Korean J Otolaryngol-Head Neck Surg.  2002 Mar;45(3):289-292.

A Case of Recurrent Facial Palsy with Severe Hypertension due to Dysplastic Kidney and Renal Artery Aneurysm

• Kim BK
• Yoon YJ
• Kim CH
• Lim HS

Abstract

Facial paralysis was first described in a hypertensive patient by Moxon in 1869. Subsequently, there have been reports and facial palsy is mentioned as a rare feature of hypertension. Recently, we experienced a case of recurrent facial paralysis in a severe hypertensive child. A 13-month-old boy was admitted because of right peripheral facial paralysis. Two months ago, transarterial embolization of his left renal aneurysm with coils was performed due to left renal dysplasia and renal artery aneurysm. On admission, his blood pressure was 200/110 mmHg. He was treated conservatively with antihypertensive agents and his facial paralysis completely resolved during the next two months. One year later, he experienced facial paralysis again. He was admitted and treated with antihypertensive agents. And his paralysis resolved in the next two months. After his left nephrectomy, performed three years later, there was no additional episode of facial paralysis during the next seven years. We report this case with a brief review of literatures.

Keyword

Facial palsy; Severe hypertension

MeSH Terms

Aneurysm*
Antihypertensive Agents
Blood Pressure
Child
Facial Paralysis*
Humans
Hypertension*
Infant
Kidney*
Male
Nephrectomy
Paralysis
Renal Artery*
Antihypertensive Agents