neuroscience-2019-accepted-abstracts

Page 43

International Conference on

Health Care and

Health Management

Joint Event

November 04-05, 2019 | Prague, Czech Republic

International Conference on

Neuroscience and

Neurological Disorders

Journal of Neurology and Clinical Neuroscience | Volume 3

Idiopathic bilateral simultaneous facial nerve palsy (B-Fnp)

Theresia Christin

Mohammad Hoesin Palembang, Indonesia

Background:

Bilateralfacialnervepalsy(B-FNP)isarareclinical

manifestation with incidence of 1 per 5 million people which

representing less than 2 % of all cases of facial nerve palsy.

Majority of the cases is due to serious underlying medical

condition.However,thiscasereportshowsbilateralfacialnerve

palsy that could not be attributed to any particular etiology.

Case Report:

A male 64-year-old with idiopathic bilateral

simultaneous facial nerve palsy that occurred suddenly with

difficulty closing both eyes and facial droop. Neurological

examination shows bilateral peripheral facial nerve palsy.

The right side is grade IV, while grade III in the left side

based on House Brackman grading system. There is no other

cranial nerve abnormality with normal motoric and sensory

function in all extremities. There is no sign of central lesion

such as vascular disease, tumor, autoimmune, intoxication or

infection. Supporting examinations such as lumbar puncture,

thoraxX-Ray,andheadMRIwithcontrastshowsnormalresult.

Neurophysiology examination which is nerve conduction

study (NCS) was done. There were normal results of NCS in

all extremities, which is necessary to exclude Guillain-Barre

Syndrome (GBS). NCS and EMG study in facial muscles shows

abnormal results which supported by blink reflex testing

that absent of all parameters. The patient then treated with

prednisone60mgorallythatwasgivenwithtaperingoffdosage

for 10 days. Patient was hospitalized for 12 days and discharge

with good clinical improvements marked by follow up grading

scale of which grade II in right side and grade I for the left side.

Conclusion:

Bilateral facial nerve paralysis is a rare condition

and challenging in diagnosis. It is important to have appropriate

diagnosis with supporting examination and comprehensive

treatments for better prognosis.