Paediatria Croatica, Vol. 57 No. 3, 2013.
Stručni rad
Peripheral presentation of central facial palsy
Omer Bektas
; Department of Pediatric Neurology, Ankara University Faculty of Medicine, Ankara, Turkey
Funda Kurt
; Department of Pediatric Emergency Care, Ankara University Faculty of Medicine, Ankara, Turkey
Banu Katlan
; Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey
Veli Korkmaz
; Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey
Emine Suskan
; Department of Pediatric Emergency Care, Ankara University Faculty of Medicine, Ankara, Turkey
Gulhis Deda
; Department of Pediatric Neurology, Ankara University Faculty of Medicine, Ankara, Turkey
Sažetak
Facial nerve palsy in children may be congenital or due to neoplastic, infectious or traumatic conditions. Although idiopathic (Bell’s
palsy) facial nerve palsy is the most commonly encountered cause, facial nerve palsy may be the fi rst and only symptom of a severe
underlying condition. Previous studies on pediatric populations have reported on a tumor cause of facial nerve palsy in 2%-12% of
cases. One of the most important pitfalls for a clinician is to assume that a child with facial nerve palsy has Bell’s palsy and does not
need complete and comprehensive evaluation for other etiologies. A case is described of an infant with oculocutaneous albinism
who presented with persistent fi ndings of peripheral facial palsy in whom the cause was belatedly identifi ed as a brain tumor following
magnetic resonance imaging. The most striking feature in our patient was the peripheral presentation of central facial nerve
palsy, and if the magnetic resonance imaging had not been obtained, a potentially serious diagnosis may have been missed. Complete
medical history and detailed physical examination should be obtained for every patient presenting with peripheral facial palsy,
particularly in infants where cranial tomography or magnetic resonance imaging may be warranted to avoid misdiagnosis
Ključne riječi
facial paralysis; albinism, oculocutaneous; Bell palsy; brain neoplasms; infant
Hrčak ID:
119774
URI
Datum izdavanja:
30.9.2013.
Posjeta: 885 *