scholarly journals A Case of Recurrent Facial Palsy Associated with Anti-GM2: is it anyway Guillain-barré syndrome?

2021 ◽  
pp. 215
Author(s):  
Keyword(s):  
Case Report ◽  
Family History ◽  
Facial Nerve ◽  
Rare Case ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Neurological Diseases ◽  
Facial Paresis ◽  
Her Family ◽  
Autoimmune Neuropathy

Objective: A rare case of possible hereditary predisposition to autoimmune neuropathy Background: This case report is of a patient who presented two episodes of Facial paresis in her live without ascertained apparent causes. Bell’s palsy is commonly known as peripheral idiopathic facial nerve palsy, because in the most cases the triggers remain unknown (1). Case Report: I want to present a case of a 34 year old woman who we will call A.B. and who came to us to evaluate the severity of the sequelae of a Bell´s palsy and any eventual need for cosmetic measure. But she had another Bell´s Palsy 9 years ago, so I started to investigate the most common and treatable causes of Facial paresis. I found a significate increase of anti-bodies against ganglioside GM2. When I explained to her that these anti-bodies is commonly related with several neurological diseases, she started to investigate her family history and she found that his father’s brother died of GuillainBarré syndrome about 40 years ago.

scholarly journals Case Report: Case report: A rare case of middle-ear Rhabdomyosarcoma in a 4-year-old boy

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1734
Author(s):  
Richard Menzies-Wilson ◽  
Gentle Wong ◽  
Prodip Das
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Middle Ear ◽  
Rare Case ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Excisional Biopsy ◽  
Embryonal Rhabdomyosarcoma ◽  
Aural Polyp ◽  
The Right

We present a rare case of a four-year-old boy with a botyroid embryonal rhabdomyosarcoma of the right middle ear. Rhabdomyosarcoma is a soft tissue malignancy which is thought to originate from embryonic mesenchymal cells of striated skeletal muscle.  It is a disease primarily of children and is exceptionally rare in parameningeal regions.  The diagnosis is often delayed and easily misdiagnosed as aural polyp. Therefore, advanced disease is common at the time of diagnosis.  A four-year-old boy presented with a four-month history of recurrent left ear blood and pus discharge, otalgia and fevers. He attended his GP three times and paediatric A&E 13 times where he received antibiotics for presumed otitis media and externa. He was eventually referred to the otolaryngology department and underwent an examination under anaesthesia of ear and excisional biopsy of a suspicious aural polyp.  Staging chest CT and PET scan showed no loco-regional spread or distal metastasis. Magnetic resonance imaging demonstrated absence of invasion into adjacent organs.  Histology confirmed embryonal rhabdomyosarcoma, botryoid subtype.  Subsequent to the initial excision of the polyp, he was started on an ifosfamine, vincristine and actinomycin (IVA) chemotherapy regime in three weekly cycles for nine cycles with concomitant radiotherapy. Two weeks subsequent to his first chemotherapy dose he presented with a House-Brackmann II-III facial nerve palsy but no other middle ear complications. He was started on intravenous antibiotics and dexamethasone. The facial nerve palsy incompletely resolved with treatment.

scholarly journals Case Report: Case report: A rare case of middle-ear Rhabdomyosarcoma in a 4-year-old boy

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1734
Author(s):  
Richard Menzies-Wilson ◽  
Gentle Wong ◽  
Prodip Das
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Middle Ear ◽  
Rare Case ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Excisional Biopsy ◽  
Embryonal Rhabdomyosarcoma ◽  
Aural Polyp ◽  
The Right

