scholarly journals Sequential Bilateral Otitis Media and Bilateral Facial Nerve Paralysis as Presenting Symptoms of Wegener's Granulomatosis

2013 ◽  
Vol 1 ◽  
pp. 1-4
Author(s):  
Eric Cerrati ◽  
Aaron Hartman ◽  
Marc Gottlieb ◽  
Darius Kohan
2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Anna Roszkowska ◽  
Monika Morawska-Kochman ◽  
Hanna Temporale ◽  
Małgorzata Sikorska-Żuk ◽  
Tomasz Kręcicki

Introduction. Wegener’s granulomatosis belongs to a group of systemic vasculitis diseases, which is characterized by necrotizing vasculitis and presence of granulomas. In a lot of cases, the first symptoms of the disease are observed in the head and neck region, but the bilateral facial nerve palsy occurs very rarely.Objective. The objective of our report was to describe the unusual course of Wegener’s granulomatosis with the bilateral facial nerve paralysis, which subsided after application of steroids and immunosuppressive therapy in combination with surgical treatment.Results and Conclusions. Hearing loss may precede other symptoms in Wegener’s granulomatosis. Ear pain and otorrhea may suggest the diagnosis of bacterial purulent otitis media and delay the proper diagnosis. In the presented case, considering the clinical course, it was necessary to apply both pharmacological and surgical treatments.


2017 ◽  
Vol 69 (1) ◽  
pp. 58-61 ◽  
Author(s):  
Sriranga Prasad ◽  
K. V. Vishwas ◽  
Swetha Pedaprolu ◽  
R. Kavyashree

2001 ◽  
Vol 115 (1) ◽  
pp. 46-47 ◽  
Author(s):  
A. Banerjee ◽  
J. M. Armas ◽  
J. H. Dempster

Wegener’s granulomatosis is a systemic disease characterized by a granulomatous lesion that can affect any organ throughout the body.This case-report illustrates the problem posed by a patient presenting with bilateral serous otitis media with marked sensorineural hearing loss, facial nerve paralysis and an atypical serological picture. The importance of early diagnosis and the protocol for the management of a patient with an uncertain diagnosis is discussed. Due to atypical presentations, only a high index of suspicion will ensure an early diagnosis.


2004 ◽  
Vol 40 (8) ◽  
pp. 483-486 ◽  
Author(s):  
E Gaio ◽  
G Marioni ◽  
C de Filippis ◽  
A Tregnaghi ◽  
S Caltran ◽  
...  

2002 ◽  
Vol 23 (Sup 1) ◽  
pp. S54
Author(s):  
Sertac Yetiser ◽  
Fuat Tosun ◽  
Mustafa Kazkayasi

2002 ◽  
Vol 23 (Sup 1) ◽  
pp. S35
Author(s):  
Luca O. Redaelli de Zinis ◽  
Paolo Gamba ◽  
Cristiano Balzanelli

1998 ◽  
Vol 25 (2) ◽  
pp. 169-172 ◽  
Author(s):  
Ali Altuntas ◽  
Adnan Unal ◽  
Asim Aslan ◽  
Muge Ozcan ◽  
Sinan Kurkcuoglu ◽  
...  

1980 ◽  
Vol 94 (6) ◽  
pp. 649-657 ◽  
Author(s):  
I. H. Calonius ◽  
C. K. Christensen

SummaryIn two patients with Wegener's granulomatosis, treatment-resistant serous otitis media was followed by unilateral facial nerve palsy. Later both patients developed uraemia due to extracapillary glomerulonephritis. In one of them, who was treated with prednisone and cyclophosphamide, renal function improved, while in the other patient it remained impaired. Both patients suffered lasting hearing impairment in spite of general improvement during the course of the disease. The facial nerve palsy improved slightly in one, while no improvement was seen in the other.The possibility of Wegener's granulomatosis or other autoimmune collagen diseases should be considered in cases of treatment-resistant serous otitis media. Early diagnosis and treatment can possibly save the patient from the lifethreatening consequences of these diseases.


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