|
KMID : 1037420180130010040
|
|
Journal of Korean Skull Base Society
2018 Volume.13 No. 1 p.40 ~ p.43
|
|
|
Bilateral facial palsy by injury of intracranial portion of facial nerve
|
|
Ha Jin-Bu
Han Sung-Woo
Hong Yu-Pyo
Kim Dong-Kee
|
|
|
Abstract
|
|
|
|
Injuries of the intracranial portion of the facial nerve may lead to facial palsy. A 42-year-old man with a non-contributory medical history arrived at our emergency department following a traffic accident. After a craniotomy to treat an epidural hemorrhage at the occipital lobe, he became conscious and then bilateral facial palsy was identified. Brain magnetic resonance imaging showed some hemorrhage in the right internal auditory canal (IAC), but temporal bone computed tomography showed no fracture or dislocation. We postulated that the paralysis was due to an IAC shear injury caused by concussion. We started conservative care, including steroid treatment. After 7 months, the right facial palsy had improved to House-Brackmann Grade II. No left facial palsy was observed.
|
|
|
KEYWORD
|
|
|
Bell palsy, Facial nerve, Facial paralysis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|