scholarly journals Facial Nerve Palsy After Occipital Nerve Blocks — A Case Report

2021 ◽  
Author(s):  
Abdullah Shoaib
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Pediatric Patients ◽  
Facial Nerve Palsy ◽  
Rare Complication ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Occipital Nerve

The use of bupivacaine and other local anesthetics to perform peripheral nerve blocks is a mainstay in the management of refractory headaches and migraines. In this case report, a patient presented with transient facial nerve palsy shortly after receiving occipital nerve blocks for headaches. Patient’s symptoms self-resolved, and her symptoms were thought to be due to displacement and spreading of bupivacaine to the facial nerve. The spread of bupivacaine can be facilitated by tracking across fascial planes or nerve sheaths. Similar side effects have been seen in dental anesthesia, but there has only been one other report of such a presentation associated with occipital nerve blocks, and none in pediatric patients. Physicians should be aware of this rare complication with peripheral nerve blocks.

Transient Facial Nerve Palsy After Occipital Nerve Block: A Case Report

2014 ◽  
Vol 54 (10) ◽  
pp. 1651-1655 ◽  
Author(s):  
Lauren Strauss ◽  
Elizabeth Loder ◽  
Paul Rizzoli
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Nerve Block ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Occipital Nerve ◽  
Occipital Nerve Block

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.

Dexmedetomidine as an adjunct to peripheral nerve blocks in pediatric patients

2022 ◽  
Author(s):  
Jing Yang ◽  
Yu Cui ◽  
Rong Cao ◽  
Qing-Hua Huang ◽  
Qian-Qian Zhang
Keyword(s):  
Peripheral Nerve ◽  
Pediatric Patients ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks

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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