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Indian Journal of Neurotrauma 2016; 13(03): 168-170
DOI: 10.1055/s-0036-1597749
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Bilateral Temporal Bone Fractures with Bilateral Facial Nerve Palsy

Kanjully Sabarigirish
1   Department of Otorhinolaryngology, Command Hospital Air Force Bangalore, Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka, India
,
Lohith BR
1   Department of Otorhinolaryngology, Command Hospital Air Force Bangalore, Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka, India
,
Sanjeev Saxena
1   Department of Otorhinolaryngology, Command Hospital Air Force Bangalore, Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka, India
,
Himanshu Swami
1   Department of Otorhinolaryngology, Command Hospital Air Force Bangalore, Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka, India
,
Angshuman Dutta
1   Department of Otorhinolaryngology, Command Hospital Air Force Bangalore, Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka, India
› Author Affiliations
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Publication History

20 September 2016

02 December 2016

Publication Date:
30 December 2016 (online)

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Abstract

Bilateral fracture of the temporal bone is a rare cause of bilateral symmetrical simultaneous facial nerve palsy. Early clinical diagnosis of bilateral facial palsy is often delayed due to poor neurologic status of the patient and the absence of asymmetry of the face. Lack of comparison with an unaffected side further compounds assessment of severity with electroneuronography. We report a case of a 27-year-old with bilateral facial nerve palsy following a traumatic head injury causing symmetrical longitudinal fractures of both petrous temporal bones. Follow-up 6 months after facial nerve grafting on the right side and decompression on the left side showed early recovery on both sides.

Keywords

bilateral facial palsy - fracture - temporal bone
 

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