Head injury with sudden onset bilateral facial palsy – Can happen without temporal bone fractures and brain injury!

Publication date: March 2016
Source:Egyptian Journal of Ear, Nose, Throat and Allied Sciences, Volume 17, Issue 1
Author(s): Santosh Kumar Swain, Ishwar Chandra Behera, Mahesh Chandra Sahu
Bilateral sudden facial nerve palsy is an extremely rare clinical entity and in most instances is idiopathic. Post traumatic sudden onset bilateral facial palsy is even rarer and unique which makes a challenging situation for understanding the etiopathology and patient management. We report a case of a 22year old boy who presented with sudden onset bilateral facial palsy after mild head injury where the radiological findings of the brain and temporal bone are normal. He was managed by administrating steroids and he was symptom free by 2months. This case is unique to our knowledge, post traumatic bilateral facial palsy with normal radiological findings are rarely reported in medical literature.



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