A case report of congenital cholesteatoma in adult patient mimicking as Bell palsy and proposed follow-up schedule for Bell palsy
| Autor: | Noor Dina Hashim, Iylia Ajmal Othman, Asma Abdullah |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty medicine.diagnostic_test business.industry Congenital cholesteatoma Bell Palsy Magnetic resonance imaging medicine.disease Facial nerve Bell palsy Otorhinolaryngology RF1-547 Temporal bone medicine otorhinolaryngologic diseases Unilateral hearing loss Young adult Presentation (obstetrics) business Cholesteatoma Facial symmetry |
| Zdroj: | The Egyptian Journal of Otolaryngology, Vol 37, Iss 1, Pp 1-5 (2021) |
| ISSN: | 2090-8539 1012-5574 |
| Popis: | Background Making the diagnosis of congenital cholesteatoma in adult patients still pose a challenge even among experienced otologists. Case presentation We are discussing a case of a young adult who was initially treated as Bell palsy in a different center. Two years later, she presented with marked unilateral hearing loss in addition to her ipsilateral non-resolving facial asymmetry. Conclusions Considering the delayed pattern of otological presentation in congenital cholesteatoma, as seen in our case, we proposed monthly follow up in patients diagnosed with Bell palsy for at least 6 months, and those who do not show noticeable recovery after 3 months warrant referral to neurologist or otorhinolaryngologist for further investigations. Contrast-enhanced, high-resolution computed tomography (HRCT) of the temporal bone complemented by magnetic resonance imaging (MRI) supported our diagnosis. Mastoid exploration and complete removal of the disease was imperative. |
| Databáze: | OpenAIRE |
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