Unusual presentation of progressive metastatic disease in temporal bone resulting in facial paralysis.

Roopa Patil 1, Hogir Aldawoody 2, *, Ashwini Wagangeri 3, Nikita Kulgod 4 and Basavaraj S. 3

1 General Medicine Department, Southampton General Hospital, Southampton, UK.
2 Emergency Medicine Department, St. Mary’s Hospital, Newport, Isle of Wight. UK.
3 ENT Department, St. Mary’s Hospital, Newport, Isle of Wight. UK.
4 Pediatric Department, Royal Oldham Hospital, Oldham. UK.
 
Case Report
World Journal of Biology Pharmacy and Health Sciences, 2024, 20(01), 001–004.
Article DOI: 10.30574/wjbphs.2024.20.1.0681
Publication history: 
Received on 16 August 2024; revised on 28 September 2024; accepted on 30 September 2024
 
Abstract: 
Metastatic disease in temporal bones are extremely rare. Based on the location of metastatic disease, the symptoms can vary from incidental findings with no symptoms to hearing loss and facial weakness. When symptoms and signs co-relate it will not be difficult for clinical diagnosis. When symptoms and signs are intermittent, investigation does not support clinical diagnosis. It will be extremely difficult to manage a patient symptoms and their expectations, especially when there are no signs to support clinical symptoms during consultation. We present a rare case of very small metastatic deposit in temporal bone causing facial palsy, which only became evident over few weeks and diagnosis was only possible with surgical exploration.
 
Keywords: 
Facial Palsy; Metastatic Disease; Mastoiditis; Cancer; Earache; Temporal Bone.
 
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