Ekvivalent: Reverzibilna lezija facijalnog živca tijekom putovanja zrakoplovom

professional thesis

• Author: Kristina Mikuš
• Mentor: Damir Petravić (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2023-10-25, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Neurology

Abstract

BACKGROUND: Facial baroparesis is reversible palsy of the facial nerve that may occur due to a pressure change in the middle ear when ascending in an airplane or during scuba diving. The objective is to present a rare case of facial paresis during airplane travel.

CASE REPORT: We report a 49-yr-old female patient who presented with a 30-min episode of transient right facial paresis with loss of taste during airplane travel. Brain magnetic resonance imaging (MRI) showed a small left parietal developmental venous anomaly, extensive inflammation of the paranasal sinuses, which were almost completely obstructed with thickened mucosa and mastoid cell secretion bilaterally. Nasal decongestants and antibiotics were prescribed. No new neurological signs or symptoms were noticed.

DISCUSSION: Reversible facial baroparesis due to the pressure change in the middle ear should be considered in cases where present medical history includes ascent/airplane takeoff or prolonged diving and should not be mistaken for transitory ischemic attack.

Abstract (croatian)

Facijalna baropareza uzrokovana je lezijom nervusa facijalisa usljed promjena tlaka u srednjem uhu za vrijeme leta zrakoplovom ili ronjenja.
Prikazana je 49-to godišnju pacijenticu s brojnim komorbiditetima koja je razvila tranzitornu desnostranu perifernu facioparezu za vrijeme međunarodnog zrakoplovnog leta. Navedeno je bilo razlogom prizemljenja i hospitalne dijagnostičke obrade pod sumnjom na akutni cerebrovaskularni incident. Obrada uključujući magnetsku rezonacu glave s angiografijom nije pokazala neurološkog patomorfološkog korelata već opsežne upalne promjene paranazalnih šupljina. Nazalni dekongestivi i antibiotici su bili propisani. Tijekom hospitalizacije i praćenja godinu dana nisu opservirani novi neurološki simptomi niti znakovi.Reverzibilnu facijalnu parezu, kada okolnosti nastanka uključuju let zrakoplovom ili ronjenja tijekom profesionalnih ali i neprofesionalnih aktivnosti, posljedičnu barotraumi facijalnog živca potrebno je diferencijalno dijagnostički razlikovati od tranzitorne ishemijske atake.

• Keywords: peripheral facial nerve palsy; airplane; Eustachian tube dysfunction; facial baroparesi; facial nerve
• Keywords (english): periferna paraliza facijalnog živca; zrakoplov; disfunkcija Eustahijeve cijevi; facijalna baropareza; facijalni živac
• Language: english
• URN:NBN: urn:nbn:hr:105:734895
• Study programme: Title: Neurology; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra neurologije (sveučilišni/a magistar/magistra neurologije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-02-08 09:15:25