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- Title
Facial Nerve Paralysis Following Endovascular Embolization: A Case Report and Review of the Literature.
- Authors
Feng, Austin Y.; Jin, Michael C.; Wong, Sandy; Pepper, Jon-Paul; Jackler, Robert; Vaisbuch, Yona
- Abstract
Objective: We report a case of facial nerve paralysis post-endovascular embolization of a sigmoid sinus dural arterio-venous fistula from initial presentation to current management and discuss the merits of observation versus decompression through a systematic review of relevant literature. Patient: 61 F with right facial palsy. Intervention: Following a single intravenous dexamethasone injection with oral steroids over 2 months, patient was observed with no additional treatment other than Botox chemodenervation and facial rehabilitation. Outcome and Results: The patient initially presented with complete right facial palsy (HB 6/6). Post-op CT imaging indicated Onyx (ev3, Irvine, California, USA) particles present at the geniculate segment of the facial nerve. Observation was chosen over surgical intervention. At the most current follow up of 8 months, facial function has improved substantially (HB 2/6). Conclusion: Facial palsy is a serious, though rare, complication of transarterial endovascular embolization. With our case report and literature review, we highlight not only how conservative observation is the recommended treatment, but also that facial nerve recovery should be expected to reach near complete recovery, but not sooner than in 3 months.
- Subjects
TREATMENT of facial paralysis; BOTULINUM toxin; DENERVATION; SYSTEMATIC reviews; DEXAMETHASONE; STEROIDS; ORAL drug administration; THERAPEUTIC embolization; FACIAL paralysis; ARTERIOVENOUS fistula; FACE; T-test (Statistics); CHI-squared test; ENDOVASCULAR surgery; INTRAVENOUS injections; COMPUTED tomography; CRANIAL sinuses; RARE diseases; DISEASE risk factors; SYMPTOMS
- Publication
Annals of Otology, Rhinology & Laryngology, 2021, Vol 130, Issue 7, p848
- ISSN
0003-4894
- Publication type
Article
- DOI
10.1177/0003489420966611