Spontaneous Bilateral Facial Paralysis Secondary to Metastatic Breast Cancer

Jackson King, Farrukh R. Virani, Ryan Thomas, Lane Squires

Research output: Contribution to journalArticlepeer-review

Abstract

Sudden onset, bilateral facial paralysis is a rare clinical entity, representing less than 2% of all diagnoses of facial nerve paralysis. The differential for these patients is necessarily broad and includes numerous etiologies. Metastatic breast carcinoma to the bilateral parotid glands is also exceedingly rare with only 2 reported case reports noted in the literature, neither of which demonstrated facial nerve paralysis. Here, we report the only known occurrence of a patient presenting with synchronous bilateral facial nerve paralysis secondary to metastatic breast carcinoma to the bilateral parotid glands. This exceedingly rare clinical presentation was further confounded by the presence of autoimmune antibodies, highlighting the importance of the diagnostic process and maintaining broad clinical suspicion.

Original languageEnglish (US)
JournalEar, Nose and Throat Journal
DOIs
StateAccepted/In press - 2021

Keywords

  • bilateral
  • breast carcinoma
  • facial paralysis
  • metastasis
  • parotid gland

ASJC Scopus subject areas

  • Otorhinolaryngology

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