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Delayed facial palsy after head injury
Journal of Neurology, Neurosurgery, and Psychiatry
|April 1, 1977
Summary
Facial palsy after head injury, unlike Bell's palsy, has a poor prognosis. Early surgical decompression is recommended for this delayed complication.
Area of Science:
- Neurology
- Neurosurgery
- Otolaryngology
Background:
- Delayed facial palsy following head injury is poorly understood.
- The pathogenesis, natural history, and prognosis of this condition remain unclear.
Purpose of the Study:
- To investigate facial palsy as a complication of head injury.
- To elucidate the pathogenesis, natural history, prognosis, and sequelae of post-traumatic facial palsy.
- To compare this condition with Bell's palsy.
Main Methods:
- Prospective study design.
- Estimation of complication incidence.
- Analysis of pathogenesis, natural history, prognosis, and sequelae.
Main Results:
- Facial palsy following head injury differs significantly from Bell's palsy.
- The condition presents a markedly worse prognosis compared to Bell's palsy.
Conclusions:
- Delayed facial palsy post-head injury has a poor prognosis.
- Early surgical decompression should be considered for this specific type of facial palsy.