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01-10-2010 | Case Report

Post-traumatic peripheral facial nerve palsy: surgical and neuroradiological consideration in five cases of delayed onset

Authors: Michele Rotondo, Raffaele D’Avanzo, Massimo Natale, Renata Conforti, Michela Pascale, Assunta Scuotto

Published in: Acta Neurochirurgica | Issue 10/2010

Abstract

The facial nerve is frequently injured after head trauma with or without temporal bone fractures. Computed tomography (CT) is the best procedure for detecting the fracture line at the level of the facial nerve canal and for assessing any associated lesions within the temporal bone. Magnetic resonance (MR) is required if there is a facial nerve paralysis, unexplained by CT findings. We present five cases of delayed post-traumatic facial nerve palsy without evidence of temporal bone fractures on CT, thus studied on MR. MR was essential for diagnosing the nerve impairment. Neuroradiological findings, clinical presentation, and electrodiagnostic tests influenced the management of the patients.

Borges A, Casselman J (2007) Imaging the cranial nerves: part I: methodology, infectious and inflammatory, traumatic and congenital lesions. Eur Radiol 17:2112–2125CrossRefPubMed

Brodie HA, Thompson TC (1997) Management of complication from 820 temporal bone fractures. Am J Otol 18:188–197PubMed

Duclos DV, JY LD, Truilhe Y, De Bonfils C, Bebear JP (2001) Management of facial paralysis resulting from temporal bone fractures: our experience in 115 cases. Otolaryngol Head Neck Surg 125(1):77–84CrossRefPubMed

Hanson RA, Gosh S, Gonzalez-Gomez I, Levy ML, Gilles FH (2004) Abducens length and vulnerability? Neurology 13(62):33–36

House JW, Brackman DE (1985) Facial nerve grading system. Otolaryngol Head Neck Surg 93:146–147PubMed

Jager L, Reiser M (2001) CT and MR imaging of the normal and pathologic conditions of the facial nerve. Eur J Radiol 40:133–146CrossRefPubMed

Melvin T-A N, Limb CJ (2008) Overview of facial paralysis: current concepts. Facial Plast Surg 24:155–163CrossRefPubMed

Sanus GZ, Tanriverdi T, Tanriover N, Onur UM, Uran M (2009) Hearing preserved traumatic delayed facial nerve paralysis without temporal bone fracture: neurosurgical perspective and experience in the management of 25 cases. Surg Neurol 71:304–310CrossRefPubMed

Swartz JD, Harnsberger HR (1998) Imaging of the temporal bone, 3rd edn. Thieme, New York, p 838

10.

Ulug T, Ulubil SA (2005) Management of facial paralysis in temporal bone fractures: a prospective study analyzing 11 operated fractures. Am J Otolaryngol Head Neck Med Surg 26:230–238

Title: Post-traumatic peripheral facial nerve palsy: surgical and neuroradiological consideration in five cases of delayed onset
Authors: Michele Rotondo
Raffaele D’Avanzo
Massimo Natale
Renata Conforti
Michela Pascale
Assunta Scuotto
Publication date: 01-10-2010
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 10/2010
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-010-0747-x

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Post-traumatic peripheral facial nerve palsy: surgical and neuroradiological consideration in five cases of delayed onset

Abstract

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Abstract

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