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The "numb cheek-limp lower lid" syndrome
P W Brazis1, J B Vogler, K E Shaw
1Department of Neurology, Mayo Clinic Jacksonville, FL 32224.
Neurology
|February 1, 1991
Summary
Numbness in the cheek and facial weakness, including a drooping lower eyelid, can signal cancer. This "numb cheek-limp lower lid" syndrome may indicate tumors affecting facial nerves.
Area of Science:
- Neurology
- Oncology
Background:
- Facial nerve disorders can present with varied symptoms.
- Early detection of neurological symptoms is crucial for timely cancer diagnosis.
Observation:
- A patient presented with progressive facial numbness and weakness.
- Symptoms included numbness of the lateral nose, upper lip, cheek, and palate.
- Facial nerve involvement manifested as upper lip and mouth angle paresis and lower eyelid droop, termed "numb cheek-limp lower lid" syndrome.
Findings:
- Squamous cell carcinoma was identified infiltrating the infraorbital nerve and distal facial nerve branches.
- The tumor's location correlated with the observed neurological deficits.
Implications:
- The "numb cheek-limp lower lid" syndrome is a potential early indicator of neoplasms affecting the infraorbital and facial nerves.
- This presentation highlights the importance of thorough neurological examination in patients with persistent facial sensory and motor deficits.
- Recognizing this syndrome can lead to earlier diagnosis and treatment of potentially life-threatening cancers.