Bilateral facial palsy due to Epstein-Barr virus Infection
DOI:
https://doi.org/10.23938/ASSN.0539Keywords:
Diplejia facial. Mononucleosis infecciosa. Reflejo de parpadeoAbstract
Two young patients with bilateral facial palsy are described. They initially presented unilateral facial palsy, followed by contralateral facial nerve involvement a few days later, together with clinical and serologic evidence of acute Epstein-Barr virus infection. The outcome was favourable in one patient but severe sequels persisted in the second. These two cases show that this infrequent complication of Epstein-Barr virus infection may not always have a good outcome. The pathogenic mechanism of bilateral facial palsy is discussed.Downloads
References
1. KEANE JR. Bilateral seventh nerve palsy. Neurology 1994; 44: 1198-1202.
https://doi.org/10.1212/WNL.44.7.1198
2. TELLER DC, MURPHY TP. Bilateral facial palsy: a case presentation and literature review. J Otolaryngol 1992: 21: 44-47.
3. SUSUKI K, ATSUMI M, KOGA M, HIRATA K, YUKI N. Acute facial diplegia and hyperreflexia. A Guillain-Barré syndrome variant. Neurology 2004; 62: 825-827.
https://doi.org/10.1212/01.WNL.0000113717.88589.6F
4. JAIN V, DESHMUKH A, GOLLOMP S. Bilateral facial paralysis. Case presentation and discussion of differential diagnosis. J Gen Intern Med 2006; 21: 7-10.
https://doi.org/10.1111/j.1525-1497.2006.00466.x
5. GEVERS G, LAMKENS P. Bilateral simultaneous facial paralysis-differential diagnosis and treatment options. A case report and review of the literature. Acta Otorhinolaryngol Belg 2003; 57: 139-146.
6. DEL RÍO C, AGUILERA JM, CABRERA M, ROMERO B, ROMERA M, FERNÁNDEZ-BOLAÑOS R. Diplejía facial como inicio de una neurosífilis. Neurología 2007; 22: 745.
7. GÁLLEGO PÉREZ-LARRAYA J, GONZÁLEZ R, GÓMEZ A, FERNÁNDEZ R, RIVEROL M. Diplejia facial y neuritis vestibular como signo de primoinfección por VIH. Neurología 2007; 22: 720.
8. NIKOLAOU AC, VLACHTSIS KC, DANIILIDIS MA, PETRIDIS DG, DANIILIDIS IC. Wegener's granulomatosis presenting with bilateral facial nerve palsy. Eur Arch Otorhinolaryngol 2001; 258: 198-202.
https://doi.org/10.1007/s004050100327
9. DIEDLER J, RIEGER S, KOCH A, PARTHÉ-PETERHANS, SCHWANINGER M. Bilateral facial palsy: Epstein-Barr virus, not Lyme disease. Eur J Neurol 2006; 13: 1029-1030.
https://doi.org/10.1111/j.1468-1331.2006.01434.x
10. TERADA K, NIIZUMA T, KOSAKA Y, INOUE M, OGITA S, KATAOKA N. Bilateral facial nerve palsy associated with Epstein-Barr virus infection with a review of the literature. Scand J Infect Dis 2004; 36: 75-77.
https://doi.org/10.1080/00365540310017285
11. BECHICH S, SALAS R, ARBOIX A. Facial dyplegia by Epstein-Barr virus. Med Clin (Barcelona) 1998; 110: 519-520.
12. FUJIMOTO H, ASAOKA K, IMAIZUMI T, AYABE M, SHOJI H, KAJI M. Epstein-Barr virus infections of the central nervous system. Internal Medicine 2003; 42: 33-40.
https://doi.org/10.2169/internalmedicine.42.33
13. RUBIN DI, DAUBE JR. Subacute sensory neuropathy associated with Epstein-Barr virus. Muscle Nerve 1999; 22: 1607-1610.
https://doi.org/10.1002/(SICI)1097-4598(199911)22:11<1607::AID-MUS21>3.0.CO;2-J
14. WONG M, CONNOLLY AM, NOETZEL MJ. Poliomyelitis-like syndrome associated with Epstein-Barr virus infection. Pediatric. Neurology 1999; 20: 235-237.
https://doi.org/10.1016/S0887-8994(98)00142-8
15. POU SERRADELL A, ROYO I, ARAGONES JM, ZAPATER E, PANELLA A. Painful bilateral lumbar radiculoplexopathy associated with Epstein-Barr virus infection. Rev Neurol (Paris) 1996; 152: 483-485.
16. VUCIC S, PALMER W, CROS D. Radiculoplexopathy with conduction block caused by acute Epstein-Barr virus infection. Neurology 2005; 64: 530-532.
https://doi.org/10.1212/01.WNL.0000150582.80346.2C
17. PARANO E, PAVONE L, MUSUMECI S, GIAMBUSSO F, TRIFILETTI RR. Acute palsy of the recurrent laryngeal nerve complicating Epstein-Barr virus infection. Neuropediatrics 1996; 27: 164-166.
https://doi.org/10.1055/s-2007-973769
18. PARANO E, GIUFFRIDA S, RESTIVO D, SAPONARA R, GRECO F, TRIFILETTI R. Reversible palsy of the hypoglossal nerve complicating infectious mononucleosis in a young child. Neuropediatrics 1998; 29: 46-47.
https://doi.org/10.1055/s-2007-973534
19. MORGELLO S, SIMPSON DM. Multifocal cytomegalovirus demyelinative polyneuropathy associated with AIDS. Muscle Nerve 1994; 17: 176-182.
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