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Case Reports in Otolaryngology
Volume 2015 (2015), Article ID 214946, 3 pages
http://dx.doi.org/10.1155/2015/214946
Case Report

Melkersson-Rosenthal Syndrome with Orofacial Swelling and Recurrent Lower Motor Neuron Facial Nerve Palsy: A Case Report and Review of the Literature

1School of Public Health, University of Texas, 1200 Pressler Street, Houston, TX 77030, USA
2Warrawong Accident and Medical Center, King Street, Westfield, Warrawong, NSW 2502, Australia

Received 15 August 2015; Revised 14 October 2015; Accepted 29 October 2015

Academic Editor: Kyung Tae

Copyright © 2015 Jerome Okudo and Yemi Oluyide. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Melkersson-Rosenthal Syndrome (MRS) is a rare otoneurologic condition, which is poorly understood and often underdiagnosed. Etiology and incidence are unclear, although infectious, inflammatory, and genetic causes have been implicated. Recurrent facial nerve palsy, facial swelling, and fissured tongue are the symptoms and signs of this condition. However, this triad is not typical in all patients as patients may present with one or more of the symptoms, which makes management of this condition difficult. Steroids may prove to be useful especially in patients who have facial nerve palsy. In this case report, we have described a 46 year-old Caucasian male who presented to the clinic for the evaluation of orofacial swelling and left facial deviation with a history of multiple treatments for recurrent lower motor neuron type facial nerve palsy.