Turkish Journal of Physical Medicine and Rehabilitation
Bilateral Facial Paralysis in a Patient with B-Cell Low-Grade Lymphoma and its Rehabilitation
İlke COŞKUN BENLİDAYI 1 ,Pelin AYTAN 2 ,Neslihan GÖKÇEN 1 ,Sibel BAŞARAN 1 ,Emel GÜRKAN 2 ,Rengin GÜZEL 1
1 Çukurova Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Adana, Türkiye
2 Çukurova Üniversitesi Tıp Fakültesi, Dahiliye Hematoloji Bilim Dalı, Adana, Türkiye
DOI : 10.5152/tftrd.2015.32068 Simultaneous bilateral facial paralysis is an uncommon condition with an annual incidence of approximately 1 per 5 million. It may be idiopathic or associated with various disorders, including Lyme disease, Guillain– Barre syndrome, sarcoidosis, viral infections, syphilis, pontine gliomas, and leukemia. A 63-year-old male was referred to the hematology department with an abnormal complete blood count test revealing excessive leukocytosis and a 2-week history of right-sided complete facial weakness. On the 7th day of hospitalization, he also developed facial weakness on the left side. The patient was diagnosed with bilateral peripheral facial paralysis and was referred to the Physical Medicine and Rehabilitation Department. He was started on a rehabilitation program comprising electrotherapy, manual massage, and exercise. Galvanic current was applied to facial muscles of both sides for three sessions per week. After 12 sessions of electrotherapy, daily massage, and exercise for 4 weeks, significant improvement was detected on both sides of facial muscles in terms of sensation and facial muscle strength. Further improvement was noted at 12th week of follow-up. In this report, we present an extremely rare case of bilateral peripheral facial paralysis because of B cell low-grade lymphoma and improvement with electrotherapy and rehabilitation techniques. Keywords : Facial paralysis, lymphoma, rehabilitation