An unusual case of facial nerve palsy following soccer related minor head injury.
A 16 year old amateur soccer player sustained a minor head injury while contesting a ball in the air. He was unconscious for two minutes and remained "dizzy" for about an hour. After two days he developed a profound left lower motor neurone facial nerve palsy. He was found to have a complex fracture of the left petrous temporal bone, with fluid in the left middle ear and left mastoid. Treatment was conservative with oral steroids and oral co-amoxiclav and a left myringotomy to decompress his middle ear. The spectrum of aetiology, presentation, and prognosis for facial nerve injuries is discussed.
General Surgery, Stobhill Hospital, Glasgow, Scotland, UK.
E F
EF
Leitch
J R
JR
Hanson
D000293:Adolescent; D020220:Facial Nerve Injuries / Q000209:etiology* / Q000628:therapy; D005158:Facial Paralysis / Q000209:etiology* / Q000628:therapy; D034381:Hearing Loss / Q000209:etiology; D006801:Humans; D008297:Male; D011379:Prognosis; D012887:Skull Fractures / Q000150:complications* / Q000000981:diagnostic imaging; D012916:Soccer / Q000293:injuries*; D013701:Temporal Bone / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed