# Parry-Romberg Syndrome: A Report of a Rare Case and a Comprehensive Review

## TL;DR

Parry-Romberg Syndrome is a rare condition causing facial atrophy and neurological symptoms, with no established treatment guidelines.

## Contribution

This paper presents a rare case and provides a comprehensive review of Parry-Romberg Syndrome.

## Key findings

- PRS typically begins in early life but can also appear in older adults.
- The condition progresses over years and is accompanied by neurological complications.
- Management is individualized due to the lack of standardized guidelines.

## Abstract

Parry-Romberg syndrome (PRS), also recognized as progressive hemifacial atrophy (PHA), is a rare medical condition affecting the dermis, subcutaneous tissue, and occasionally underlying anatomical structures such as muscles and bones. While the etiology of this condition remains incompletely elucidated, it has been hypothesized that trauma, autoimmunity, infection, and autonomic dysregulation may constitute potential contributory factors. Typically, the onset of symptoms occurs within the initial two decades of life, though instances of late-onset PRS manifesting in the sixth and seventh decades of life have also been documented. The disorder is distinguished by a gradual progression over two to 20 years, ultimately culminating in stabilization.

The local manifestations of PRS are accompanied by systemic symptoms. Common neurological complications include seizures and headaches. Due to the rarity of PRS, there are no established guidelines for imaging, treatment, and follow-up. Therefore, management is tailored to each case, with treatment options primarily addressing symptoms.