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Post-Traumatic Bilateral Facial Paralysis Associated with Temporal Bone Fracture
Syed Shahid Habib1, Fawzia Al Rouq1, Imran Meo1
1Department of Clinical Physiology, College of Medicine and King Saud University Hospital, King Saud University, Riyadh, Saudi Arabia.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 3, 2015
Summary
Bilateral traumatic facial paralysis, though rare, can occur after head injuries. This case highlights a unique instance involving taste loss and hearing impairment following a motor vehicle accident.
Area of Science:
- Neurology
- Traumatology
Background:
- Bilateral traumatic facial paralysis is exceptionally rare.
- Associated symptoms like taste loss are even less documented in medical literature.
Observation:
- A 23-year-old male sustained a closed head injury from a motor vehicle accident.
- Initial CT revealed epidural hematoma and temporal bone fracture.
- Post-trauma, he developed bilateral facial paralysis (House-Brackmann grade V), taste loss, and hearing impairment.
Findings:
- Electrodiagnostic testing confirmed severe bilateral facial nerve damage (90% degeneration).
- High-resolution CT scans identified bilateral temporal bone fractures.
- At 3 months, partial recovery was noted (House-Brackmann grade III), with improved nerve function.
Implications:
- This case underscores the potential for severe neurological deficits, including facial nerve damage, following significant head trauma.
- It emphasizes the importance of thorough neurodiagnostic evaluation in patients with craniofacial trauma.
- Further research is needed to understand the long-term outcomes and management of such rare injuries.
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