Bilateral traumatic facial paralysis. Case report

Liu, Brian; Pendleton, Courtney; Nogues, Pere; Noboa, Roberto; Undabeitia, José

doi:10.1016/j.neucir.2013.01.003

Cited by 4 publications

(9 citation statements)

References 21 publications

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“…Although the idiopathic bilateral involvement of the nerve (Bell’s palsy) is a diagnosis of exclusion, which occurs in 20% - 23% of the cases, serious life threatening conditions (metabolic, immunologic, toxic, infectious, vascular, etc.) should be ruled out prior to the establishment of the diagnosis ( 8 ). According to the article by Elicora et al bilateral facial paralysis caused by bitemporal bone fractures is very rare, with eight cases reported to date ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

“…The symptoms and signs include facial nerve involvement, hearing loss, cerebrospinal fluid leakage, and vertigo ( 10 ). Traumatic facial nerve injury can be classified into two categories, immediate and delayed onset facial paralysis ( 8 ), with delayed onset being more common than immediate onset ( 11 , 12 ). The laceration, contusion, entrapment, crushing, or traction of the facial nerve at the site of fracture may cause the immediate onset of facial paralysis.…”

Section: Discussionmentioning

confidence: 99%

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Bilateral Facial Paralysis Caused by Temporal Bone Fracture: A Case Report

Ghiasi

Banaei

2016

Arch Trauma Res

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IntroductionAlthough bilateral facial nerve palsy is a rare condition, its etiology is more detectable than the unilateral type. A temporal bone fracture is one cause of bilateral facial nerve palsy, contributing in 3% of the cases.Case PresentationHere, we report the case of a 35-year-old man complaining of bilateral incomplete eye closure, two weeks after a closed head injury caused by a motor vehicle accident.ConclusionsThe high resolution computed tomography findings revealed a bilateral temporal bone fracture line, which extended to the fallopian canal. With regard to treatment, near complete recovery was obvious after two weeks of treatment with oral corticosteroids. Overall, bilateral facial palsy is hard to diagnose; therefore, clinical suspicion and the early detection of facial nerve injuries is necessary for good nerve recovery in temporal bone fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Bilateral Facial Paralysis Caused by Temporal Bone Fracture: A Case Report

Ghiasi

Banaei

2016

Arch Trauma Res

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“…Unlike unilateral facial paralysis, only 20% of bilateral paralysis is idiopathic [ 2 ]. The most important causes of bilateral facial paralysis are trauma, infectious diseases (infectious mononucleosis, syphilis, bilateral otitis media, herpes zoster, Lyme disease, and meningitis), neurological diseases (multiple sclerosis, neoplasms, or stroke), and other diseases, the aetiologies of which are uncertain (Guillain-Barre syndrome, sarcoidosis, Melkersson-Rosenthal syndrome, and leukaemia) [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…In patients with facial paralysis, it is important to consider corneal irritation and ulceration. The use of synthetic tears and eye closure at night reduce the risk of keratitis [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, such patients may experience long stays in intensive care units, associated with delays in diagnosis, because facial asymmetry cannot be evaluated if the facial paralysis is bilateral. In such situations, it may be helpful to note that a patient cannot close his or her eyes completely and that the eye globes move up or out (the Bell phenomenon) when she or he is asked to close the eyes [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

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Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review

Eliçora

Dinç

Bişkin

et al. 2015

Case Reports in Otolaryngology

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Bilateral facial paralysis caused by bilateral temporal bone fracture is a rare clinical entity, with seven cases reported in the literature to date. In this paper, we describe a 40-year-old male patient with bilateral facial paralysis and hearing loss that developed after an occupational accident. On physical examination, House-Brackmann (HB) facial paralysis of grade 6 was observed on the right side and HB grade 5 paralysis on the left. Upon temporal bone computed tomography (CT) examination, a fracture line exhibiting transverse progression was observed in both petrous temporal bones. Our patient underwent transmastoid facial decompression surgery of the right ear. The patient refused a left-side operation. Such patients require extensive monitoring in intensive care units because the presence of multiple injuries means that facial functions are often very difficult to evaluate. Therefore, delays may ensue in both diagnosis and treatment of bilateral facial paralysis.

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Bilateral Traumatic Facial Paralysis with Hearing Impairment and Abducens Palsy

Ouhbi¹,

Abdellaoui

Errami³

et al. 2020

Case Reports in Otolaryngology

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The temporal bone is often affected in basilar skull fractures. Fractures involving the petrous portion are particularly significant, as they may be associated with neurovascular sequelae. Bilateral facial paralysis secondary to bilateral temporal bone fracture is a rare clinical entity, even more so when associated with other cranial nerve damage such as abducens nerve paralysis and hearing impairment. Only 4 similar cases have been reported in the literature to date. In this paper, we describe a 28-year-old male patient with bilateral facial paralysis, unilateral abducens palsy, and bilateral hearing loss due to bitemporal fractures that developed after a motor vehicle accident. Conservative management was preferred. The 6-month follow-up showed remarkable improvement. This report highlights the effectiveness of conservative management in posttraumatic complete facial and abducens palsy.

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Bilateral traumatic facial paralysis. Case report

Cited by 4 publications

References 21 publications

Bilateral Facial Paralysis Caused by Temporal Bone Fracture: A Case Report

Bilateral Facial Paralysis Caused by Temporal Bone Fracture: A Case Report

Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review

Bilateral Traumatic Facial Paralysis with Hearing Impairment and Abducens Palsy

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