Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Peripheral Facial Nerve Palsy Following Ventriculoperitoneal Shunting in an Infant Publisher Pubmed



Golpayegani M1 ; Habibi Z2 ; Rabbani Anari M3 ; Nejat F2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Neurosurgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Department of Neurosurgery, Children’s Medical Center, Tehran University of Medical Sciences, Gharib street, Tehran, 141557854, Iran
  3. 3. Department of Otorhinolaryngology, Children’s Medical Center, Tehran University of Medical Sciences, Gharib street, Tehran, 141557854, Iran

Source: Child's Nervous System Published:2020


Abstract

Peripheral facial palsy due to injury to the extracranial segment of facial nerve following ventriculoperitoneal (VP) shunting has been reported in a few adults or adolescents. Herein, we present a case of iatrogenic facial nerve palsy secondary to VP shunt insertion in a 20-month infant. To the best of our knowledge, this is the first infantile case to be ever reported in the literature. Regarding the postnatal development of the mastoid and styloid process, the underdeveloped bony structures may render extracranial part of the facial nerve more vulnerable to blunt trauma. The lesson can be learned from this case is that tunneling procedure should be done with caution in pediatric age group especially around the mastoid area. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.