A 21-year-old male presented to the emergency department with the complaint of brief episodes of vertigo, nausea and vomiting, for a day. On lying still, his vertigo reduced. History Remarkable for pneumonia and traumatic spinal fracture from which the patient had fully recovered. Examination No paresis, paresthesia, loss of balance, blurred vision, lack of coordination or bladder problems. Otolaryngology examination: normal, except a slight drop of right corner of the mouth.
Upon further examination: He was not able to furrow his right forehead. Complained of right-side tinnitus Numbness of the right-side of the face Eye-closing produced the “sign of eyelashes” (incomplete eye closure). After a day of admission, vertigo and nausea had stopped. Hence, the diagnosis of peripheral seventh nerve palsy was made, and steroid treatment was started. Investigation The clinicians, however,…
