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Quiz Case 2
Roy Amir, MD;
Nancy Young, MD
Chicago, Ill
Arch Otolaryngol Head Neck Surg. 2001;127:213-216.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 5-YEAR-OLD boy presented with a complaint of left-sided facial weakness.
His parents reported a history of slowly progressive facial asymmetry that
had begun when he was approximately 1 year old. A magnetic resonance imaging
scan of the brain had been performed at the request of the referring physician
and was reported to show no abnormalities.
Physical examination revealed very slight forehead movement, mouth asymmetry
with maximal effort, and the ability to close the left eye only with maximum
effort (House-Brackmann grade 3). There were no other neurologic abnormalities,
and the findings of the rest of the head and neck examination were normal.
The results of initial laboratory assessment, including erythrocyte sedimentation
rate; Lyme, antinuclear antibody, and fluorescent treponemal antibody titers;
and audiography, were all normal or negative. A computed tomographic scan
of the temporal bone was obtained (Figure
1 and Figure 2. . . [Full Text of this Article]
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