We present a rare case of a four-year-old boy with a botyroid embryonal rhabdomyosarcoma of the right middle ear. Rhabdomyosarcoma is a soft tissue malignancy which is thought to originate from embryonic mesenchymal cells of striated skeletal muscle.  It is a disease primarily of children and is exceptionally rare in parameningeal regions.  The diagnosis is often delayed and easily misdiagnosed as aural polyp. Therefore, advanced disease is common at the time of diagnosis.  A four-year-old boy presented with a four-month history of recurrent left ear blood and pus discharge, otalgia and fevers. He attended his GP three times and paediatric A&E 13 times where he received antibiotics for presumed otitis media and externa. He was eventually referred to the otolaryngology department and underwent an examination under anaesthesia of ear and excisional biopsy of a suspicious aural polyp.  Staging chest CT and PET scan showed no loco-regional spread or distal metastasis. Magnetic resonance imaging demonstrated absence of invasion into adjacent organs.  Histology confirmed embryonal rhabdomyosarcoma, botryoid subtype.  Subsequent to the initial excision of the polyp, he was started on an ifosfamine, vincristine and actinomycin (IVA) chemotherapy regime in three weekly cycles for nine cycles with concomitant radiotherapy. Two weeks subsequent to his first chemotherapy dose he presented with a House-Brackmann II-III facial nerve palsy but no other middle ear complications. He was started on intravenous antibiotics and dexamethasone. The facial nerve palsy incompletely resolved with treatment.

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 A rare case of congenital facial nerve palsy with extreme ocular manifestations

2021 ◽  
Vol 14 (5) ◽  
pp. e242540
Author(s):  
Rahul Kumar Bafna ◽  
Suman Lata ◽  
Anusha Sachan ◽  
Mohamed Ibrahime Asif
Keyword(s):  
Facial Nerve ◽  
Rare Case ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Ocular Manifestations

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 Ethylene glycol intoxication following brake fluid ingestion complicated with unilateral facial nerve palsy: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
B. M. D. B. Basnayake ◽  
A. W. M. Wazil ◽  
N. Nanayakkara ◽  
R. M. B. S. S. Mahanama ◽  
P. N. S. Premathilake ◽  
...  
Keyword(s):  
Case Report ◽  
Ethylene Glycol ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Brake Fluid ◽  
Fluid Ingestion ◽  
Ethylene Glycol Intoxication

scholarly journals Miller Fisher syndrome with early intracranial hypertension and delayed bilateral simultaneous facial nerve palsy: a case report

2019 ◽  
Vol 48 (3) ◽  
pp. 030006051986749
Author(s):  
Yu-Ming Liu ◽  
Yan-Li Chen ◽  
Yan-Hua Deng ◽  
Yan-Ling Liang ◽  
Wei Li ◽  
...  
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Intracranial Hypertension ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Miller Fisher Syndrome ◽  
Ivig Treatment ◽  
Fisher Syndrome ◽  
Igm Antibodies ◽  
History Of

Miller Fisher syndrome (MFS), a variant of Guillain–Barré syndrome, is characterized by ataxia, areflexia and ophthalmoplegia. This case report describes a 40-year old male that presented with a 3-day history of unsteady walking and numbness on both hands, and a 2-day history of seeing double images and unclear articulation. Lumbar puncture revealed an opening pressure of 260 mm H2O. Plasma serology was positive for anti-ganglioside M1-immunoglobulin M (anti-GM1-IgM) antibodies and negative for anti-ganglioside Q1b (anti-GQ1b) antibodies. The patient was diagnosed with MFS based on the clinical course and neurophysiological findings. On the 4th day of treatment with intravenous immunoglobulin (IVIG), his ataxia and unsteady walking improved, but his bilateral eyeballs were fixed, and over the next few days he developed bilateral peripheral facial paralysis. After 5 days of IVIG treatment, methylprednisolone treatment was offered and the patient's symptoms gradually improved. Early intracranial hypertension and delayed facial nerve palsy may be atypical presentations of MFS. Anti-GM1-IgM antibodies may be the causative antibodies for MFS. If the IVIG therapy does not stop the progression of the disease, the addition of corticosteroid therapy may be effective. However, the relationship between IgM type, anti-GM1 antibody and MFS remains unclear and requires further research.

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