Multiple Sclerosis Initially Presenting as Facial Palsy

Author: Eric P. Critchley

Source: Aviation, Space, and Environmental Medicine, Volume 75, Number 11, November 2004 , pp. 1001-1004(4)

Publisher: Aerospace Medical Association

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Abstract:

Critchley EP. Multiple sclerosis initially presenting as facial palsy. Aviat Space Environ Med 2004; 75:1001–1004.

A case of multiple sclerosis initially presenting as a facial palsy is presented. A 35-yr-old U.S. Air Force aviator developed a purely right-sided facial palsy with no sensory abnormalities. She had no other neurologic findings except for a barely perceptible loss of coordination in her right upper extremity. Subsequent brain MRI revealed multiple white matter lesions. Further history and laboratory analysis confirmed multiple sclerosis. This case underscores the potential for multiple sclerosis to mimic other more benign conditions and the need for clinicians to carefully examine patients presenting with new neurologic abnormalities. The diagnosis and treatment of multiple sclerosis as well as military aviation policy regarding multiple sclerosis patients is discussed.

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Keywords: facial paralysis; MRI

Document Type: Research article

Publication date: 2004-11-01

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The peer-reviewed monthly journal, Aviation, Space, and Environmental Medicine (ASEM) provides contact with physicians, life scientists, bioengineers, and medical specialists working in both basic medical research and in its clinical applications. It is the most used and cited journal in its field. ASEM is distributed to more than 80 nations.
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