Revue de laryngologie - otologie - rhinologie
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Rev Laryngol Otol Rhinol (Bord) · Jan 2004
[Delayed facial palsy after vestibular schwannoma resection: the role of viral reactivation. Our experience in 8 cases].
To study the role of herpes virus reactivation in the onset of more than three days-delayed facial paralysis (FP) following vestibular schwannoma (VS) surgery and advocate a specific medical management. ⋯ HSV or VZV reactivation can be evocated in most cases of delayed FPs arising in the postoperative course of VSs, suggesting usefulness of emergency-given steroid and acyclovir intravenous regimen to block virus replication and fight secondary oedema and inflammation causative of nerve lesions. Evoked reactivation mechanism is comparable to that already suspected in delayed FP arising with the same delay in middle ear surgical procedures.