Korean J Otolaryngol-Head Neck Surg.  1999 Jan;42(1):106-109.

A Case of Acute Myelogenic Leukemia Accompanying Facial Nerve Paralysis

• Chae S
• Song CJ
• Noh HI
• Im HS

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.

Keyword

Leukemia; Temporal bone; Facial nerve paralysis

MeSH Terms

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