Bilateral facial nerve palsy in a newly diagnosed diabetic patient with associated herpes labialis

Gupta, Manish; Gupta, Monica

doi:10.4103/0971-7749.146943

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2020

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“…Temporal bone fractures are a common cause of unilateral facial paralysis; however, only close to 3% cases of bilateral facial palsies result from temporal bone fractures 7. Other common causes of bilateral facial palsy are neurological, infectious, neoplastic, metabolic disorders or idiopathic 8…”

Section: Differential Diagnosismentioning

confidence: 99%

Post-traumatic bilateral longitudinal temporal bone fracture with bilateral facial nerve palsy: a rare case

Kappagantu

Gupta

Gupta³

2020

BMJ Case Rep

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Facial paralysis is a potentially disabling complication of temporal bone fractures. Although unilateral palsy is commonly encountered, bilateral facial nerve palsy is rare, especially in post-traumatic situations. Other recognised causes of bilateral facial palsy are neurologic, infectious, neoplastic, idiopathic or metabolic disorders. A 25-year-old male patient presented with difficulty in talking, eating and closing eyes for 15 days since a post-vehicular accident. CT of skull showed bilateral longitudinal temporal bone fractures. Bilateral facial palsy was confirmed by clinical and topodiagnostic tests. Patient was given a course of steroids which led to an early improvement on left side followed by a delayed right-sided improvement at 6 months.

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Section: Differential Diagnosismentioning

confidence: 99%