Navigating the complexities of bilateral facial nerve palsy: A case report.

IF 2.3 Q3 EMERGENCY MEDICINE
Caisha Nivenia Moses, Wan Syahmi Bin Wan Mohamad, Kamarul Aryffin Bin Baharuddin, Mohamad Masykurin Bin Mafauzy, Mohd Faiz Bin Mohd Shukri
{"title":"Navigating the complexities of bilateral facial nerve palsy: A case report.","authors":"Caisha Nivenia Moses, Wan Syahmi Bin Wan Mohamad, Kamarul Aryffin Bin Baharuddin, Mohamad Masykurin Bin Mafauzy, Mohd Faiz Bin Mohd Shukri","doi":"10.4103/tjem.tjem_152_24","DOIUrl":null,"url":null,"abstract":"<p><p>A 32-year-old male presented with a 2-week history of progressive bilateral facial weakness, initially diagnosed as unilateral Bell's palsy. Upon development of bilateral symptoms, further investigations revealed normal hematological, biochemical, and imaging results, ruling out common infectious and autoimmune causes. Electromyography and nerve conduction studies were normal, and lumbar puncture results excluded Guillain-Barré syndrome. The patient was ultimately diagnosed with idiopathic bilateral facial nerve palsy (FNP) after exhaustive exclusion of other etiologies. Treatment with corticosteroids led to symptomatic improvement. This case underscores the importance of a systematic approach in diagnosing rare presentations of FNP and highlights the favorable prognosis with appropriate management.</p>","PeriodicalId":46536,"journal":{"name":"Turkish Journal of Emergency Medicine","volume":"25 3","pages":"239-241"},"PeriodicalIF":2.3000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309817/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Turkish Journal of Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/tjem.tjem_152_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

A 32-year-old male presented with a 2-week history of progressive bilateral facial weakness, initially diagnosed as unilateral Bell's palsy. Upon development of bilateral symptoms, further investigations revealed normal hematological, biochemical, and imaging results, ruling out common infectious and autoimmune causes. Electromyography and nerve conduction studies were normal, and lumbar puncture results excluded Guillain-Barré syndrome. The patient was ultimately diagnosed with idiopathic bilateral facial nerve palsy (FNP) after exhaustive exclusion of other etiologies. Treatment with corticosteroids led to symptomatic improvement. This case underscores the importance of a systematic approach in diagnosing rare presentations of FNP and highlights the favorable prognosis with appropriate management.

Abstract Image

导航双侧面神经麻痹的复杂性:1例报告。
一名32岁男性,有两周进行性双侧面部无力病史,最初诊断为单侧贝尔氏麻痹。在出现双侧症状后,进一步的检查显示血液学、生化和影像学结果正常,排除了常见的感染和自身免疫性原因。肌电图和神经传导检查正常,腰椎穿刺结果排除格林-巴罗综合征。在彻底排除其他病因后,最终诊断为特发性双侧面神经麻痹(FNP)。皮质类固醇治疗导致症状改善。本病例强调了系统诊断罕见FNP的重要性,并强调了适当治疗的良好预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.70
自引率
0.00%
发文量
30
审稿时长
22 weeks
期刊介绍: The Turkish Journal of Emergency Medicine (Turk J Emerg Med) is an International, peer-reviewed, open-access journal that publishes clinical and experimental trials, case reports, invited reviews, case images, letters to the Editor, and interesting research conducted in all fields of Emergency Medicine. The Journal is the official scientific publication of the Emergency Medicine Association of Turkey (EMAT) and is printed four times a year, in January, April, July and October. The language of the journal is English. The Journal is based on independent and unbiased double-blinded peer-reviewed principles. Only unpublished papers that are not under review for publication elsewhere can be submitted. The authors are responsible for the scientific content of the material to be published. The Turkish Journal of Emergency Medicine reserves the right to request any research materials on which the paper is based. The Editorial Board of the Turkish Journal of Emergency Medicine and the Publisher adheres to the principles of the International Council of Medical Journal Editors, the World Association of Medical Editors, the Council of Science Editors, the Committee on Publication Ethics, the US National Library of Medicine, the US Office of Research Integrity, the European Association of Science Editors, and the International Society of Managing and Technical Editors.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信