Case 2:
A 45-year-old Sudanese man with no history of diabetes or hypertension
presented to our private neurology clinic with facial paralysis on the
left side and the inability to close his left eye. He also detected a
rightward displacement of the mouth. (Figure 2)
The illness appeared three days after receiving the AstraZeneca COVID-19
vaccination. Facial damage, ear pain, or ear skin eruption did not
precede the paralysis. He hasn’t lost his sense of taste, and the event
he described was not preceded by any transitory neurological symptoms.
During one assessment, he appeared to be sick, with a pulse rate of 87
beats per minute and a blood pressure of 130/75 mmhg. There were no
abnormalities found on a systemic evaluation. He has a full-blown
picture of left sided lower motor neuron lesion of the seventh cranial
nerve, and the abnormalities were confined to the central nervous
system. The following tests were performed: general urine, blood urea,
serum creatinine, and a brain MRI, all of which came out normal. In the
absence of any clear symptoms or signs that could lead to a diagnosis of
left sided motor neuron lesion facial palsy caused by the COVID-19
AstraZeneca vaccine, a diagnosis of left sided motor neuron lesion
facial palsy caused by the COVID-19 AstraZeneca vaccine was made. After
three weeks of corticosteroids, he exhibited significant improvement.