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ES Journal of Clinical Medicine

ISSN: 2768-010X

Nerves Paralysises Associated to Nasal Obstruction : What Is Your Diagnosis ??

  • Case Report

  • Ilham Rkain1,2*, Safaa Touihmi1 and Hicham mimouni3
  • 1Department of otorhinolaryngology, Head and Neck Surgery, university hospital, Tangier, Morocco
  • 2Faculty of Medicicne and Pharmacy of Tangier, Abdelmalek Saadi University, Tétouan, Morocco
  • 3Department of otorhinolaryngology, Head and Neck Surgery, Al kortobi hospital, Tangier, Morocco
  • *Corresponding author: Dr Rkain ilham, Department of otorhinolaryngology, Head and Neck Surgery, university hospital, Tangier, Morocco
  • Received: July 15, 2020; Accepted: July 17, 2020; Published: July 22, 2020

Case report

A 60 year old man presented with complaints of nasal obstruction (left side), smell disorder , headache and neuralgia on the left side of his face for 2 years, ptosis and diplopia followed by reduction vision of the left side.

The patient was treated in another institution with antibiothiques and antituberculous drugs.

After two weeks, the treatement was stopped because of the deterioration of the neurologic status, and the appearence of new symptoms such as mouth opening limitation, dyspnea, difficulty of swallowing (dysphagia) and cerebellar syndrome. So all cranial nerves at the left side were dysfonctionnal.