Unusual Mechanism of Facial Nerve Palsy Caused by Penetrating Neck Trauma

Klančnik, Marisa; Ivanišević, Petar; Martinić, Marina Krnić; Smoje, Petra; Vucemilovic, Marta Zrinka

doi:10.1155/2020/1391692

Cited by 1 publication

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Viral infection is the most commonly accepted theory behind PFNP, and the herpes simplex virus is the most frequently implicated [ 8 – 11 ]. Other suggested theories include autoimmunity, inflammation, and microvascular disease such as diabetes mellitus [ 8 , 12 – 20 ]. The degree of deficit in PFNP is classified into six grades using the House–Brackmann scale (HBS) (Table 1 ).…”

Section: Introductionmentioning

confidence: 99%

Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis

Bilge

Mert

Hergüner

et al. 2022

Egypt J Neurol Psychiatry Neurosurg

View full text Add to dashboard Cite

Background Sudden onset of unilateral weakness of the upper and lower muscles of one side of the face is defined as peripheral facial nerve palsy. Peripheral facial nerve palsy is often idiopathic and sometimes it could be due to infectious, traumatic, neoplastic, and immune causes. This study aimed to report the clinical manifestation, evaluation, and prognosis in children with peripheral facial nerve palsy. Methods 57 children under 18 years of age diagnosed with peripheral facial nerve palsy at Çukurova University, Balcalı Hospital, between January 2018 and September 2021, were included in the study. Results The mean age of the children at the time of diagnosis was 9.6 ± 7, 4 years. Thirty-two (56.1%) of the patients were female and 25 (43.9%) were male. A total of 57 patients were diagnosed with peripheral facial nerve palsy and categorized into many groups by etiology: idiopathic Bell’s palsy in 27 (47.5%), infectious in 11 (19.2%), traumatic in 6 (10.5%), and others (due to congenital, immune, neoplastic, Melkersson–Rosenthal syndrome, drug toxicity, and iatrogenic causes) in 13 (22.8%). Forty-six of the children achieved full recovery under oral steroids within 1–7 months. Four patients with acute leukemia, myelodysplastic syndrome, Mobius syndrome and trauma did not recover and two patients (schwannoma, trauma) showed partial improvement. Five patients could not come to follow-up control. Conclusion Peripheral facial nerve palsy is a rare condition in children with different causes. It could be idiopathic, congenital, or due to infectious, traumatic, neoplastic, and immune reasons. So, when a child presents with facial palsy, a complete clinical history and a detailed clinical examination are recommended. Giving attention to the red flag is very important. Peripheral facial nerve palsy in children is considered to have a good prognosis.

show abstract