acial nerve neurinoma is a rare entity, although of great nterest, especially from the point of view of the differntial diagnosis of the causes of peripheral facial palsy.1 eurinomas are benign tumors, derived from Schwann cells. hey manifest mainly as peripheral facial palsy, which can e slow, gradually affecting several nerve branches, or with sudden onset.1,2 They progressively invade the mi...

INTRODUCTION Facial nerve weakness is most commonly due to Bell's palsy or cerebrovascular accidents. Rarely, middle ear tumor presents with facial nerve dysfunction. CASE PRESENTATION We report a very unusual case of middle ear osteoma in a 49-year-old Caucasian woman causing progressive facial nerve deficit. A subtle middle ear lesion was observed on otoscopy and computed tomographic images...

Bell’s palsy, or idiopathic peripheral facial nerve palsy is a neurologic condition characterized by unilateral weakness of muscles. The evidence-based guidelines mostly consider the acute treatment palsy. However, chronic cases are not supported strong evidence regarding options, except for weak recommendation to utilize physical therapy. This case report has presented an application combinati...

Facial baroparesis is a rare transient facial nerve palsy caused by compression of the tympanic segment nerve. However, otolaryngologists are lacking sufficient information about course and treatment this disease. We report case relieved endoscopic sinus surgery (ESS). A 41-year-old man presented with one-year history recurrent right that only developed during altitude changes in an aircraft. C...

Ann Saudi Med 28(2) March-April 2008 www.saudiannals.net 135 Melkersson-Rosenthal syndrome (MRS) is a rare granulomatous disease characterized by orofacial edema, facial nerve palsy, and furrowed tongue (lingua plicata).1,2 This is the classic triad which defines the syndrome, although it is accepted that the presence of two manifestations or one with a granulomatous cheilitis in the eyelid bio...

The cases of an ll-year-old white male and an 8-year-old black male with facial paralysis are presented. Included are descriptions of diagnosis, clinical course, treatment, prognosis, and recommendations for future cases. Facial nerve paralysis is an important cause of morbidity in children. Its presentation can be frightening for both the child and parents. The most common cause of facial nerv...

We treated a 27-year-old man with Heerfordt's syndrome and hearing loss. Physical examination showed swelling of both parotid glands, right peripheral facial palsy and uveitis(iridocyclitis), but no skin lesions. Chest X-ray showed typical bilateral hilar lymphadenopathy. Biopsies of the parotid gland and the gastrocnemius muscle showed epithelioid granulomas. The above findings were consistent...

We report our findings in a case of ophthalmoplegia caused by a transorbital penetrating brainstem injury. An 8-year-old boy was accidentally injured by a broken fishing fiberglass pole which penetrated through the right orbit and entered the brainstem. Magnetic resonance imaging showed a linear wound that entered and passed through the pons obliquely and reached the fourth cerebral ventricle a...

PURPOSE To describe the association between entropion and pediatric facial nerve paralysis in the pediatric population. METHODS A retrospective case series was collected from 5 pediatric patients who required surgical correction for symptomatic entropion with a history of facial nerve palsy. RESULTS All 5 patients presented with epiphora and punctate keratopathy. Following surgical correcti...

OBJECTIVES To find the main cause of facial nerve dysfunction in vestibular schwannoma (VS) surgery and review the prognosis of facial function in relation to tumor size, preoperative facial function and surgical approach. METHODS We reviewed the surgical outcome of 134 patients with VS treated in our department between 1994 and 2008. All patients included in the study had postoperative facia...