Unilateral facial nerve hypoplasia without evident facial palsy

Costa, Sofia R.; Cascais, Mafalda; Pais, Rui; Palavra, Filipe

doi:10.1136/bcr-2018-228036

Cited by 2 publications

(1 citation statement)

References 1 publication

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“…In our study, two children have bilaterally an abnormal facial nerve but just a unilateral palsy. Other investigators confirm this finding that a malformation of a cranial nerve can be asymptomatic (6,7).…”

Section: Discussionmentioning

confidence: 61%

Congenital facial nerve palsy: Single center study

Baelen

Esschendal²,

Brucker³

et al. 2023

Front. Pediatr.

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ObjectivesThis study will list the most common comorbidities of congenital facial nerve palsy and how to detect and treat them, with special attention for ENT-problems such as hearing loss. Congenital facial nerve palsy is a very rare entity but in UZ Brussels hospital there was a follow-up of 16 children in the last 30 years.MethodsLiterature review has been done, combined with thorough research of our own series of 16 children with congenital facial nerve palsy.ResultsCongenital facial nerve palsy can be part of a known syndrome, most commonly Moebius syndrome, but can also appear solely. It appears often bilateral and with a severe gradation. In our series, hearing loss is frequently seen in association with congenital facial nerve palsy. Other abnormalities are dysfunction of the abducens nerve, ophthalmological problems, retro- or micrognathism and abnormalities of limbs or heart. The majority of the children in our series underwent radiological imaging (CT and/or MRI): the facial nerve but also the vestibulocochlear nerve and middle and inner ear can be evaluated.ConclusionA multidisciplinary approach of congenital facial nerve palsy is recommended as it can affect various bodily functions. Radiological imaging needs to be done to acquire additional information that can be useful for diagnostic and therapeutic purposes. Although congenital facial nerve palsy may not be treatable itself, its comorbidities can be treated and improve the quality of life of the affected child.

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Section: Discussionmentioning

confidence: 61%

Congenital facial nerve palsy: Single center study

Baelen

Esschendal²,

Brucker³

et al. 2023

Front. Pediatr.

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Isolated congenital facial nerve agenesis

2023

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An otherwise healthy 2 month old boy was referred to ENT for a congenital right facial palsy, with a birth history of difficult ventouse delivery. Initially, a traumatic cause was suspected, however subsequent MR 3D-FIESTA (T2 weighted) imaging demonstrated a right facial nerve agenesis with normal appearances of the remainder of the brain parenchyma, cranial nerves and parotid glands. There were no syndromic features or hearing difficulties. Isolated congenital nerve agenesis is a rare condition, with very few case reports available in the literature. Pre-natal 4D ultrasound imaging further supports the diagnosis. To our knowledge, this is the first published pre-natal ultrasound image of congenital facial nerve palsy. The infant has been referred for consideration of nerve reconstruction surgery, and is receiving multi-disciplinary input from ENT, Physiotherapy and Ophthalmology, the latter for prevention of exposure keratitis.

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Unilateral facial nerve hypoplasia without evident facial palsy

Cited by 2 publications

References 1 publication

Congenital facial nerve palsy: Single center study

Congenital facial nerve palsy: Single center study

Isolated congenital facial nerve agenesis

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