Case report: Bilateral facial palsy in pediatric acute lymphoblastic leukemia with central nervous system relapse.

Objective: To report the youngest case of a bilateral facial palsy secondary to central nervous system relapse from acute lymphoblastic leukemia in female young patient that was treated with intrathecal chemotherapy, systemic corticosteroids, and physical therapy successful outcomes. Design: A 9-years old palsy. Results: presented complete right nerve progresses 10 days later simultaneous grade IV House-Brackmann left Neuroimaging showed basal pachymeningeal enhancement, predominantly side. Central metastasis confirmed cerebrospinal fluid cytometry medical initiated therapy. Three weeks after onset treatment, both palsies ameliorated III, palsy, respectively. Conclusion: must be considered as differential diagnosis is presented. Early treatment corticosteroids may improve patients’