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Case Reports
. 2013 Aug 20:2013:bcr2013200188.
doi: 10.1136/bcr-2013-200188.

Unusual delayed presentation of head trauma complicating outcome of facial nerve decompression surgery

J S Thakur  1 , Vidya Shekar, Manika Saluja, N K Mohindroo
Affiliations
Case Reports

Unusual delayed presentation of head trauma complicating outcome of facial nerve decompression surgery

J S Thakur et al. BMJ Case Rep. .

Abstract

Late presentation of head trauma is rare. A young boy presented with a traumatic facial paralysis after head trauma. A CT scan of the head showed temporal bone fracture without intracranial insult. Facial nerve decompression was performed and paralysis started improving. However, he presented with vertigo and sensorineural hearing loss after 2 months. Clinical examination also showed cerebellar sign. We suspected iatrogenic injury to the cochlea; however, brain MRI showed haemorrhage in the area of anterior inferior cerebellar artery. The patient was managed conservatively and the vertigo improved. This case stresses on unusual late presentation of head trauma and cerebellar artery injury that complicated the outcome of facial nerve paralysis.

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Figures

Figure 1
Figure 1
CT scan of the head showing longitudinal fracture of temporal bone.
Figure 2
Figure 2
MRI of the brain showing haemorrhage in the area of anterior–inferior cerebellar artery in the cerebellum.
Figure 3
Figure 3
MRI of the brain showing haemorrhage in the area of anterior inferior cerebellar artery in the cerebellum.
See this image and copyright information in PMC

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