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Rare disease
Case report
Post-traumatic bilateral longitudinal temporal bone fracture with bilateral facial nerve palsy: a rare case
  1. Kappagantu Krishna Medha1,
  2. Manish Gupta1 and
  3. Monica Gupta2
  1. 1ENT, Maharishi Markandeshwar University, Mullana, Haryana, India
  2. 2Department of General Medicine, Government Medical College and Hospital, Chandigarh, India
  1. Correspondence to Professor Monica Gupta; monicamanish2001{at}gmail.com

Abstract

Facial paralysis is a potentially disabling complication of temporal bone fractures. Although unilateral palsy is commonly encountered, bilateral facial nerve palsy is rare, especially in post-traumatic situations. Other recognised causes of bilateral facial palsy are neurologic, infectious, neoplastic, idiopathic or metabolic disorders. A 25-year-old male patient presented with difficulty in talking, eating and closing eyes for 15 days since a post-vehicular accident. CT of skull showed bilateral longitudinal temporal bone fractures. Bilateral facial palsy was confirmed by clinical and topodiagnostic tests. Patient was given a course of steroids which led to an early improvement on left side followed by a delayed right-sided improvement at 6 months.

  • ear, nose and throat/otolaryngology
  • trauma
  • neurological injury

https://doi.org/10.1136/bcr-2019-233728

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    Footnotes

    • Contributors All the authors have provided substantial contributions in the clinical management of the case and literature review on the topic in question. KKM and MaG have drafted the manuscript with inputs from MoG. MoG has revised it critically for important intellectual content. All the authors have read the final version and approved it. All the authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.