Temporal bone rhabdomyosarcoma presenting as acute peripheral facial nerve paralysis.
Facial palsy is not an uncommon presentation to an emergency department. Whereas most patients will ultimately receive a diagnosis of Bell palsy (idiopathic peripheral seventh cranial nerve palsy), a subset will have an identifiable cause for their facial paralysis. Children are more likely to have an identifiable cause than are adults. We present a case in which a child presented with acute peripheral facial nerve palsy and was found to have temporal bone rhabdomyosarcoma. The key clinical finding was the presence of both 7th and 12th cranial nerve palsy.
Reid
Samuel R
SR
Pediatric Emergency Medicine, Children's Hospitals and Clinics of Minnesota, St. Paul, MN 55102, USA. sam.reid@childrensmn.org
Hetzel
Thomas
T
Losek
Joseph
J
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D002648:Child; D003520:Cyclophosphamide / Q000627:therapeutic use; D003609:Dactinomycin / Q000627:therapeutic use; D005155:Facial Nerve Diseases / Q000209:etiology*; D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011878:Radiotherapy; D012208:Rhabdomyosarcoma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D013701:Temporal Bone; D014750:Vincristine / Q000627:therapeutic use
D003609:Dactinomycin; D014750:Vincristine; D003520:Cyclophosphamide