Facial nerve paralysis as first sign of metastatic breast cancer to the temporal bone
Introduction. Facial nerve paralysis originates from various factors, although in most cases etiology is idiopathic. Temporal bone metastases are quite rare, but should still be suspected in cases when congenital disorders, inflammatory disease, infection or trauma are excluded as cause of facial pa...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2018-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2018/0370-81791800027F.pdf |
| _version_ | 1818918474560307200 |
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| author | Folić Miljan Đerić Dragoslava |
| author_facet | Folić Miljan Đerić Dragoslava |
| author_sort | Folić Miljan |
| collection | DOAJ |
| description | Introduction. Facial nerve paralysis originates from various factors, although in most cases etiology is idiopathic. Temporal bone metastases are quite rare, but should still be suspected in cases when congenital disorders, inflammatory disease, infection or trauma are excluded as cause of facial palsy. We present an unusual case of facial nerve paralysis as the initial sign of temporal bone metastasis of breast carcinoma and discuss diagnostic pitfalls. Case outline. A 70-year-old patient presented with facial nerve palsy, severe otalgia, hearing loss and vertigo. Patient underwent steroid treatment 6 months earlier due to peripheral facial palsy with complete neurological resolution. CT scan revealed osteolytic lesion of the right temporal bone with extension into the parietal bone and soft-tissue. Additional examination confirmed ductal breast carcinoma and osteolysis of the ribs and vertebrae. After four months, the patient with metastatic breast carcinoma to the temporal bone died despite chemotherapy. Conclusion. Temporal bone metastasis of breast cancer is very rare condition with poor prognosis. Late diagnosis and inadequate management of breast cancer are factors that contribute to the temporal bone metastasis formation. Temporal bone metastasis should be excluded in elderly patients, both with and without any history of malignancy, especially in cases of peripheral facial palsy refractory to treatment. |
| first_indexed | 2024-12-20T00:50:32Z |
| format | Article |
| id | doaj.art-27c61645ed17476a935e6dd92e66651a |
| institution | Directory Open Access Journal |
| issn | 0370-8179 2406-0895 |
| language | English |
| last_indexed | 2024-12-20T00:50:32Z |
| publishDate | 2018-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-27c61645ed17476a935e6dd92e66651a2022-12-21T19:59:16ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952018-01-0114611-1268568810.2298/SARH180110027F0370-81791800027FFacial nerve paralysis as first sign of metastatic breast cancer to the temporal boneFolić Miljan0Đerić Dragoslava1School of Medicine, BelgradeClinical Centre of Serbia, Clinic for Otorhinolaryngology and Maxillofacial Surgery, BelgradeIntroduction. Facial nerve paralysis originates from various factors, although in most cases etiology is idiopathic. Temporal bone metastases are quite rare, but should still be suspected in cases when congenital disorders, inflammatory disease, infection or trauma are excluded as cause of facial palsy. We present an unusual case of facial nerve paralysis as the initial sign of temporal bone metastasis of breast carcinoma and discuss diagnostic pitfalls. Case outline. A 70-year-old patient presented with facial nerve palsy, severe otalgia, hearing loss and vertigo. Patient underwent steroid treatment 6 months earlier due to peripheral facial palsy with complete neurological resolution. CT scan revealed osteolytic lesion of the right temporal bone with extension into the parietal bone and soft-tissue. Additional examination confirmed ductal breast carcinoma and osteolysis of the ribs and vertebrae. After four months, the patient with metastatic breast carcinoma to the temporal bone died despite chemotherapy. Conclusion. Temporal bone metastasis of breast cancer is very rare condition with poor prognosis. Late diagnosis and inadequate management of breast cancer are factors that contribute to the temporal bone metastasis formation. Temporal bone metastasis should be excluded in elderly patients, both with and without any history of malignancy, especially in cases of peripheral facial palsy refractory to treatment.http://www.doiserbia.nb.rs/img/doi/0370-8179/2018/0370-81791800027F.pdfbreast neoplasmsneoplasm metastasisfacial paralysistemporal bone |
| spellingShingle | Folić Miljan Đerić Dragoslava Facial nerve paralysis as first sign of metastatic breast cancer to the temporal bone Srpski Arhiv za Celokupno Lekarstvo breast neoplasms neoplasm metastasis facial paralysis temporal bone |
| title | Facial nerve paralysis as first sign of metastatic breast cancer to the temporal bone |
| title_full | Facial nerve paralysis as first sign of metastatic breast cancer to the temporal bone |
| title_fullStr | Facial nerve paralysis as first sign of metastatic breast cancer to the temporal bone |
| title_full_unstemmed | Facial nerve paralysis as first sign of metastatic breast cancer to the temporal bone |
| title_short | Facial nerve paralysis as first sign of metastatic breast cancer to the temporal bone |
| title_sort | facial nerve paralysis as first sign of metastatic breast cancer to the temporal bone |
| topic | breast neoplasms neoplasm metastasis facial paralysis temporal bone |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2018/0370-81791800027F.pdf |
| work_keys_str_mv | AT folicmiljan facialnerveparalysisasfirstsignofmetastaticbreastcancertothetemporalbone AT đericdragoslava facialnerveparalysisasfirstsignofmetastaticbreastcancertothetemporalbone |