Parálisis Facial secundaria a Sinusitis

Abstract

This clinical case is about a patient of 12 years old born and resident in Ambato, student of seventh level with personal history of facial paralysis in treatment with prednisone and acyclovir in short cycle, no improvement of symptoms; so he went to pediatric with respiratory symptoms and worsening of previous clinical. So he is admitted to hospital to inpatient treatment; when income is observed an alert and oriented patient with coherent language, left eyelid incomplete occlusion, deviation of lip commissure to the right, sore spots in maxillary and front positive, systolic murmur grade 2, decreased of proximal and distal strength are not observed, tendon reflexes are normal. In laboratory studies we see elevation of leukocytes and neutrophils, in imaging Rx of Watters we can see opacification in maxillary area , CT and MNR of skull are normal. We started hospital therapy with hydration, analgesia, antibiotics, corticosteroids, mists, antihistamines and physiotherapy for 4 days, We see improvement of the patient, discarding intracerebral pathology and indicating hospital discharge of pediatrics and rehabilitation. In process for outpatient we see clinical improvement, continuing with antihistamines and corticosteroids, and in home visit we see complete disappearance of clinical without any neurological, infectius, functional and psychological disturbance .