{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:01:40Z","timestamp":1788447700307,"version":"build-2803163510"},"reference-count":18,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,2,6]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>Facial paralysis is a potentially disabling complication of temporal bone fractures. Although unilateral palsy is commonly encountered, bilateral facial nerve palsy is rare, especially in post-traumatic situations. Other recognised causes of bilateral facial palsy are neurologic, infectious, neoplastic, idiopathic or metabolic disorders. A 25-year-old male patient presented with difficulty in talking, eating and closing eyes for 15 days since a post-vehicular accident. CT of skull showed bilateral longitudinal temporal bone fractures. Bilateral facial palsy was confirmed by clinical and topodiagnostic tests. Patient was given a course of steroids which led to an early improvement on left side followed by a delayed right-sided improvement at 6 months.<\/jats:p>","DOI":"10.1136\/bcr-2019-233728","type":"journal-article","created":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T04:25:26Z","timestamp":1582259126000},"page":"e233728","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Post-traumatic bilateral longitudinal temporal bone fracture with bilateral facial nerve palsy: a rare case"],"prefix":"10.1136","volume":"13","author":[{"given":"Kappagantu Krishna","family":"Medha","sequence":"first","affiliation":[{"name":"ENT, Maharishi Markandeshwar University, Mullana, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Gupta","sequence":"additional","affiliation":[{"name":"ENT, Maharishi Markandeshwar University, Mullana, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3992-1013","authenticated-orcid":false,"given":"Monica","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Government Medical College and Hospital, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,2,20]]},"reference":[{"key":"2025082622525897000_13.2.e233728.1","first-page":"492","article-title":"Sarcoidosis: a cause for bilateral facial palsy","volume":"70","author":"George","year":"1991","journal-title":"Ear Nose Throat J"},{"key":"2025082622525897000_13.2.e233728.2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1983.00800190007002"},{"key":"2025082622525897000_13.2.e233728.3","first-page":"188","article-title":"Management of complications from 820 temporal bone fractures","volume":"18","author":"Brodie","year":"1997","journal-title":"Am J Otol"},{"key":"2025082622525897000_13.2.e233728.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(01)00418-9"},{"key":"2025082622525897000_13.2.e233728.5","doi-asserted-by":"publisher","DOI":"10.1080\/0269905031000149489"},{"key":"2025082622525897000_13.2.e233728.6","first-page":"99","article-title":"Bilateral facial paralysis","volume":"7","author":"Steenerson","year":"1986","journal-title":"Am J Otol"},{"key":"2025082622525897000_13.2.e233728.7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5540890904"},{"key":"2025082622525897000_13.2.e233728.8","doi-asserted-by":"crossref","first-page":"216","DOI":"10.4103\/0971-7749.146943","article-title":"Bilateral facial nerve palsy in a newly diagnosed diabetic patient with associated herpes labialis","volume":"20","author":"Gupta","year":"2014","journal-title":"Indian J Otol"},{"key":"2025082622525897000_13.2.e233728.9","doi-asserted-by":"publisher","DOI":"10.3109\/00016487309139745"},{"key":"2025082622525897000_13.2.e233728.10","first-page":"207","article-title":"Temporal bone fractures. state of the art review","volume":"6","author":"Wiet","year":"1985","journal-title":"Am J Otol"},{"key":"2025082622525897000_13.2.e233728.11","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1001\/archotol.78.4.57","article-title":"Facial paralysis in birth injury and skull fractures","volume":"78","author":"Mchugh","year":"1963","journal-title":"Arch Otolaryngol"},{"key":"2025082622525897000_13.2.e233728.12","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.12.1300"},{"key":"2025082622525897000_13.2.e233728.13","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1939.00650050307007"},{"key":"2025082622525897000_13.2.e233728.14","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/S0030-6665(20)32849-8","article-title":"Temporal bone fractures and facial nerve injury","volume":"7","author":"Harker","year":"1974","journal-title":"Otolaryngol Clin North Am"},{"key":"2025082622525897000_13.2.e233728.15","first-page":"23","article-title":"Head injury with sudden onset bilateral facial palsy \u2013 can happen without temporal bone fractures and brain injury!","volume":"17","author":"Swain","year":"2016","journal-title":"EJENTAS"},{"key":"2025082622525897000_13.2.e233728.16","first-page":"15","article-title":"Post traumatic delayed bilateral facial nerve palsy (FNP): diagnostic dilemma of expressionless face","volume":"9","author":"Kumar","year":"2015","journal-title":"J Clin Diagn Res"},{"key":"2025082622525897000_13.2.e233728.17","unstructured":"Diamond C , Frew I . 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