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Chronic Pachymeningitis and Bilateral Facial Paralysis Secondary to Renal Osteodystrophy
Vikram Shenoy, MS;
John S. Oghalai, MD
Arch Otolaryngol Head Neck Surg. 2008;134(3):324-326.
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INTRODUCTION
Heterotopic calcification can occur as a result of secondary or tertiary hyperparathyroidism.1 Herein we describe a patient with end-stage renal disease who has had several episodes of facial palsy bilaterally. Clinical evaluation, medical testing, radiographic imaging, and, finally, surgery revealed facial nerve compression secondary to dural calcification. An extensive literature search demonstrated that dural calcifications resulting in facial paralysis has not been previously described to our knowledge.
REPORT OF A CASE
A 17-year-old adolescent girl with end-stage renal disease presented 1 week after the sudden onset of bilateral facial paralysis. The patient was initially diagnosed as having focal glomerulosclerosis at 2 years of age and had been receiving hemodialysis since 6 years of age. During the previous 3 years, she had 3 episodes of painless facial palsy on her right side and 1 episode on her left side, all of which resolved within 3 weeks with the . . . [Full Text of this Article]
COMMENT
AUTHOR INFORMATION
Author Affiliations: Bobby R. Alford Department of Otolaryngology–Head and Neck Surgery, Baylor College of Medicine, Houston, Texas.
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