Barba PSA, Camacho PMA, Ramírez AC, Cano JGZ, Ávila FF

Language: Spanish
References: 14
Page: 337-343
PDF size: 126.65 Kb.

ABSTRACT

Introduction: 14 months-old female Patient referred due to left facial paralysis from the birth, manifested by a deviation of the labial comissure and ptosis palpebral accented with crying. No associate malformations were evident.
Materials and method: Magnetic Resonance of the cranium was carried out , simultaneously with a FIESTA 3D pulse imaging sequence for evaluating VII and VIII cranial pairs to cistern and intra channeled level, showing absence of the facial left nerve from emergency in the recess, showing only vestibulocochlear nerve.
Discussion and conclusion: Facial paralysis causes are of two main types: the traumatic ones and embryonary-pathological ones. The embrionary pathological have been associated to a syndrome called syndrome of Moebius that consists on a congenital facial paralysis that is generally bilateral and less frequent unilateral, not interfering with the inferior half of the face and paralysis of the IV pair. It is commonly associated to other anomalies in limbs, absence of pectoralis major muscle and impairment of other cranial pairs with impossibility of ocular closing. It is concluded that the FIESTA 3D sequence is very useful for the evaluation of the cranial pairs, and of the integrity of the facial nerve.

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