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Clinical Problem Solving: Radiology
Jan 2012

Radiology Quiz Case 3

Arch Otolaryngol Head Neck Surg. 2012;138(1):93. doi:10.1001/archoto.2011.222-a

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.