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Updated: Jun 20, 2026
19:53
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
[Dysfunction of multiple cranial nerves in cephalic tetanus--case report]
Mutsumi Fujii1, Mitsuhiko Hokari, Akiko Yokoyama
1Department of Neurosurgery, Nakano General Hospital.
Brain and Nerve = Shinkei Kenkyu No Shinpo
|August 25, 2009
Summary
Cephalic tetanus, a rare form of tetanus, can manifest as cranial nerve palsies following head trauma. Prompt treatment with antitetanus human immunoglobulin and antibiotics can lead to recovery without complications.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Tetanus is a serious bacterial infection that affects the nervous system.
- Cephalic tetanus is a rare form characterized by cranial nerve involvement, often following head or neck injuries.
Observation:
- A 77-year-old unvaccinated male presented with trismus, ptosis, and multiple cranial nerve palsies after head trauma.
- Initial neuroimaging was unremarkable, but symptoms suggested cephalic tetanus linked to an infected head wound.
Findings:
- The patient received wound debridement, intravenous and intrathecal antitetanus human immunoglobulin (AHI), and benzylpenicillin.
- Recovery was achieved without autonomic dysfunction or generalized tetanic spasms.
Implications:
- This case highlights the importance of considering cephalic tetanus in patients with cranial nerve palsies and head injuries.
- Early diagnosis and comprehensive treatment, including AHI, are crucial for favorable outcomes in cephalic tetanus.
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