Facial nerve palsy – central or peripheral? Diagnosis is not always obvious

Joanna Marszał; Anna Bartochowska; Wojciech Gawęcki

eISSN: 2084-9842
ISSN: 1643-9279

Postępy w chirurgii głowy i szyi/Advances in Head and Neck Surgery

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2/2023
vol. 22

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abstract:

Case report

Facial nerve palsy – central or peripheral? Diagnosis is not always obvious

Joanna Marszał

¹

,

Anna Bartochowska

¹

,

Wojciech Gawęcki

¹

Department of Otolaryngology, Head and Neck Surgery, Poznan University of Medical Science, Poznan, Poland

Postępy w Chirurgii Głowy i Szyi 2023; 2: 23–24

Online publish date: 2024/03/07

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We herein report a case of a 63-year-old man with facial nerve palsy and unusual medical history. He reported to ENT outpatient department due to the progression of facial nerve paresis. In the past he experienced a subarachnoid hemorrhage complicated by mouth drooping on the left side. He had also a history of external malignant otitis and exudative otitis media treated with grommet placement. Determining the reason of the progression of facial nerve paresis was not easy. Finally, it turned out that it was caused by cholesteatoma. Presented case shows that symptoms of central and peripheral facial nerve palsy may overlap thus making the diagnosis not obvious.

keywords:

Facial nerve palsy – central or peripheral? Diagnosis is not always obvious

Joanna Marszał 1 , Anna Bartochowska 1 , Wojciech Gawęcki 1

facial nerve palsy, subarachnoid hemorrhage, cholesteatoma

Joanna Marszał

¹

,

Anna Bartochowska

¹

,

Wojciech Gawęcki

¹