Abstract
Bells palsy is a benign lower motor neuron facial nerve disorder. Recurrent unilateral Bells palsy is found in about 7% of the facial palsy cases . Alternating bilateral recurrent Bells palsy is relatively uncommon. A review of recent medical literature revealed very few case reports of bilateral recurrent Bells palsy, with none found in Asian neurology medical literature. We report a case of recurrent alternating bilateral Bells palsy ( 3 episodes) in a male patient aged 34 years , was treated conservatively and recovered completely. He is symptom free on follow up till date. We present this case because of its rarity.
Highlights
Bell’s palsy is regarded as a benign common neurological disorder
Autosomal dominant or recessive inheritance, Diabetes and Hypertension are some of the factors which may predispose to multiple or recurrent attacks of Bell’s palsy.[4,5]
We report such a case of bilateral alternating recurrent Bell’s palsy in a male patient who recovered completely without any residual facial nerve dysfunction
Summary
Bell’s palsy is regarded as a benign common neurological disorder. It has an acute onset and is almost always a mononeuritis.[1]. Of cases leaving another 20-30% of patients with varying degrees of residual facial nerve dysfunction.[1,3] Autosomal dominant or recessive inheritance, Diabetes and Hypertension are some of the factors which may predispose to multiple or recurrent attacks of Bell’s palsy.[4,5]. We report such a case of bilateral alternating recurrent Bell’s palsy in a male patient who recovered completely without any residual facial nerve dysfunction. During the third episode of similar complaints he presented to us On examination he had a neuro deficit of lower motor neuron facial nerve palsy of grade V House – Brackman.
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