Misdiagnosis of Facial Nerve Palsy: A Case Report of Sporadic Vestibular Schwannomas (Non-NFM2) Causing Facial Nerve Palsy Be Misled by Bell’s Palsy in a Child  

作　　者：Heba Şeyhibrahim Mona Jawish Allaa Shaikh Ibrahim Heba Şeyhibrahim;Mona Jawish;Allaa Shaikh Ibrahim(Altinbas Medical School, Altinbas University, Istanbul, Türkiye;Pediatric Emergency Department, Security Forces Hospital, Riyadh, Saudi Arabia;Alfaisal Medical School, Alfaisal University, Riyadh, Saudi Arabia)

机构地区：[1]Altinbas Medical School, Altinbas University, Istanbul, Türkiye [2]Pediatric Emergency Department, Security Forces Hospital, Riyadh, Saudi Arabia [3]Alfaisal Medical School, Alfaisal University, Riyadh, Saudi Arabia

出　　处：《Open Journal of Pediatrics》2023年第4期515-522,共8页儿科学期刊（英文）

摘　　要：We report a case of a rare sporadic Vestibular Schwannoma of a 9-month-old girl who had a right-sided lower motor type facial nerve palsy. The patient was initially diagnosed with Bell’s palsy and received steroid treatment accordingly, two months later the patient’s condition deteriorated, and further evaluation of CT and MRI brain was conducted that showed a mass lesion in the posterior fossa causing compression on the facial nerve. Misdiagnosis of facial nerve paralysis is common among children due to multiple related etiologies and varying rates of incidence in comparison to adults. The authors hope to address this issue in this report. Background: Facial nerve paralysis has been a matter of concern for many researchers to understand its nature, causes and presentation according to different age groups. In adults, Bell’s palsy (BP), the idiopathic form of facial nerve paralysis, is more common compared to children where most cases are due to secondary etiologies. Therefore, pediatricians are in an important position to identify these patients early in order to launch the most effective diagnostic and treatment approaches.We report a case of a rare sporadic Vestibular Schwannoma of a 9-month-old girl who had a right-sided lower motor type facial nerve palsy. The patient was initially diagnosed with Bell’s palsy and received steroid treatment accordingly, two months later the patient’s condition deteriorated, and further evaluation of CT and MRI brain was conducted that showed a mass lesion in the posterior fossa causing compression on the facial nerve. Misdiagnosis of facial nerve paralysis is common among children due to multiple related etiologies and varying rates of incidence in comparison to adults. The authors hope to address this issue in this report. Background: Facial nerve paralysis has been a matter of concern for many researchers to understand its nature, causes and presentation according to different age groups. In adults, Bell’s palsy (BP), the idiopathic form of facial nerve paralysis, is more common compared to children where most cases are due to secondary etiologies. Therefore, pediatricians are in an important position to identify these patients early in order to launch the most effective diagnostic and treatment approaches.

关 键 词：Emergency Medicine Facial Never Palsy Bell’s Palsy INFANTS the Pediatric Vestibular Schwannoma 

分 类 号：R73[医药卫生—肿瘤]