Epstein Barr Virus Facial Nerve Palsy
Epstein Barr Virus Facial Nerve Palsy
A previously well 33-year-old man was admitted to hospital with a 2-week history of intermittent fever and inguinal lymphadenopathy and a 2-day history of jaundice. Acute hepatitis due to Epstein-Barr virus (EBV) infection was diagnosed based on a positive Paul-Bunnell test result and EBV immunoglobulins G and M and exclusion of other causes (see supplementary data). He was managed ...
17.Vogelnik K, Matos A. Facial nerve palsy secondary to Epstein-Barr virus infection of the middle ear in pediatric population may be more common than we think.
Jul 2, 2025
Mar 28, 2025
The aim of this article is to alert clinicians that AOM induced facial nerve palsy secondary to an acute EBV infection in the pediatric population is very likely more common than originally thought. To our knowledge until the present case series, only 2 cases of AOM induced facial nerve palsy second …
A 25-year-old man with infectious mononucleosis caused by Epstein-Barr virus infection developed facial nerve palsy. He was admitted to the hospital due to prolonged fever with liver enzyme elevation...
Abstract We encountered a case of a 21-year-old female presenting with unilateral peripheral facial nerve palsy, initially suspected to be triggered by Epstein-Barr virus (EBV) infection. The patient initially complained of numbness in both lower extremities, progressing to difficulty with mobility by day two, leading to emergency admission.
Facial nerve paralysis is a common problem that involves the paralysis of any structures innervated by the facial nerve. The pathway of the facial nerve is long and relatively convoluted, so there are a number of causes that may result in facial nerve paralysis. [2]
The facial nerve starts in your brainstem and travels through the temporal bone, which is the bone where your ear sits. When the virus reactivates in the facial nerve, it causes swelling of the nerve. The nerve is compressed by the surrounding temporal bone, which is thought to cause the facial paralysis.
Bilateral facial nerve palsy associated with EpsteineBarr virus infection CASE REPORT A previously well 33-year-old man was admitted to hospital with a 2-week history of intermittent fever and inguinal lymphadenopathy and a 2-day history of jaundice. Acute hepatitis due to Epstein Barr virus (EBV) infection was diag-
Bilateral facial nerve palsy is a rare and sometimes difficult diagnosis. We describe a case of bilateral simultaneous facial nerve palsy associated with Epstein-Barr virus (EBV) infection in a 3-year-old boy.
Some viruses associated with Bell palsy are those that cause cold sores (herpes simplex virus), chickenpox/shingles (varicella zoster virus), mononucleosis (Epstein-Barr virus and cytomegalovirus), and respiratory infections (common cold viruses and influenza).
Mar 15, 2024
Epstein-Barr virus (EBV) is a human herpesvirus that is highly prevalent in all human populations studied. The initial infection is either asymptomatic or a self-limited febrile illness, but occasionally may be more severe and cause neurologic and systemic disease.
These complications include encephalitis, Guillain-Barré syndrome, aseptic meningitis, facial palsy, transverse myelitis and Bell's palsy. 1 - 3 EBV encephalitis is generally self-limited ...
May 15, 2025
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Jan 7, 2025
A case of bilateral simultaneous facial nerve palsy associated with an Epstein-Barr virus (EBV) infection in a 14-month-old girl is described. Diagnosis of the EBV infection was based on the presence of 7% atypical lymphocytes, EBV-DNA and seroconversion in the VCA-IgG antibody, an EBV-specific anti …
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May 15, 2025
Approximately 40% of the Epstein-Barr virus- (EBV- ) infection-associated facial nerve palsy cases are bilateral [13]. It has been well documented that acute EBV infections in the pediatric age group cause FNP, but few cases have been reported in the adult population [14].
Keywords: bilateral facial palsy, COVID‐19, Epstein-Barr virus, peripheral facial palsy, SARS‐CoV‐2 virus Bilateral facial palsy is a rare entity, accounting for 0.3 to 2% of all peripheral facial palsies. It can be caused by infections, inflammatory disorders (sarcoidosis), brainstem neoplasias, or can be idiopathic (bilateral Bell's ...
Case Report: This report describes the case of a male infant of 23 months of age with peripheral facial paralysis due to Epstein-Barr virus (EBV) upper respiratory infection. A hemogram showed the presence of leukocytosis and lymphocytosis, and a peripheral blood smear indicated the presence of stimulated lymphocytes.
Mar 28, 2025
She underwent partial superficial parotidectomy to obtain definitive histopathology, which was reported as suggestive of acute Epstein Barr infection. A subsequent quantitative Epstein-Barr Virus (EBV) PCR clinched the diagnosis four weeks after her initial presentation. She was stared on oral Valgancyclovir and her facial nerve showed recovery.
Epstein-Barr virus (EBV) affects approximately 90% of the global population, yet many don't realize it can cause serious neurological complications. From brain fog to neuropathy, EBV-related neurological symptoms are often misdiagnosed. This 2025 guide explains the neurology behind EBV and evidence-based management strategies.
COVID-19 can occasionally be associated with cranial nerve involvement, but facial palsy, particularly if bilateral, is exceptional. We here report a patient who presented with severe bilateral facial palsy and evidence of SARS-CoV-2 infection preceded by upper respiratory symptoms. He also had sero …
We encountered a case of a 21-year-old female presenting with unilateral peripheral facial nerve palsy, initially suspected to be triggered by Epstein-Barr virus (EBV) infection. The patient initially complained of numbness in both lower ...
