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April 1966

Facial Diplegia

Author Affiliations

From the departments of surgery and psychiatry and neurology, Brooke General Hospital, Brooke Army Medical Center, Fort Sam Houston, Tex. Dr. Hora is now Assistant Professor of Otolaryngology at the University of Vermont College of Medicine, Burlington.

Arch Otolaryngol. 1966;83(4):329-331. doi:10.1001/archotol.1966.00760020331007

THIS UNUSUAL symptom may be the initial complaint of many diseases. The scarcity of such cases justifies this report.

Report of Case  A 37-year-old Negro woman was in good health until early April 1964, when she developed hoarseness, a nonproductive cough, and low-grade fever. About ten days later, bilateral tinnitus and retro-auricular pain began; the pain was worse on the left. After two days, total facial paralysis on the left side was noted. Results of examination at this time were negative except for a temperature of 101.4 F (38.5 C), total peripheral facial paralysis, and a white blood cell count (WBC) of 5,550 with 33 polys and 62 lymphocytes. Because of the temperature elevation, steroid therapy was not begun. Three days later the right side of the face became paralyzed, and the patient was admitted to the hospital.Past History.—Noncontributory except for history of syphilis treated previously by multiple

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