RESUMO
Involvement of cranial nerves is not uncommon in leprosy with trigeminal and facial nerves being commonly affected. Other cranial nerves can also be involved especially in longstanding cases of leprosy towards the lepromatous pole. Herein, we report a case of leprosy with multiple cranial neuropathy mimicking Melkerson Rosenthal syndrome.
Assuntos
Doenças dos Nervos Cranianos/etiologia , Doenças dos Nervos Cranianos/fisiopatologia , Hanseníase/complicações , Hanseníase/diagnóstico , Síndrome de Melkersson-Rosenthal/diagnóstico , Adulto , Idoso , Antituberculosos/uso terapêutico , Doenças dos Nervos Cranianos/tratamento farmacológico , Doenças dos Nervos Cranianos/patologia , Diagnóstico Diferencial , Nervo Facial/fisiopatologia , Nervo Glossofaríngeo/fisiopatologia , Humanos , Hanseníase/classificação , Hanseníase/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Nervo Trigêmeo/fisiopatologiaRESUMO
Lagophthalmos is one of the well known complications of leprosy due to involvement of the facial nerve. Herein, we report three cases of bilateral lagophthalmos due to leprosy which presented to us within a span of just three months. In all these cases, lagophthalmos was not the presenting complaint and it was detected by the treating doctor during examination. This report is being presented to highlight the importance of cranial nerve examination in all cases of leprosy as at times early changes of lagophthalmos may go unnoticed by the patient.