Sarcoidosis: A Cause For Bilateral Facial Palsy
Journal Title: Journal of Neurological Sciences-Turkish - Year 2005, Vol 22, Issue 3
Abstract
Sarcoidosis is a systemic, chronic, granulomatous disease and it mainly affects lung. Bilateral facial nerve involvoment due to occult sarcoidosis is an extremely rare phenomenon that can be the presenting complaint in a wide spectrum of the disease.Case report. A 38 year-old man presented to our clinic with facial diplegia. His general, neurologic (except facial diplegia), ocular examination and laboratory tests were normal. There was no respiratory system symptom. Chest X-ray revealed bilateral hilar and paratracheal lymphadenopathy without atelectesia. In sarcoidosis, definitive diagnosis was made by bronco-alveoalar leavage. Corticosteroid therapy was not applied, because, he had have stage I sarcoidosis. First left sided and later right sided facial palsy detoriated and almost recovered in 7 weeks from admission. The abnormalities seen on chest x-ray resolved slowly over this period. He has been followed up in our out-patient clinic without any medication after discharge and no recurrent sign or symptoms have appeared so far. This paper describes a spesific unique case of occult facial diplegia occuring in a patient having stage I occult sarcoidosis. We believe, this phenomenon proved that facial diplegia can be created by the infiltration just only the seventh cranial nerves and the most important point to be stressed in this phenomenon should be the investigation of sarcoidosis among the facial diplegic cases
Authors and Affiliations
Kadir KOTIL, Bekir KILINC
Keywords
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