• Ahmad Faraz
  • Nida Nousheen Ahmad
  • Aimen Liaqat


Cephalic tetanus is an emergency condition, which is commonly observed in child age group here we report a case of 68-year-old man with the complain of right sided weakness for one day, associated with difficulty in breathing and speech, history of fall also present, case was diagnosed as cephalic tetanus. Here we report a case of cephalic tetanus in an elderly patient. Keywords: Cephalic tetanus; Old patient; Tetanus


Yanagi F, Sawada N, Nishi M, Nakayama R, Imamura S, Higashi K. Cephalic tetanus in a nontraumatized patient with left facial palsy. Anesth Analg 1996;83(2):423–4.

Udwadia FE. Tetanus. In: Warrell DA. Oxford textbook of medicine. Oxford: Oxford University Press; 2004. p. 545–50.

Smith AT, Drew SJ. Tetanus: a case report and review. J Oral Maxillofac Surg 1995;53(1):77–80.

Centers for Disease Control (CDC). Diphtheria, tetanus, and pertussis: guidelines for vaccine prophylaxis and other preventive measures. Immunization Practices Advisory Committee. MMWR Morb Mortal Wkly Rep 1985;34(27):405–14, 419–26.

Smith AT, Drew SJ. Tetanus: a case report and review. J Oral Maxillofac Surg 1995;53(1):77–80.

Burgess JA, Wambauch GW, Koczarski MJ. Report of case: Reviewing cephalic tetanus. J Am Dent Assoc 1992;123(7):67–70.

Schon F, O'Dowd L, White J, Begg N. Tetanus: delay in diagnosis in England and Wales. J Neurol Neurosurg Psychiatry 1994;57(8):1006–7.

Kwon JC, Park Y, Han ZA, Song JE, Park HS. Trismus in cephalic tetanus from a foot injury. Korean J Intern Med 2013;28(1):121.

Aksoy M, Celik EC, Ahiskalioglu A, Karakaya MA. Tetanus is still a deadly disease: a report of six tetanus cases and reminder of our knowledge. Trop Doct 2014;44(1):38–42.

Mukherjee DK. Tetanus and Tracheostomy. Ann Otol Rhinol Laryngol 1977;86(1):67–72.

Muteya MM, Kabey AK, Lubanga TM, Tshamba HM, Nkoy AM. Prognosis of tetanus patients in the intensive care unit of Provincial Hospital Jason Sendwe, Lubumbashi, DR Congo. Pan Afr Med J 2013;14:93.

Gibson K, Bonaventure Uwineza J, Kiviri W, Parlow J. Tetanus in developing countries: a case series and review. Can J Anaesth 2009;56(4):307–15.

Gaber TA, Mannemela S. Botulinum toxin for muscle spasm after tetanus. J R Soc Med 2005;98(2):63.

Garcı´a-Garcı´a A, Ga´ ndara-Rey JM, Crespo-Abelleira A, Jorge-Barreiro J. Botulinum toxin A for treating muscular contractures in cephalic tetanus. Br J Oral Maxillofac Surg 2007;45(7):573–5.