Qiang Li1, Yanfei Jia2, Qian Feng3, Bo Tang1, Naili Wei1, Yinian Zhang1, Yefeng Li4, Xuanfen Zhang5. 1. Department of Neurosurgery, Lanzhou University Second Hospital, Lanzhou 730030, Gansu Province, PR China; Second Clinical Medical College of Lanzhou University, Lanzhou 730030, Gansu Province, PR China. 2. Graduate School of Peking Union Medical College, Beijing 100730, PR China; National Research Institute for Family Planning, Beijing 100081, PR China. 3. Lanzhou University Second Hospital, Lanzhou 730030, Gansu Province, PR China. 4. Department of Otolaryngology, Peking University Health Science Center, Beijing 100191, PR China. 5. Second Clinical Medical College of Lanzhou University, Lanzhou 730030, Gansu Province, PR China. Electronic address: zhangxf2212@sina.com.
Abstract
OBJECTIVE: To investigate clinical features and outcomes of delayed facial palsy after head trauma. METHODS: The cases who had delayed facial palsy after head trauma treated from March 2008 to March 2013 at our hospital were enrolled in the study, and their clinical features and outcomes were analyzed. RESULTS: Thirty-five of 1620 cases developed delayed facial palsy after head trauma. Facial palsy occurred within day 3-7 in 23 cases, during day 8-14 in 8 cases, and 2 weeks later in 4 cases. Thirty-three cases were treated by prednisolone alone, and two cases who showed ≥90% degeneration of nerve fibers underwent surgical exploration and decompression. Among the 33 cases who received conservative treatment, 27 cases (81.8%) recovered completely, 3 cases (9.1%) recovered to Grade II, and only 3 cases (9.1%) recovered to Grade III or IV. The two surgically treated patients recovered to Grade II and III, respectively. CONCLUSION: The incidence of delayed facial palsy was 2.2% after head trauma. Delayed facial palsy mainly occurred within 2 weeks after head trauma. And over 90% patients achieved good recovery (HB Grade I or II) of facial nerve after conservative treatment.
OBJECTIVE: To investigate clinical features and outcomes of delayed facial palsy after head trauma. METHODS: The cases who had delayed facial palsy after head trauma treated from March 2008 to March 2013 at our hospital were enrolled in the study, and their clinical features and outcomes were analyzed. RESULTS: Thirty-five of 1620 cases developed delayed facial palsy after head trauma. Facial palsy occurred within day 3-7 in 23 cases, during day 8-14 in 8 cases, and 2 weeks later in 4 cases. Thirty-three cases were treated by prednisolone alone, and two cases who showed ≥90% degeneration of nerve fibers underwent surgical exploration and decompression. Among the 33 cases who received conservative treatment, 27 cases (81.8%) recovered completely, 3 cases (9.1%) recovered to Grade II, and only 3 cases (9.1%) recovered to Grade III or IV. The two surgically treated patients recovered to Grade II and III, respectively. CONCLUSION: The incidence of delayed facial palsy was 2.2% after head trauma. Delayed facial palsy mainly occurred within 2 weeks after head trauma. And over 90% patients achieved good recovery (HB Grade I or II) of facial nerve after conservative treatment.
Authors: Robert J Yawn; Matthew M Dedmon; Deborah Xie; Reid C Thompson; Matthew R O'Malley; Marc L Bennett; Alejandro Rivas; David S Haynes Journal: J Neurol Surg B Skull Base Date: 2018-09-06