Bilateral traumatic facial paralysis. Case report

被引：4

作者：

Undabeitia, Jose ^{[1
]}

Liu, Brian ^{[2
]}

Pendleton, Courtney ^{[2
]}

Nogues, Pere ^{[1
]}

Noboa, Roberto ^{[1
]}

Ignacio Undabeitia, Jose ^{[3
,4
]}

机构：

[1] Hosp Arnau Vilanova, Serv Neurocirugia, Lleida, Spain

[2] Johns Hopkins Univ, Dept Neurocirugia, Baltimore, MD USA

[3] Hosp Univ Cruces, Serv Otorrinolaringol, Baracaldo, Spain

[4] Univ Basque Country, Dept Dermatol Oftalmol & Otorrinolaringol, Pais Vasco, Spain

来源：

NEUROCIRUGIA | 2013年 / 24卷 / 05期

关键词：

Bilateral facial paralysis; Skull base fracture; Facial nerve injuries; NERVE PALSY; EXPERIENCE; FRACTURES; ABDUCENS;

D O I：

10.1016/j.neucir.2013.01.003

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Although traumatic injury of the facial nerve is a relatively common condition in neurosurgical practice, bilateral lesions related to fracture of temporal bones are seldom seen. We report the case of a 38-year-old patient admitted to Intensive Care Unit after severe head trauma requiring ventilatory support (Glasgow Coma Scale of 7 on admission). A computed tomography (CT) scan confirmed a longitudinal fracture of the right temporal bone and a transversal fracture of the left. After successful weaning from respirator, bilateral facial paralysis was observed. The possible aetiologies for facial diplegia differ from those of unilateral injury. Due to the lack of facial asymmetry, it can be easily missed in critically ill patients, and both the high resolution CT scan and electromyographic studies can be helpful for correct diagnosis. (C) 2012 Sociedad Espanola de Neurocirugia. Published by Elsevier Espana, S.L. All rights reserved.

引用

页码：225 / 228

页数：4

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