Pontine Hemorrhage Presenting as an Isolated Facial Nerve Palsy

We report a case of an isolated facial nerve palsy in a young, otherwise healthy man who was found to have a pontine hemorrhage on computed tomography. Pontine hemorrhage is a rare cause of facial nerve palsy and has been reported in the literature as an isolated neurologic finding in only 1 other i...

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Bibliographic Details
Published in:Annals of emergency medicine 2005-07, Vol.46 (1), p.64-66
Main Authors: Sherman, Scott C., Thompson, Trevonne T.
Format: Article
Language:English
Subjects:
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology
Facial Paralysis - etiology
Female genital diseases
Follow-Up Studies
Gynecology. Andrology. Obstetrics
Hemangioma, Cavernous - complications
Hemangioma, Cavernous - diagnosis
Hemangioma, Cavernous - therapy
Humans
Intensive care medicine
Intracranial Hemorrhages - complications
Intracranial Hemorrhages - diagnosis
Intracranial Hemorrhages - therapy
Male
Medical sciences
Non tumoral diseases
Pons
Traumas. Diseases due to physical agents
Treatment Outcome
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Summary:We report a case of an isolated facial nerve palsy in a young, otherwise healthy man who was found to have a pontine hemorrhage on computed tomography. Pontine hemorrhage is a rare cause of facial nerve palsy and has been reported in the literature as an isolated neurologic finding in only 1 other instance. This case reminds the emergency physician to remain vigilant for alternative causes of facial nerve palsy other than “idiopathic” Bell's palsy.
ISSN:0196-0644
1097-6760
DOI:10.1016/j.annemergmed.2004.12.008