Peripheral facial nerve palsy following ventriculoperitoneal shunting in an infant.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Mehdi GolpayeganiFarideh Nejat

Abstract

Peripheral facial palsy due to injury to the extracranial segment of facial nerve following ventriculoperitoneal (VP) shunting has been reported in a few adults or adolescents. Herein, we present a case of iatrogenic facial nerve palsy secondary to VP shunt insertion in a 20-month infant. To the best of our knowledge, this is the first infantile case to be ever reported in the literature. Regarding the postnatal development of the mastoid and styloid process, the underdeveloped bony structures may render extracranial part of the facial nerve more vulnerable to blunt trauma. The lesson can be learned from this case is that tunneling procedure should be done with caution in pediatric age group especially around the mastoid area.

References

Jan 1, 1997·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·H G EderW Gruber
Mar 3, 2012·African Journal of Paediatric Surgery : AJPS·Rajendra K GhritlahareyJyoti Srivastava
Dec 12, 2012·Journal of Anaesthesiology, Clinical Pharmacology·Laurent LonjaretGeeraerts Thomas
Apr 23, 2013·The Laryngoscope·Marc H HohmanTessa A Hadlock
Apr 30, 2015·BMJ Case Reports·Raghvendra Vijayrao RamdasiAmit Mahore
Sep 12, 2015·BMJ Case Reports·Alexandre SimoninMahmoud Messerer
Dec 2, 2017·British Journal of Neurosurgery·Ashwin KumariaDonald C Macarthur
Mar 27, 2018·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·G De BonnecazeP Chaynes

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