Ekuma ME,Ndubuisi  CA,Mezue  W,Ohaegbulam  SC,Ndafia  MN,
Bilateral Post Traumatic Facial Nerve Palsy Presenting as Dysarthria: A Case Report
Global Surgery Case Reports
2020
2733-2535
http://dx.doi.org/10.31487/j.GSCR.2020.01.07
https://www.sciencerepository.org/bilateral-post-traumatic-facial-nerve-palsy-presenting-as-dysarthria_GSCR-2020-1-107 
Abstract: Bilateral traumatic facial nerve palsy (FNP) is rare and can present with distressing features. We report a
23-year-old male final year medical student with a 10-day history of speech difficulty following a passenger
motorcycle road traffic accident. Physical examination showed a fully conscious young man whose only
neurological deficit was bilateral lower motor neuron facial nerve palsy (House and Brackmann grade IV)
and difficulty pronouncing plosives. A high-resolution temporal bone CT showed a right longitudinal
temporal bone fracture. There was no temporal bone fracture on the left side. Brain MRI was normal. He
had complete recovery of facial nerve function on conservative management 6 months after the injury.
Keywords: Dysarthria, facial nerve paralysis, trauma, temporal bone fracture