bilateral vocal cord paralysis is a rare and preventable complication of anterior cervical discectomy and fusion. herein, we report a fatal case of bilateral vocal cord paralysis after anterior cervical discectomy and fusion (acd/f). a 65-year-old man with cervical spine trauma and anterior cord syndrome, following car overturn presented to our emergency department. the patient had c6-t10 prola...

Bilateral facial nerve palsy (FNP) is a rare condition, representing less than 2% of all cases FNP. Majority these patients have underlying medical conditions, ranging from neurologic, infectious, neoplastic, traumatic, or metabolic disorders. The differential diagnosis its causes extensive and hence can present as diagnostic challenge. We report case 27-year-old male who presented to the ENT O...

OBJECTIVES Melkersson-Rosenthal syndrome (MRS) is a rare neuro-mucocutaneous granulomatous disorder of unknown etiology, characterized by the triad of facial palsy, lingua plicata (fissured tongue), and orofacial edema. Few articles in the literature report series with more than 20 patients or focus on the facial nerve dominant presentation of MRS. METHODS We performed a retrospective review ...

Clinical studies were performed on 325 patients with Ramsay Hunt syndrome who were treated in the Facial Nerve Clinic at Ehime University Hospital between 1976 and 1995. The clinical manifestations of Ramsay Hunt syndrome were various. Three major symptoms, auricular vesicles, facial paralysis and vestibulo-cochlear dysfunction, were found in 57.6% of the patients although these symptoms did no...

Bilateral facial paralysis caused by bilateral temporal bone fracture is a rare clinical entity, with seven cases reported in the literature to date. In this paper, we describe a 40-year-old male patient with bilateral facial paralysis and hearing loss that developed after an occupational accident. On physical examination, House-Brackmann (HB) facial paralysis of grade 6 was observed on the rig...

Cranial nerve lesions often accompany head trauma. Olfactory, facial and vestibular nerves are the most commonly injured nerves. Optic and oculomotor nerve injuries are less frequently involved, and trigeminal, abducens and lower cranial nerves are rarely involved. The injury may occur in central nervous system or in the lower motor unit. Traumatic bilateral abducens paralysis is a very rare oc...

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...