To our knowledge this is the first report of a patient with infectious mononucleosis associated with a mononuclear granulomatous mastoiditis and facial paralysis.
Pathologic examination of tissue from this patient, removed at the time of radical mastoidectomy, provides a basis for further speculation about the relationship between facial paralysis and infectious mononucleosis.
Michel RG, Pope TH, Patterson CN. Infectious Mononucleosis, Mastoiditis, and Facial Paralysis. Arch Otolaryngol. 1975;101(8):486-489. doi:10.1001/archotol.1975.00780370028010