Facial neuritis

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis almost certain

Presentation

Left facial palsy since 5 days.

Patient Data

Age: 50 years.
Gender: Male
mri

Prominent thickening with increased enhancement of the cisternal, tympanic and mastoid segments of the left facial nerve compared to the right one. The clinical and MRI features are suggestive of left facial neuritis. 

Case Discussion

Facial neuritis (Bell's palsy) is essentially a clinical diagnosis with acute onset unilateral facial paralysis. MRI may be used as an additional tool for assessment. The cisternal segment of the facial nerve that seen within the cerebellopontine angle must normally show any enhancement.

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