Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis
Abstract Background Sudden onset of unilateral weakness of the upper and lower muscles of one side of the face is defined as peripheral facial nerve palsy. Peripheral facial nerve palsy is often idiopathic and sometimes it could be due to infectious, traumatic, neoplastic, and immune causes. This st...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-12-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41983-022-00596-1 |
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| author | Serap Bilge Gülen Gül Mert M. Özlem Hergüner Faruk İncecik Özgür Sürmelioğlu Sevcan Bilen Levent Yılmaz |
| author_facet | Serap Bilge Gülen Gül Mert M. Özlem Hergüner Faruk İncecik Özgür Sürmelioğlu Sevcan Bilen Levent Yılmaz |
| author_sort | Serap Bilge |
| collection | DOAJ |
| description | Abstract Background Sudden onset of unilateral weakness of the upper and lower muscles of one side of the face is defined as peripheral facial nerve palsy. Peripheral facial nerve palsy is often idiopathic and sometimes it could be due to infectious, traumatic, neoplastic, and immune causes. This study aimed to report the clinical manifestation, evaluation, and prognosis in children with peripheral facial nerve palsy. Methods 57 children under 18 years of age diagnosed with peripheral facial nerve palsy at Çukurova University, Balcalı Hospital, between January 2018 and September 2021, were included in the study. Results The mean age of the children at the time of diagnosis was 9.6 ± 7, 4 years. Thirty-two (56.1%) of the patients were female and 25 (43.9%) were male. A total of 57 patients were diagnosed with peripheral facial nerve palsy and categorized into many groups by etiology: idiopathic Bell’s palsy in 27 (47.5%), infectious in 11 (19.2%), traumatic in 6 (10.5%), and others (due to congenital, immune, neoplastic, Melkersson–Rosenthal syndrome, drug toxicity, and iatrogenic causes) in 13 (22.8%). Forty-six of the children achieved full recovery under oral steroids within 1–7 months. Four patients with acute leukemia, myelodysplastic syndrome, Mobius syndrome and trauma did not recover and two patients (schwannoma, trauma) showed partial improvement. Five patients could not come to follow-up control. Conclusion Peripheral facial nerve palsy is a rare condition in children with different causes. It could be idiopathic, congenital, or due to infectious, traumatic, neoplastic, and immune reasons. So, when a child presents with facial palsy, a complete clinical history and a detailed clinical examination are recommended. Giving attention to the red flag is very important. Peripheral facial nerve palsy in children is considered to have a good prognosis. |
| first_indexed | 2024-04-11T14:16:58Z |
| format | Article |
| id | doaj.art-e88541cfd91f443fbb4ba5cafecf3523 |
| institution | Directory Open Access Journal |
| issn | 1687-8329 |
| language | English |
| last_indexed | 2024-04-11T14:16:58Z |
| publishDate | 2022-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj.art-e88541cfd91f443fbb4ba5cafecf35232022-12-22T04:19:24ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292022-12-015811810.1186/s41983-022-00596-1Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosisSerap Bilge0Gülen Gül Mert1M. Özlem Hergüner2Faruk İncecik3Özgür Sürmelioğlu4Sevcan Bilen5Levent Yılmaz6Department of Pediatric Neurology, Faculty of Medicine, Çukurova UniversityDepartment of Pediatric Neurology, Faculty of Medicine, Çukurova UniversityDepartment of Pediatric Neurology, Faculty of Medicine, Çukurova UniversityDepartment of Pediatric Neurology, Faculty of Medicine, Çukurova UniversityDepartment of Ear, Nose &Throat, Faculty of Medicine, Çukurova UniversityDepartment of Pediatric Emergency, Faculty of Medicine, Çukurova UniversityDepartment of Pediatric Emergency, Faculty of Medicine, Çukurova UniversityAbstract Background Sudden onset of unilateral weakness of the upper and lower muscles of one side of the face is defined as peripheral facial nerve palsy. Peripheral facial nerve palsy is often idiopathic and sometimes it could be due to infectious, traumatic, neoplastic, and immune causes. This study aimed to report the clinical manifestation, evaluation, and prognosis in children with peripheral facial nerve palsy. Methods 57 children under 18 years of age diagnosed with peripheral facial nerve palsy at Çukurova University, Balcalı Hospital, between January 2018 and September 2021, were included in the study. Results The mean age of the children at the time of diagnosis was 9.6 ± 7, 4 years. Thirty-two (56.1%) of the patients were female and 25 (43.9%) were male. A total of 57 patients were diagnosed with peripheral facial nerve palsy and categorized into many groups by etiology: idiopathic Bell’s palsy in 27 (47.5%), infectious in 11 (19.2%), traumatic in 6 (10.5%), and others (due to congenital, immune, neoplastic, Melkersson–Rosenthal syndrome, drug toxicity, and iatrogenic causes) in 13 (22.8%). Forty-six of the children achieved full recovery under oral steroids within 1–7 months. Four patients with acute leukemia, myelodysplastic syndrome, Mobius syndrome and trauma did not recover and two patients (schwannoma, trauma) showed partial improvement. Five patients could not come to follow-up control. Conclusion Peripheral facial nerve palsy is a rare condition in children with different causes. It could be idiopathic, congenital, or due to infectious, traumatic, neoplastic, and immune reasons. So, when a child presents with facial palsy, a complete clinical history and a detailed clinical examination are recommended. Giving attention to the red flag is very important. Peripheral facial nerve palsy in children is considered to have a good prognosis.https://doi.org/10.1186/s41983-022-00596-1Facial nerve paralysisClinical findingsTreatmentPrognosis |
| spellingShingle | Serap Bilge Gülen Gül Mert M. Özlem Hergüner Faruk İncecik Özgür Sürmelioğlu Sevcan Bilen Levent Yılmaz Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Facial nerve paralysis Clinical findings Treatment Prognosis |
| title | Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis |
| title_full | Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis |
| title_fullStr | Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis |
| title_full_unstemmed | Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis |
| title_short | Peripheral facial nerve palsy in children: clinical manifestations, treatment and prognosis |
| title_sort | peripheral facial nerve palsy in children clinical manifestations treatment and prognosis |
| topic | Facial nerve paralysis Clinical findings Treatment Prognosis |
| url | https://doi.org/10.1186/s41983-022-00596-1 |
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