Issue N# 2 - 2007
Bilateral and recurrent facial palsy due to lymphoma: A case report
Authors : Bodénez C, Vargaftig J, Barré P, Mansour G, Lamas G, Tankéré F. (Paris)
Ref. : Rev Laryngol Otol Rhinol. 2007;128,2:69-72.
Article published in french
Downloadable PDF document french
Objective: To discuss about management of facial paralysis reccurence and to highlight the ENT's important role in the diagnosis of systemic diseases. Material and methods: This article presents a case report about a controlateral facial palsy recurrence, two months later, in a fifty-two year's old woman. This cranial nerves involvement was due to non-Hodgkin lymphoma with neuro-meningeal spreading. The first palsy had completely recovered with steroids. The early recurrence of the palsy and the lymph nodes areas exam lead to the diagnosis. The patient was treated by chemotherapy with good neuro-meningeal diffusion. The facial score rapidly improved, according to facial electromyography results. Discussion: Specific biological and radiological explorations are usually carried out in recurrent facial palsy. Complete clinical examination and cerebrospinal fluid study are useful in this case. Moreover, it should be preferable to do these explorations before steroid therapy. A diffuse meningeal enhancement on the MRI can complete sometimes clinical and biological data. Conclusion: Cranial nerves involvement is sometimes one of the first symptoms of neuro-meningeal lymphoma. Facial palsy reccurence has to conduce ENT pratician to do more specific explorations, of which CSF analysis is required.
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