Open Access Case Report

Nerves Paralysises Associated to Nasal Obstruction: What is Your Diagnosis??

Ilham Rkain1,2*, Safaa Touihmi1, Rachidi Alaoui Siham1,3 and Hicham mimouni4

1Department of otorhinolaryngology, Head and Neck Surgery, university hospital, Tangier, Morocco

2Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Saadi University, Tétouan, Morocco

3Department of radiology, university hospital, Tanger, Morocco

4Department of otorhinolaryngology, Head and Neck Surgery, Al kortobi hospital, Tangier, Morocco

Corresponding Author

Received Date: August 07, 2020;  Published Date: September 01, 2020

Abstract

A 60-year-old man presented with complaints of nasal obstruction (left side), smell disorder, headache and neuralgia on the left side of his face for 2 years, ptosis and diplopia followed by reduction vision of the left side. The patient was treated in another institution with antibiothiques and antituberculous drugs. After two weeks, the treatment was stopped because of the deterioration of the neurologic status, and the appearance of new symptoms such as mouth opening limitation, dyspnea, difficulty of swallowing (dysphagia) and cerebellar syndrome. So, all cranial nerves at the left side were dysfonctionnal. At the onset of these symptoms, tomography computed of the head was done, what is your diagnosis??

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