title: Bilateral facial palsy caused by bilateral masked mastoiditis.
abstract: Acquired simultaneous bilateral facial palsy caused by bilateral masked mastoiditis in a 25-month-old girl is reported. After the administration of antibiotics for 10 days for treatment of bilateral acute otitis media, overt signs of otitis media diminished as bilateral facial palsy ensued. For diagnosis of masked mastoiditis, brain magnetic resonance imaging was of significant value in our case. The findings in this case suggest that masked mastoiditis should be considered as a cause of bilateral facial palsy, as well as unilateral facial palsy.
authors.affiliation: Department of Pediatric Neurology, Hamamatsu City Medical Center for Developmental Medicine, Takazono, Hamakita, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Fukuda
authors.forename: H
authors.initials: H
authors.lastname: Sugie
authors.forename: M
authors.initials: M
authors.lastname: Ito
authors.forename: T
authors.initials: T
authors.lastname: Kikawada
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008416:Mastoid / Q000473:pathology / Q000601:surgery; D008417:Mastoiditis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D010035:Otitis Media, Suppurative / Q000150:complications / Q000188:drug therapy; D010579:Petrous Bone / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents