Facial paralysis caused by malignant skull base neoplasms.

doi:10.3171/foc.2002.12.5.3

Paper

Facial paralysis caused by malignant skull base neoplasms.

Published May 15, 2002 · S. Marzo, J. Leonetti, G. Petruzzelli

Ear, nose, & throat journal

Q3 SJR score

18

Citations

0

Influential Citations

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Semantic Scholar

Abstract

OBJECT Bell palsy remains the most common cause of facial paralysis. Unfortunately, this term is often erroneously applied to all cases of facial paralysis. METHODS The authors performed a retrospective review of data obtained in 11 patients who were treated at a university-based referral practice between July 1988 and September 2001 and who presented with acute facial nerve paralysis mimicking Bell palsy. All patients were subsequently found to harbor an occult skull base neoplasm. A delay in diagnosis was demonstrated in all cases. Seven patients died of their disease, and four patients are currently free of disease. CONCLUSIONS Although Bell palsy remains the most common cause of peripheral facial nerve paralysis, patients in whom neoplasms invade the facial nerve may present with acute paralysis mimicking Bell palsy that fails to resolve. Delays in diagnosis and treatment in such cases may result in increased rates of mortality and morbidity.

Case Report

Study Snapshot

Key takeawayDelays in diagnosing and treating facial paralysis caused by malignant skull base neoplasms may increase mortality and morbidity rates.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Facial paralysis caused by malignant skull base neoplasms.

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Citations

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Hypoglossal-to-facial nerve anastomosis is effective for restoring facial nerve function, with more favorable outcomes occurring when the procedure is performed within a 6.5-month window.

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