnostic modalities and treatment are discussed in relation to a review of the literature.


Author(s):  
Vaddadi Srinivas ◽  
V. Radha Srinivas ◽  
R. Vikram Vardhan

Bilateral facial paralysis is a rare condition, we report a case of a 70-year-old healthy, illiterate man with sequential bilateral facial paralysis as a manifestation of unknown cause after exclusion of various known causes. He initially presented with a left sided Bell’s palsy 12 months back, within a month there was facial palsy on the contra lateral side, but patient has not taken any measures to seek any medical attention initially. Later on 4 months back, he developed episodic headache and reeling sensation. His physical examination revealed bilateral lower motor neuron facial palsy with high blood pressure. As the investigations revealed no cause, we have arrived at the diagnosis of Bilateral Bell’s palsy and treated his hypertension.


2020 ◽  
Vol 12 (3) ◽  
pp. 231-235
Author(s):  
Carl Maximilian Thielmann ◽  
Wiebke Sondermann

Erythromelanosis follicularis faciei et colli, a rare condition of unknown etiology, was first described by Kitamura et al. from Japan in 1960. It is characterized by a triad consisting of well-demarcated erythema, hyperpigmentation, and follicular papules. We report the case of a 50-year-old Caucasian male, who had asymptomatic symmetrical facial lesions since the age of 42. His family history was unremarkable. Published erythromelanosis follicularis faciei et colli cases of the last 10 years are summarized in this report to demonstrate the variability and differences in the clinical presentation of this uncommon diagnosis.


2021 ◽  
Vol 9 (6) ◽  
Author(s):  
Nicolau Moreira Abrahão ◽  
Guilherme Correa Guimarães ◽  
Arthur Menino Castilho ◽  
Vagner Antônio Rodrigues da Silva

2003 ◽  
Vol 82 (12) ◽  
pp. 926-937 ◽  
Author(s):  
Carsten Christof Boedeker ◽  
Gian Kayser ◽  
Gerd Jürgen Ridder ◽  
Wolfgang Maier ◽  
Jörg Schipper

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