HHV-6 has been implicated in facial palsy (Kanerva 2013, Pitkäranta 2004), trochlear (fourth) nerve palsy (Papageorgiou 2014, Thierfelder 1997), and optic neuritis (Ogata 2011, Hino 2016, Moschettini 2006, Mechai 2007). HHV-6 has previously been detected in the trigeminal, geniculate, vestibular, and dorsal root ganglia (Hüfner 2007).
EBV-associated cranial neuropathies are rare and generally manifest as facial nerve mononeuritis, though multiple cranial nerves may rarely be affected. 35 Occasionally, oculomotor nerve palsy may manifest as the presenting symptom of primary EBV infection, with imaging demonstrating focal edema and enhancement at the root exit zone of the ...
Diagnosis was confirmed with a monospot test and Epstein-Barr virus antibody panel. The patient was managed conservatively with near total recovery of facial nerve function. This case demonstrates the need to consider infectious etiology prior to surgical intervention of a pediatric patient with facial nerve paresis and a parotid mass.
Sep 14, 2024
Dec 27, 2024
The nerve that controls facial muscles passes through a narrow corridor of bone on its way to the face. In Bell's palsy, that nerve becomes inflamed and swollen — usually related to a viral infection. Besides affecting facial muscles, the nerve affects tears, saliva, taste and a small bone in the middle of the ear.
Jun 17, 2025
Peripheral facial nerve palsy in children is considered to have a good prognosis. Keywords: Facial nerve paralysis, Clinical findings, Treatment, Prognosis Background The sudden onset of unilateral weakness of the upper and lower muscles of one side of the face is defined as peripheral facial nerve palsy (PFNP).
Bell's palsy symptoms include partial facial paralysis. Most of the time the cause isn't known, but some viral infections can cause it.
Neurological manifestations are uncommon, but include cranial nerve neuropathies. We describe a case of infectious mononucleosis in a pediatric patient who presented with a parotid mass and facial nerve palsy. Diagnosis was confirmed with a monospot test and Epstein-Barr virus antibody panel.
This report describes the case of an 18-year-old female who was diagnosed with Bell's palsy, a rare neurological complication of Epstein-Barr virus-associated infectious mononucleosis. This instance highlights a unique manifestation of facial nerve palsy, which is atypical in cases of mononucleosis. Categories: Neurology, Infectious Disease
neoplastic, traumatic, or metabolic. We describe the case of an 8-year-old girl with bilateral facial paralysis because of Epstein-Barr virus infection with late diagnosis and therapy. We discuss the differential diagnosis hypothesis, focusing on the different outcome and recovery times in relation to the timing of treatment....
COVID-19 can occasionally be associated with cranial nerve involvement, but facial palsy, particularly if bilateral, is exceptional. We here report a patient who presented with severe bilateral fac...
Feb 3, 2025
The direct cause of Bell's palsy is damage to a facial nerve. This can be triggered by an infection or, in rare cases, by leukemia or an autoimmune condition like sarcoidosis. The exact cause of Bell's palsy is often unknown. The majority of children recover or show significant improvement within 4 to 6 weeks. Most people show at least some recovery by 6 months.
Approximately 40% of the Epstein-Barr virus- (EBV- ) infection-associated facial nerve palsy cases are bilateral [13]. It has been well documented that acute EBV infections in the pediatric age group cause FNP, but few cases have been reported in the adult population [14].
In this context, facial nerve palsy with AOM associated with Epstein-Barr virus (EBV) infection has been rarely observed [5, 6]. Here, we describe a case of a previously healthy male child with acute onset of AOM-related facial nerve palsy associated with recent EBV infection.
What is Bell's palsy? Bell's palsy is a condition that causes sudden, temporary weakness or paralysis in the muscles on one side of the face. It happens because a nerve in your face gets damaged or swollen, affecting your facial expressions, taste, and tear production.
The case report presented a patient who was diagnosed with West Nile virus encephalitis and developed new onset of Bell's palsy within 8 days of diagnosis. Given the incidence of WNV, it would be beneficial to evaluate WNV‐infected patients for ...
Abstract We encountered a case of a 21-year-old female presenting with unilateral peripheral facial nerve palsy, initially suspected to be triggered by Epstein-Barr virus (EBV) infection. The patient initially complained of numbness in both lower extremities, progressing to difficulty with mobility by day two, leading to emergency admission.
Bell's palsy is the result of a malfunction of the facial nerve (cranial nerve VII), which controls the muscles of the face. Facial palsy is typified by an inability to move the muscles of facial expression. The paralysis is of the infranuclear/lower motor neuron type. It is thought that as a result of inflammation of the facial nerve, pressure is produced on the nerve where it exits the skull ...
Jul 17, 2025
Neurologic complications due to acute Epstein-Barr virus infection include acute encephalitis, cerebellar ataxia, cranial nerve palsies, and Guillain-Barré syndrome. Studies also show a high prevalence of Epstein-Barr virus seropositivity among patients with multiple sclerosis.
Bell's palsy or idiopathic facial palsy is the most common diagnosis of acute isolated peripheral facial palsy (PFP); however, other causative organisms and etiologies of PFP have been reported, such as herpes simplex, varicella zoster, Epstein-Barr virus, Borrelia burgdorferi, chronic otitis media, cholesteatoma, facial nerve schwannoma, and ...
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