Bilateral simultaneous facial nerve palsy: A rare presentation of tubercular otitis media
<h3>Background</h3><p dir="ltr">When the facial nerve on the other side becomes affected within 30 days of the first side, it is referred to as “bilateral simultaneous facial nerve palsy.”</p><p><br></p><h3>Case report</h3><p dir=&qu...
محفوظ في:
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| مؤلفون آخرون: | , , |
| منشور في: |
2023
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| _version_ | 1864513528394678272 |
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| author | Ashikali Chundathodi (17885735) |
| author2 | Amira Nasser Ibrahim H. Al Hail (17885738) Ahmed Nasrat Al Juboori (17885741) Nasfareen Zada (17885744) |
| author2_role | author author author |
| author_facet | Ashikali Chundathodi (17885735) Amira Nasser Ibrahim H. Al Hail (17885738) Ahmed Nasrat Al Juboori (17885741) Nasfareen Zada (17885744) |
| author_role | author |
| dc.creator.none.fl_str_mv | Ashikali Chundathodi (17885735) Amira Nasser Ibrahim H. Al Hail (17885738) Ahmed Nasrat Al Juboori (17885741) Nasfareen Zada (17885744) |
| dc.date.none.fl_str_mv | 2023-06-01T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.xocr.2023.100520 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Bilateral_simultaneous_facial_nerve_palsy_A_rare_presentation_of_tubercular_otitis_media/25124846 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Bilateral facial nerve palsy Tubercular otitis media |
| dc.title.none.fl_str_mv | Bilateral simultaneous facial nerve palsy: A rare presentation of tubercular otitis media |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">When the facial nerve on the other side becomes affected within 30 days of the first side, it is referred to as “bilateral simultaneous facial nerve palsy.”</p><p><br></p><h3>Case report</h3><p dir="ltr">A 31-year-old Nepalese man with simultaneous bilateral facial nerve palsy and painful ear discharge presented to the emergency room. Ear examination revealed right bilateral myringitis and a perforation in the left ear. A pus culture was sent from the ears, and blood tests were done to exclude viral etiology. Using imaging techniques such computed tomography (CT) of the temporal bones and magnetic resonance imaging (MRI) of the brain, intracranial and intratemporal causes of the facial nerve involvement were ruled out. Suspecting tuberculous otitis media as an etiology, induced sputum and ear discharge were sent for AFB culture and TB PCR, which came back positive. Features indicative of pulmonary tuberculosis were seen on a chest CT scan. Antitubercular treatment started, and the patient followed up. Facial paralysis recovered to normal in 4 months.</p><p><br></p><h3>Conclusion</h3><p dir="ltr">It is uncommon to have bilateral facial nerve paralysis. Ear discharge with early facial nerve involvement should raise suspicion of tubercular otitis media, and early diagnosis and treatment will prevent further complications and can reverse the paralysis.</p><h2>Other Information</h2><p dir="ltr">Published in: Otolaryngology Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.xocr.2023.100520" target="_blank">https://dx.doi.org/10.1016/j.xocr.2023.100520</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_d50526130082963ecdf071c268c88e82 |
| identifier_str_mv | 10.1016/j.xocr.2023.100520 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25124846 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Bilateral simultaneous facial nerve palsy: A rare presentation of tubercular otitis mediaAshikali Chundathodi (17885735)Amira Nasser Ibrahim H. Al Hail (17885738)Ahmed Nasrat Al Juboori (17885741)Nasfareen Zada (17885744)Biomedical and clinical sciencesClinical sciencesBilateral facial nerve palsyTubercular otitis media<h3>Background</h3><p dir="ltr">When the facial nerve on the other side becomes affected within 30 days of the first side, it is referred to as “bilateral simultaneous facial nerve palsy.”</p><p><br></p><h3>Case report</h3><p dir="ltr">A 31-year-old Nepalese man with simultaneous bilateral facial nerve palsy and painful ear discharge presented to the emergency room. Ear examination revealed right bilateral myringitis and a perforation in the left ear. A pus culture was sent from the ears, and blood tests were done to exclude viral etiology. Using imaging techniques such computed tomography (CT) of the temporal bones and magnetic resonance imaging (MRI) of the brain, intracranial and intratemporal causes of the facial nerve involvement were ruled out. Suspecting tuberculous otitis media as an etiology, induced sputum and ear discharge were sent for AFB culture and TB PCR, which came back positive. Features indicative of pulmonary tuberculosis were seen on a chest CT scan. Antitubercular treatment started, and the patient followed up. Facial paralysis recovered to normal in 4 months.</p><p><br></p><h3>Conclusion</h3><p dir="ltr">It is uncommon to have bilateral facial nerve paralysis. Ear discharge with early facial nerve involvement should raise suspicion of tubercular otitis media, and early diagnosis and treatment will prevent further complications and can reverse the paralysis.</p><h2>Other Information</h2><p dir="ltr">Published in: Otolaryngology Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.xocr.2023.100520" target="_blank">https://dx.doi.org/10.1016/j.xocr.2023.100520</a></p>2023-06-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.xocr.2023.100520https://figshare.com/articles/journal_contribution/Bilateral_simultaneous_facial_nerve_palsy_A_rare_presentation_of_tubercular_otitis_media/25124846CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/251248462023-06-01T00:00:00Z |
| spellingShingle | Bilateral simultaneous facial nerve palsy: A rare presentation of tubercular otitis media Ashikali Chundathodi (17885735) Biomedical and clinical sciences Clinical sciences Bilateral facial nerve palsy Tubercular otitis media |
| status_str | publishedVersion |
| title | Bilateral simultaneous facial nerve palsy: A rare presentation of tubercular otitis media |
| title_full | Bilateral simultaneous facial nerve palsy: A rare presentation of tubercular otitis media |
| title_fullStr | Bilateral simultaneous facial nerve palsy: A rare presentation of tubercular otitis media |
| title_full_unstemmed | Bilateral simultaneous facial nerve palsy: A rare presentation of tubercular otitis media |
| title_short | Bilateral simultaneous facial nerve palsy: A rare presentation of tubercular otitis media |
| title_sort | Bilateral simultaneous facial nerve palsy: A rare presentation of tubercular otitis media |
| topic | Biomedical and clinical sciences Clinical sciences Bilateral facial nerve palsy Tubercular otitis media |