CASE REPORT
An unusual case of facial nerve palsy following soccer related minor head injury
1 General Surgery, Stobhill Hospital, Glasgow, Scotland, UK
2 Broadford Hospital, Skye, Scotland, UK
Correspondence to:
Correspondence to:
Dr Hanson
Broadford Hospital, Skye, Scotland, UK; jonathanhanson{at}btinternet.com
A 16 year old amateur soccer player sustained a minor head injury while contesting a ball in the air. He was unconscious for two minutes and remained "dizzy" for about an hour. After two days he developed a profound left lower motor neurone facial nerve palsy. He was found to have a complex fracture of the left petrous temporal bone, with fluid in the left middle ear and left mastoid. Treatment was conservative with oral steroids and oral co-amoxiclav and a left myringotomy to decompress his middle ear. The spectrum of aetiology, presentation, and prognosis for facial nerve injuries is discussed.
 View larger version (106K): [in a new window] Figure 1 Profound left lower motor neurone facial nerve palsy resulting in inability to close left eye. Reproduced with permission from the patient.
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Keywords: haemotympanum; delayed palsy; steroids; facial nerve palsy; head injury
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Br. J. Sports Med. 2006 40: 312.
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