PT  - JOURNAL ARTICLE
AU  - Rebecca White
AU  - David Shackleton
TI  - Plane palsy: a case of transient facial weakness during an aircraft flight
AID  - 10.1136/bcr-2018-224593
DP  - 2018 Jul 06
TA  - BMJ Case Reports
PG  - bcr-2018-224593
VI  - 2018
4099  - http://casereports.bmj.com/content/2018/bcr-2018-224593.short
4100  - http://casereports.bmj.com/content/2018/bcr-2018-224593.full
AB  - Changes in atmospheric pressure have been reported to cause a transient lower motor neuron weakness of the facial nerve. We report the case of a passenger on an international flight who developed a unilateral facial weakness after take-off which resolved within 45 min. The effect is thought to be due to an ischaemic neuropraxia of the facial nerve caused by increased middle ear pressure compressing the facial nerve in an exposed facial canal. The condition has been commonly reported in scuba-divers but less frequently in airline passengers. Treatment is not necessary.