[Facial palsy as the first syndrome of multiple sclerosis in 16 years old girl].
BACKGROUND
Multiple sclerosis (MS) is demyelinating disease characterized by scattered neurologic deficits the central nervous system. The large number of scattered lessions produce many clinical symptoms. Facial palsy is rarely ascribed to multiple sclerosis as first syndrome.


METHODS
16-years old girl with sequence of features: 1. facial palsy, 2. transitional sudden hearing loss 3. transitory vertigo is presented. In audiologic examination pure tone audiogram, impedance audiometry, ABR and ENG were done. Air and bone thresholds were normal, stapedial reflex was absent and ABR suggested retrocochlear involvement in affected ear.


RESULTS
In this case after MRI examination multiple sclerosis was diagnosed.


CONCLUSIONS
ENT specialists should considered MS like a reason of facial palsy.
Topolska
Małgorzata Maria
MM
Klinika Otolaryngologii Dzieciecej AM w Białymstoku.
Kułak
Wojciech
W
D000293:Adolescent; D001306:Auditory Pathways / Q000473:pathology; D001921:Brain / Q000473:pathology; D005158:Facial Paralysis / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009103:Multiple Sclerosis / Q000150:complications* / Q000175:diagnosis*