Bilateral Facial Palsy in Wegener’s Granulomatosis
Peripheral facial paralysis has often been described in systemic diseases such as diabetes mellitus, hypothyroidism, periarteritis nodosa, Sarcoidosis, Takayasu’s arteritis, and Wegener’s granulomatosis (wa) . However, this cranial nerve palsy occurs generally in patients with advanced disease and rarely marks the beginning of the clinical course . We describe a patient who had WG with unilateral facial nerve palsy as the initial symptom. His audiogram demonstrated bilateral both air and bone conduction deficits. The evolution also involved the other side with bilateral facial palsy and he became profoundly deaf. Wegener’s granulomatosis usually presents to the otolaryngologist with nasal manifestations, but peripheral nervous system symptoms can occur by chance in the clinical onset. This disease without treatment will proceed to death, while early recognition and proper treatment can induce long-lasting remissions. Thus, it becomes necessary for head and neck clinicians to become familiar with symptoms of the initial stage of the disease since they must help secure a proper diagnosis, particularly through biopsies when indicated .
KeywordsIschemia Sedimentation Cyclophosphamide Prednisone Prednisolone
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