Bilateral traumatic facial paralysis. Case report
| Autor: | Roberto Noboa, Jose Ignacio Undabeitia, Pere Nogues, José Undabeitia, Brian G. Liu, Courtney Pendleton |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Facial diplegia medicine.medical_specialty business.industry Facial Paralysis Glasgow Coma Scale medicine.disease Facial nerve Intensive care unit Facial paralysis Surgery Head trauma law.invention Traumatic injury law medicine Humans Neurology (clinical) business Facial Injuries Facial symmetry |
| Zdroj: | Neurocirugía. 24:225-228 |
| ISSN: | 1130-1473 |
| DOI: | 10.1016/j.neucir.2013.01.003 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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