Abstract
Bilateral facial paralysis is an unusual clinical entity that occurs in less than 1% of patients with facial paralysis. In children bilateral facial paralysis is even more rare, and establishing its etiology can be challenging. Four pediatric patients ranging in age from 3 to 17 years are presented who developed bilateral facial paralysis as a result of acute otitis media, Lyme disease, recurrent central nervous system leukemia, and acute disseminated encephalomyelitis. The diagnosis and treatment of pediatric bilateral facial paralysis are reviewed, as well as the pertinent literature.
MeSH terms
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Acute Disease
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Adolescent
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Central Nervous System Neoplasms / complications
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Central Nervous System Neoplasms / drug therapy
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Central Nervous System Neoplasms / radiotherapy
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Child
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Child, Preschool
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Encephalomyelitis, Acute Disseminated / complications
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Facial Paralysis / diagnosis
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Facial Paralysis / etiology*
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Facial Paralysis / therapy
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Female
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Humans
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Lyme Disease / complications
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Lyme Disease / drug therapy
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Male
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Neoplasm Recurrence, Local
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Otitis Media with Effusion / complications
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Otitis Media with Effusion / drug therapy
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / complications
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / drug therapy
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / radiotherapy
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Streptococcal Infections
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Streptococcus pyogenes