PMID: 11932090Apr 5, 2002Paper

Unilateral facial paralysis occurring in an infant with enteroviral otitis media and aseptic meningitis

The Journal of Emergency Medicine
Mark A HostetlerMark R Denison

Abstract

We report the case of a four month old infant presenting to the Emergency Department (ED) with irritability and facial asymmetry following a recent bout of gastroenteritis. Physical examination revealed a unilateral peripheral facial nerve paralysis. Common in older children and adults, facial nerve palsy has rarely been described in infancy. Although historically associated with a variety of inflammatory and infectious causes, the pathogenesis remains unclear. In this infant we were able to successfully identify an underlying acute enteroviral infection. Coxsackie B5 was isolated from the middle ear fluid, cerebrospinal fluid (CSF), nasopharyngeal and rectal swabs. After myringotomy drainage of the middle ear fluid and placement of pneumatic equalization tubes, there was rapid and complete resolution of facial paralysis.

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Citations

Nov 18, 2004·American Journal of Otolaryngology·Irfan KaygusuzAyça Tazegül
Jun 23, 2005·Journal of Child Neurology·Elias B RizkMohamad A Mikati

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