Bilateral Facial Nerve Palsy: A Diagnostic Dilemma. (23rd January 2012)

• Record Type: Journal Article
• Authors: Pothiawala, Sohil; Lateef, Fatimah
• Other Names: Iannone P. Academic Editor.; Mauritz W. Academic Editor.; Sand M. Academic Editor.; Vorwerk C. Academic Editor.
• Is Part Of: Case reports in emergency medicine. Volume 2012(2012)
• Publication Date: 2012-01-23
• Subjects: Emergency medicine -- Periodicals; Emergency Medicine; Emergency medicine; Periodicals; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 616.025
• DOI: 10.1155/2012/458371
• Languages: English
• ISSNs: 2090-648X

Abstract

Abstract : Introduction . Bilateral facial nerve palsy (FNP) is a rare condition, representing less than 2% of all cases of FNP. Majority of these patients have underlying medical conditions, ranging from neurologic, infectious, neoplastic, traumatic, or metabolic disorders. Objective . The differential diagnosis of its causes is extensive and hence can present as a diagnostic challenge. Emergency physicians should be aware of these various diagnostic possibilities, some of which are potentially fatal. Case Report . We report a case of a 43-year-old female who presented to the emergency department with sequential bilateral facial nerve paralysis which could not be attributed to any particular etiology and, hence, presented a diagnostic dilemma. Conclusion . We reinforce the importance of considering the range of differential diagnosis in all cases presenting with bilateral FNP. These patients warrant admission and prompt laboratory and radiological investigation for evaluation of the underlying cause and specific further management as relevant.