A Case of Acute Myelogenic Leukemia Accompanying Facial Nerve Paralysis.
- Author:
Sayong CHAE
1
;
Chi Jun SONG
;
He Il NOH
;
Han Seung IM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. nhil@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Leukemia;
Temporal bone;
Facial nerve paralysis
- MeSH:
Adolescent;
Diagnosis;
Drainage;
Drug Therapy;
Earache;
Facial Nerve*;
Facial Paralysis;
Hearing Loss, Mixed Conductive-Sensorineural;
Humans;
Intracranial Hemorrhages;
Leukemia*;
Leukemic Infiltration;
Male;
Paralysis*;
Temporal Bone;
Tinnitus;
Vertigo
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1999;42(1):106-109
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Leukemic involement of the temporal bone is not uncommon, but facial paralysis is rare as the presenting sign. A 16-year-old boy suddenly developed otalgia, facial nerve paralysis, tinnitus and vertigo. Four months ago, acute myelogenic leukemia was detected and chemotherapy was done with incomplete resolution. The initial examination revealed facial nerve paralysis, mixed hearing loss, spontaneous nystagmus but peripheral blood picture was normal. On the fourth hospital day, simple mastoidectomy was performed for drainage and diagnosis. The harvested tissue showed leukemic infiltration and subsequent peripheral blood picture revealed immature cells. Patient refused further evaluation and chemotherapy, and three months later he died of intracranial hemorrhage. We report a case of acute myelogenic leukemia with facial nerve paralysis.
