An Adolescent with a Suddenly Developed Mask Face

Year 2019, Volume: 20 Issue: 3, 247 - 250, 30.12.2019

Pınar Uysal Murat Telli , Yasemin Turan Aylin Eryılmaz , Yasemin Durum Polat , Ayşe Tosun

Abstract

A 13-year-old adolescent girl with symptoms of fever, headache, vomiting and suddenly developed stroke at face admitted to emergency department. On her physical examination, exudative tonsillitis, bilateral facial palsy (BFP), and meningeal irritation signs were detected. The diagnosis of meningitis was excluded by normal lomber puncture. Acute Epstein-Barr virus (EBV) infection was diagnosed by a positive Monospot test and high EBV early antigen immunoglobulin M titers. In cranial diffusion magnetic resonance imaging pathological contrast enhancement of left facial nerve was detected. Complete axonal degeneration at left half of face and mild axonal degeneration at right half of face were detected in electroneuromyography. She partially recovered from BFP after a year of duration despite extensive physical exercise programme.

Keywords

Adolescent , facial palsy , Epstein-Barr virus , sequelae

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