Temporal bone as a site of metastasis is uncommon and usually asymptomatic. However, on rare occasions, they may present with facial nerve paralysis. The primary origin of the metastases is commonly the breast and lung and hematogenous spread is frequently the route of spread. A 70-year-old woman with newly diagnosed lung adenocarcinoma presented to our clinic with complaints of left-sided facial weakness. Radiological investigations revealed lytic destructive lesions in the left squamous part of the temporal bone extending and eroding into adjacent mastoid cells. The patient was given low-dose prednisolone planned for chemotherapy. Here, we present a rare case of facial nerve paralysis secondary to temporal bone metastases from a primary lung adenocarcinoma.
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