Ismail Meriam T, Rahman Razlina A, Idris Nur S
Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
J Taibah Univ Med Sci. 2021 Sep 4;17(1):141-145. doi: 10.1016/j.jtumed.2021.08.008. eCollection 2022 Feb.
Facial nerve paralysis in children is a rare clinical condition that can lead to serious complications. Due to their rare occurrence, tumours, especially in the cerebellopontine angle, may be overlooked. We report a case of cerebellopontine angle tumour in an 8-year-old boy who presented with a right-sided lower motor neuron type of facial nerve palsy. Further examination showed a mild bilateral nystagmus. However, misled by the initial diagnosis of Bell's palsy, there was a delay in performing diagnostic magnetic resonance imaging of the brain, which showed a large mass in the cerebellopontine. Subsequently, six weeks after his initial presentation, the boy succumbed to the disease. This case illustrates that careful clinical examination, even in a seemingly simple case, is imperative to avoid diagnostic errors.
儿童面神经麻痹是一种罕见的临床病症，可导致严重并发症。由于其发病率低，肿瘤，尤其是桥小脑角处的肿瘤，可能会被忽视。我们报告一例8岁男孩桥小脑角肿瘤病例，该男孩表现为右侧下运动神经元型面神经麻痹。进一步检查显示有轻度双侧眼球震颤。然而，由于最初被诊断为贝尔麻痹而受到误导，脑部诊断性磁共振成像检查有所延迟，结果显示桥小脑角有一个大肿块。随后，在首次就诊六周后，该男孩因病死亡。此病例表明，即使在看似简单的病例中，仔细的临床检查对于避免诊断错误也至关重要。
