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Recurrent facial nerve palsy on flying
1Department of Otolaryngology-Head and Neck Surgery, Leicester Royal Infirmary, UK.
The Journal of Laryngology and Otology
|November 25, 2000
Summary
Transient recurrent facial nerve palsies, a condition known in divers, can also occur during aeroplane flights. This case report discusses the pathophysiology of this rare phenomenon in aviation travelers.
Area of Science:
- Neurology
- Aerospace Medicine
- Otolaryngology
Background:
- Facial nerve palsy is a common neurological condition.
- Transient recurrent facial nerve palsies are well-documented in scuba divers due to barotrauma.
- Cases of facial nerve palsies associated with air travel are rare.
Observation:
- A patient presented with recurrent episodes of transient facial nerve palsy.
- These episodes consistently occurred during commercial aeroplane flights.
- The patient had no prior history of facial nerve palsy or other relevant medical conditions.
Findings:
- This case adds to the limited literature on facial nerve palsies in air travelers.
- The pathophysiology may involve pressure changes and their effect on the facial nerve.
- Differential diagnoses were considered and ruled out.
Implications:
- Highlights the potential for barotrauma-related neurological events in aviation.
- Suggests further investigation into the specific mechanisms of facial nerve palsy during flight.
- Informs clinical awareness for physicians managing patients with recurrent facial palsies, considering aviation exposure.