01526nas a2200157   4500000000100000008004100001100001300042700001300055700001300068700001400081245011600095856007900211300001200290490000700302520105900309       2020                            d1 aSingh GK1 aChopra A1 aMitra DK1 aDhillon A00aA Rare Case of Hansen's Disease with Involvement of Buccal Branch of Facial Nerve with Lower Motor Neuron Palsy  uhttp://www.ijl.org.in/2020/10%20GK%20Singh%20et%20al%20221-224%20final.pdf  a212-2240 v923 aLeprosy is a usually disease of peripherally located nerves. In cranial nerves facial nerve followed by the
trigeminal nerve being the most frequently affected. The involvement of the zygomatic branch of facial nerve
has been reported previously but involvement of its buccal branch is rarely reported. Here, we report a 26 year
old male, presented with insidious onset, gradually progressive, swelling and heaviness of the right cheek
followed by sudden onset weakness of the right side of his face. Examination revealed an ill defined,
hypoaesthetic macule over the right side of face associated with lower motor neuron type facial nerve palsy.
The buccal branch of right facial nerve was thickened which was confirmed by ultrasonography and MRI of
facial nerve. Histopathology, further confirmed the diagnosis of Hansen's disease (Borderline Tuberculoid).
He was managed by Multi Drug Therapy (MDT) (Dapsone, Clofazimine and Rifampicin) and tapering dose of
oral Prednisolone along with eye care and physiotherapy with satisfactory outcome.