Indian Journal of Neurotrauma 2012; 09(02): 143-146
DOI: 10.1016/j.ijnt.2012.11.008
Case Report

Delayed onset post-traumatic bilateral facial nerve paralysis – A rare case report

Sundar I. Vijay
1   Resident, Neurosurgery, Department of Neurosurgery, SMS Medical College, Jaipur 302004, Rajasthan, India
,
Dhruba Jyoti Kurmi
1   Resident, Neurosurgery, Department of Neurosurgery, SMS Medical College, Jaipur 302004, Rajasthan, India
,
Kishore Rao
1   Resident, Neurosurgery, Department of Neurosurgery, SMS Medical College, Jaipur 302004, Rajasthan, India
,
Vinod Sharma
2   Assistant Professor, Neurosurgery, Department of Neurosurgery, SMS Medical College, Jaipur 302004, Rajasthan, India
,
Sanjeev Chopra
3   Associate Professor, Neurosurgery, Department of Neurosurgery, SMS Medical College, Jaipur 302004, Rajasthan, India
,
S.K. Jain
4   Professor, Neurosurgery, Department of Neurosurgery, SMS Medical College, Jaipur 302004, Rajasthan, India
› Author Affiliations

Subject Editor:

Abstract

Bilateral facial nerve palsy [FNP] is a rare condition which in most instances is idiopathic. Traumatic brain injury causing bilateral FNP is even more rare and brings with it unique neurosurgical considerations. Delayed presentation of bilateral FNP after mild head injury is socially debilitating as well as neurosurgically puzzling. We present a case of delayed onset bilateral FNP who developed FNP two weeks after mild head injury along with a brief discussion of the peculiar anatomical characteristics and management options of this condition.



Publication History

Received: 31 October 2012

Accepted: 26 November 2012

Publication Date:
06 April 2017 (online)

© 2012. Thieme. All rights reserved.

Thieme Medical and Scientific Publishers Private Ltd.

 
  • References

  • 1 Keane J.R.. Bilateral seventh nerve palsy: analysis of 43 cases and review of the literature. Neurology 1994; 44: 1198-1202
  • 2 Steenerson L.. Bilateral facial paralysis. Am J Otol 1987; 07: 99-103
  • 3 Pothiawala S., Lateef F.. Bilateral facial nerve palsy: a diagnostic dilemma. Case Rep Emerg Med 2012; 3 Article ID 458371
  • 4 Ahmad Faiz U., Suri Ashish, Garg Ajay, Mahapatra A.K., Mehta V.S.. Post traumatic bilateral facial palsy causing severe psychosocial impairment. Pan Arab J Neurosurg 2009; 13: 125-127
  • 5 Li J., Goldberg G., Munin M.C., Wagner A., Zafonte R.. Post traumatic bilateral facial palsy: a case report and literature review. Brain Inj 2004; 18: 315-320
  • 6 Harker A., McCabe F.. Temporal bone fracture and facial nerve injury. Otolaryngol Clin North Am 1991; 24: 425-431
  • 7 De Villiers J.C.. Fracture-dislocation of the petrous temporal bone. J Neurol Neurosurg Psychiatr 1971; 34: 104-109
  • 8 Darrouzet V., Duclos J.Y., Liguoro D., Truilhe Y., De Bonfils C., Bebear J.P.. Management of facial paralysis resulting from temporal bone fractures: our experience in 115 cases. Otolaryngol Head Neck Surg 2001; 125: 77-84
  • 9 Felix H., Eby T.L., Fisch U.. New aspects of facial nerve pathology in temporal bone fractures. Acta Otolaryngol 1991; 111: 332-336
  • 10 Sertac Y.. Total facial nerve decompression for severe traumatic facial nerve paralysis: a review of 10 cases. Int J Otolaryngol 2012; 5 DOI: 10.1155/2012/607359. Article ID 607359