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KMID : 0361420120360010167
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Journal of Korean Academy of Rehabilitation Medicine
2012 Volume.36 No. 1 p.167 ~ p.170
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A Case of Cephalic Tetanus with Unilateral Ptosis and Facial Palsy
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Seo Dong-Hyuk
Cho Dae-Kyung
Kwon Hee-Chung
Kim Tae-Uk
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Abstract
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Cephalic tetanus is defi ned as a combination of trismus and paralysis of one or more cranial nerves. Cranial nerves III, IV, VI, VII, and XII may be aff ected, but the facial nerve is most frequently implicated. A 64-year-old female visited hospital for left ptosis followed by facial palsy after a left forehead abrasion in a car accident. At nine days post injury, left ptosis developed, left facial palsy developed twelve days post injury, and at fi fteen days post injury, trismus and dysphagia developed. Th e following day, there was progression of symptoms to generalized tetanus, such as dyspnea and generalized rigidity. Videofl uoroscopic swallow study showed penetration and aspiration. We report a case of cephalic tetanus with ptosis, facial palsy, and dysphagia, which progressed to generalized tetanus.
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KEYWORD
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Cephalic tetanus, Ptosis, Facial palsy
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