Bilateral Facial Nerve Palsy following Head Injury: A Report of Two Uncommon Cases

Humam Nisar Tanki; Shafeeq Alam Syed; Sobiya Bilal; Nazish Aslam Chisti; Afzal Wani; Javeid Sheikh; Qawnain Kirmani Syed; Umar Bachh; Zia Ul Haque

doi:10.1055/s-0039-1697999

Indian Journal of Neurosurgery, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2020; 9(03): 183-185
DOI: 10.1055/s-0039-1697999

Short Communication

Bilateral Facial Nerve Palsy following Head Injury: A Report of Two Uncommon Cases

Humam Nisar Tanki

¹Department of Neurosurgery, Super Specialty Hospital, Government Medical College, Srinagar, Jammu and Kashmir, India

,

Shafeeq Alam Syed

¹Department of Neurosurgery, Super Specialty Hospital, Government Medical College, Srinagar, Jammu and Kashmir, India

,

Sobiya Bilal

¹Department of Neurosurgery, Super Specialty Hospital, Government Medical College, Srinagar, Jammu and Kashmir, India

,

Nazish Aslam Chisti

¹Department of Neurosurgery, Super Specialty Hospital, Government Medical College, Srinagar, Jammu and Kashmir, India

,

Afzal Wani

¹Department of Neurosurgery, Super Specialty Hospital, Government Medical College, Srinagar, Jammu and Kashmir, India

,

Javeid Sheikh

¹Department of Neurosurgery, Super Specialty Hospital, Government Medical College, Srinagar, Jammu and Kashmir, India

,

Qawnain Kirmani Syed

¹Department of Neurosurgery, Super Specialty Hospital, Government Medical College, Srinagar, Jammu and Kashmir, India

,

Umar Bachh

¹Department of Neurosurgery, Super Specialty Hospital, Government Medical College, Srinagar, Jammu and Kashmir, India

,

Zia Ul Haque

²Department of Radiodiagnosis, Government Medical College, Srinagar, Jammu and Kashmir, India

› Institutsangaben

Abstract

Bilateral facial nerve palsy (FNP) following head injury without any brain parenchymal injury or brain stem injury is quite an uncommon presentation. We came across two baffling cases of head trauma in which the patients developed simultaneous bilateral lower motor FNPs without any significant findings in initial brain scans which would suggest the pathophysiology for such a condition. Both the cases were found to be having longitudinal fractures of the temporal bone leading to injury of the facial nerves bilaterally. After conservative management, both the cases showed appreciable neurological improvement on follow-up. Hence, although bilateral FNP can be a diagnostic dilemma, it is quite possible to precisely localize the site of injury and successfully treat it.

Keywords

bilateral facial nerve palsy - temporal bone fracture - House and Brackmann

Volltext

Referenzen

References
1 Monnel K, Zachariah SB. Bell Palsy. Available at: http://emedicine.medscape.com/article/114903-overview
2 Keane JR. Bilateral seventh nerve palsy: analysis of 43 cases and review of the literature. Neurology 1994; 44 (07) 1198-1202
3 Teller DC, Murphy TP. Bilateral facial paralysis: a case presentation and literature review. J Otolaryngol 1992; 21 (01) 44-47
4 Li J, Goldberg G, Munin MC, Wagner A, Zafonte R. Post-traumatic bilateral facial palsy: a case report and literature review. Brain Inj 2004; 18 (03) 315-320
5 Steenerson RL. Bilateral facial paralysis. Am J Otol 1986; 7 (02) 99-103
6 Coello AF, Canals AG, Gonzalez JM, Martín JJ. Cranial nerve injury after minor head trauma. J Neurosurg 2010; 113 (03) 547-555
7 Haberkamp TJ, Harvey SA, Daniels DL. The use of gadolinium-enhanced magnetic resonance imaging to determine lesion site in traumatic facial paralysis. Laryngoscope 1990; 100 (12) 1294-1300
8 Stahl N, Ferit T. Recurrent bilateral peripheral facial palsy. J Laryngol Otol 1989; 103 (01) 117-119
9 May M. The facial nerve palsy. Progressive facial nerve palsy: a management dilemma. Am J Otol 1990; 11: 458-460
10 De Villiers JC. Fracture-dislocation of the petrous temporal bone. J Neurol Neurosurg Psychiatry 1971; 34: 104-109
11 Sundar IV, Kurmi DV, Rao K, Sharma V, Chopra S, Jain SK. Delayed onset post-traumatic bilateral facial nerve paralysis: a rare case report. Indian Journal of Neurotrauma. 2012; 9: 143-146
12 Hanner P, Anderson O, Frisen L. Clinical observations of effects on CNS in patients with acute facial palsy. Arch Otolaryngol Head Neck Surg 1987; 113: 516-520
13 Hasso AN, Ledington JA. Traumatic injuries of the temporal bone. Otolaryngol Clin North Am 1988; 21 (02) 295-316
14 Fisch U. Management of intratemporal facial nerve injuries. J Laryngol Otol 1980; 94 (01) 129-134