A Case of Recurrent Facial Palsy with Severe Hypertension due to Dysplastic Kidney and Renal Artery Aneurysm.
- Author:
Beom Kyu KIM
1
;
Yong Joo YOON
;
Chang Hyun KIM
;
Hyun Sil LIM
Author Information
1. Department of Otorhinolaryngology, College of Medicine, Chonbuk National University, Chonju, Korea.
- Publication Type:Case Report
- Keywords:
Facial palsy;
Severe hypertension
- MeSH:
Aneurysm*;
Antihypertensive Agents;
Blood Pressure;
Child;
Facial Paralysis*;
Humans;
Hypertension*;
Infant;
Kidney*;
Male;
Nephrectomy;
Paralysis;
Renal Artery*
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2002;45(3):289-292
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Facial paralysis was first described in a hypertensive patient by Moxon in 1869. Subsequently, there have been reports and facial palsy is mentioned as a rare feature of hypertension. Recently, we experienced a case of recurrent facial paralysis in a severe hypertensive child. A 13-month-old boy was admitted because of right peripheral facial paralysis. Two months ago, transarterial embolization of his left renal aneurysm with coils was performed due to left renal dysplasia and renal artery aneurysm. On admission, his blood pressure was 200/110 mmHg. He was treated conservatively with antihypertensive agents and his facial paralysis completely resolved during the next two months. One year later, he experienced facial paralysis again. He was admitted and treated with antihypertensive agents. And his paralysis resolved in the next two months. After his left nephrectomy, performed three years later, there was no additional episode of facial paralysis during the next seven years. We report this case with a brief review of literatures.