Document Detail


Facial palsy and fallopian canal expansion associated with idiopathic intracranial hypertension.
MedLine Citation:
PMID:  17667777     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Describe neurotologic findings associated with idiopathic intracranial hypertension (IIH). STUDY DESIGN: Retrospective. SETTING: Tertiary referral center. PATIENTS: Case of IIH (>250 mm water) presenting with unilateral facial palsy and enlargement of the fallopian canal on computed tomography and magnetic resonance imaging. INTERVENTION(S): Oral acetazolamide, corticosteroids, and cerebrospinal fluid drainage. MAIN OUTCOME MEASURE(S): Intracranial pressure measurement, cranial nerve examination, audiometry, and symptom assessment. RESULTS: Audiometry revealed asymmetric sensorineural hearing loss. Enlargement of the fallopian canal with cerebrospinal fluid was evident on imaging studies. Partial resolution of IIH symptoms was achieved. CONCLUSION: IIH is an enigmatic disease entity. Increased intracranial pressure usually presents with headache and pulsatile tinnitus and is occasionally associated with cranial neuropathies. Abducens palsy is most common, producing diplopia. Cranial nerve involvement is often asymmetric, producing false localizing signs. Facial paralysis is an uncommon sequela of IIH. Treatment of IIH consists of reducing intracranial pressure. Corticosteroids are recommended for treatment of facial paralysis.
Authors:
Derald E Brackmann; Joni K Doherty
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology     Volume:  28     ISSN:  1531-7129     ISO Abbreviation:  Otol. Neurotol.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-01     Completed Date:  2007-10-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100961504     Medline TA:  Otol Neurotol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  715-8     Citation Subset:  IM    
Affiliation:
House Clinic and House Ear Institute, Los Angeles 90057, and University of California, San Diego, Division of Otolaryngology-Head & Neck Surgery, La Jolla, California, USA. dbrackmann@hei.org
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MeSH Terms
Descriptor/Qualifier:
Acetazolamide / therapeutic use
Child
Diagnosis, Differential
Facial Paralysis / complications*,  diagnosis
Geniculate Ganglion / physiopathology,  radiography*
Hearing Loss, Bilateral / complications,  diagnosis
Humans
Intracranial Hypertension / complications*,  diagnosis,  drug therapy
Male
Papilledema / complications,  diagnosis
Pseudotumor Cerebri / diagnosis,  physiopathology
Retrospective Studies
Chemical
Reg. No./Substance:
59-66-5/Acetazolamide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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