A 15-year-old girl presented with a 2-week history of progressive facial palsy on the right side. No other otologic symptoms were identified. Physical examination revealed only a facial palsy, which was classified as House-Brackmann scale grade V. There were no signs of involvement of other cranial nerves. The findings of otoscopy and palpation of the parotid gland were normal. Audiometry showed a normal hearing threshold and an absent stapedial reflex in the right ear. The patient was treated with oral dexamethasone acetate and acyclovir, with no clinical improvement.
Olivetti IP, Gebrim EMS, Monteiro TA, Neto RVDB, Bento RF. Radiology Quiz Case 3. Arch Otolaryngol Head Neck Surg. 2012;138(1):93. doi:10.1001/archoto.2011.222-a