title: A case of cephalic tetanus with unilateral ptosis and facial palsy.
abstract: Cephalic tetanus is defined as a combination of trismus and paralysis of one or more cranial nerves. Cranial nerves III, IV, VI, VII, and XII may be affected, but the facial nerve is most frequently implicated. A 64-year-old female visited hospital for left ptosis followed by facial palsy after a left forehead abrasion in a car accident. At nine days post injury, left ptosis developed, left facial palsy developed twelve days post injury, and at fifteen days post injury, trismus and dysphagia developed. The following day, there was progression of symptoms to generalized tetanus, such as dyspnea and generalized rigidity. Videofluoroscopic swallow study showed penetration and aspiration. We report a case of cephalic tetanus with ptosis, facial palsy, and dysphagia, which progressed to generalized tetanus.
authors.affiliation: Department of Rehabilitation Medicine, College of Medicine, Dankook University, Cheonan 330-715, Korea.
authors.forename: Dong Hyuk
authors.initials: DH
authors.lastname: Seo
authors.forename: Dae Kyung
authors.initials: DK
authors.lastname: Cho
authors.forename: Hee Chung
authors.initials: HC
authors.lastname: Kwon
authors.forename: Tae Uk
authors.initials: TU
authors.lastname: Kim