Bilateral Post Traumatic Facial Nerve Palsy Presenting as Dysarthria: A Case Report

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Author Info

Ekuma ME Ndubuisi CA Mezue W Ohaegbulam SC Ndafia MN

Corresponding Author

Ekuma ME
Memfys Hospital for Neurosurgery, Enugu, Nigeria

A B S T R A C T

Bilateral traumatic facial nerve palsy (FNP) is rare and can present with distressing features. We report a 23-year-old male final year medical student with a 10-day history of speech difficulty following a passenger motorcycle road traffic accident. Physical examination showed a fully conscious young man whose only neurological deficit was bilateral lower motor neuron facial nerve palsy (House and Brackmann grade IV) and difficulty pronouncing plosives. A high-resolution temporal bone CT showed a right longitudinal temporal bone fracture. There was no temporal bone fracture on the left side. Brain MRI was normal. He had complete recovery of facial nerve function on conservative management 6 months after the injury.

Article Info

Article Type

Case Report

Publication history

Received: Tue 23, Jun 2020
Accepted: Tue 14, Jul 2020
Published: Sat 18, Jul 2020

Copyright

© 2023 Ekuma ME. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.GSCR.2020.01.07