Bilateral facial nerve palsy associated with Epstein-Barr virus infection with a review of the literature.
A case of bilateral simultaneous facial nerve palsy associated with an Epstein-Barr virus (EBV) infection in a 14-month-old girl is described. Diagnosis of the EBV infection was based on the presence of 7% atypical lymphocytes, EBV-DNA and seroconversion in the VCA-IgG antibody, an EBV-specific antibody. Although bilateral facial nerve palsy is very rare, approximately 40% of the EBV-associated facial nerve palsy cases reported have been bilateral.
Terada
Kihei
K
Department of Pediatrics, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama Prefecture, 701-0192, Japan. kihei@med.kawasaki-m.ac.jp
Niizuma
Takahiro
T
Kosaka
Yasuko
Y
Inoue
Miwa
M
Ogita
Satoko
S
Kataoka
Naoki
N
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000914:Antibodies, Viral / Q000032:analysis; D000998:Antiviral Agents / Q000627:therapeutic use; D002675:Child, Preschool; D004279:DNA, Viral / Q000032:analysis; D004359:Drug Therapy, Combination; D020031:Epstein-Barr Virus Infections / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D005158:Facial Paralysis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005500:Follow-Up Studies; D004854:Herpesvirus 4, Human / Q000187:drug effects / Q000302:isolation & purification*; D006801:Humans; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000914:Antibodies, Viral; D000998:Antiviral Agents; D004279:DNA, Viral