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Acta Neurochirurgica

, Volume 152, Issue 10, pp 1705–1709 | Cite as

Post-traumatic peripheral facial nerve palsy: surgical and neuroradiological consideration in five cases of delayed onset

  • Michele RotondoEmail author
  • Raffaele D’Avanzo
  • Massimo Natale
  • Renata Conforti
  • Michela Pascale
  • Assunta Scuotto
Case Report

Abstract

The facial nerve is frequently injured after head trauma with or without temporal bone fractures. Computed tomography (CT) is the best procedure for detecting the fracture line at the level of the facial nerve canal and for assessing any associated lesions within the temporal bone. Magnetic resonance (MR) is required if there is a facial nerve paralysis, unexplained by CT findings. We present five cases of delayed post-traumatic facial nerve palsy without evidence of temporal bone fractures on CT, thus studied on MR. MR was essential for diagnosing the nerve impairment. Neuroradiological findings, clinical presentation, and electrodiagnostic tests influenced the management of the patients.

Keywords

Head trauma Facial nerve palsy Computed tomography Magnetic resonance 

Abbreviations

CT

Computed tomography

MR

Magnetic resonance

FN

Facial nerve

FNP

Facial nerve palsy

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Michele Rotondo
    • 1
    Email author
  • Raffaele D’Avanzo
    • 1
  • Massimo Natale
    • 1
  • Renata Conforti
    • 1
  • Michela Pascale
    • 1
  • Assunta Scuotto
    • 1
  1. 1.Department of Neurological SciencesSecond University of Naples, CTO HospitalNaplesItaly

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