Yogeeta Fnu, Devi Muskan, Abdul Rauf Sameer, Rajper Sanam Bano
Liaquat National Medical College, Karachi, Pakistan.
Liaquat National Hospital and Medical College, Karachi, Pakistan.
Ear Nose Throat J. 2024 May 28:1455613241258650. doi: 10.1177/01455613241258650.
Our case study explores Bell's palsy, a rare lower motor neuron facial nerve paralysis, particularly rare in newborns. While often idiopathic, it can stem from congenital or developmental factors. Unilateral facial paralysis is more prevalent, with Bell's palsy accounting for more than 50%, while bilateral facial paralysis is exceptionally rare. We present a distinctive case of idiopathic Bell palsy in a 3.5-month-old infant, initially affecting the right side and spontaneously resolved within 30 days, followed by involvement on the left side a month later. Despite comprehensive evaluations and treatment, persistent facial weakness was observed on the left side. The patient initially responded well but faced ongoing challenges during the second attack. Our findings underscore the need for further research to improve the understanding and management of these cases.
我们的案例研究探讨了贝尔麻痹，这是一种罕见的下运动神经元面神经麻痹，在新生儿中尤为罕见。虽然通常为特发性，但它可能源于先天性或发育性因素。单侧面瘫更为常见，贝尔麻痹占比超过50%，而双侧面瘫极为罕见。我们报告了一例3.5个月大婴儿的特发性贝尔麻痹独特病例，最初影响右侧，30天内自发缓解，一个月后左侧受累。尽管进行了全面评估和治疗，但左侧仍观察到持续性面部无力。患者最初反应良好，但在第二次发作期间面临持续挑战。我们的研究结果强调需要进一步研究，以增进对这些病例的理解和管理。
