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Case Reports in Emergency Medicine
Volume 2012 (2012), Article ID 458371, 3 pages
doi:10.1155/2012/458371
Case Report

Bilateral Facial Nerve Palsy: A Diagnostic Dilemma

Sohil Pothiawala and Fatimah Lateef

Department of Emergency Medicine, Singapore General Hospital, Outram Road, 169608, Singapore

Received 5 October 2011; Accepted 27 November 2011

Academic Editors: P. Iannone, W. Mauritz, M. Sand, and C. Vorwerk

Copyright © 2012 Sohil Pothiawala and Fatimah Lateef. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. K. Monnell and S. B. Zachariah, Bell Palsy, http://emedicine.medscape.com/article/1146903-overview.
  2. J. R. Keane, “Bilateral seventh nerve palsy: analysis of 43 cases and review of the literature,” Neurology, vol. 44, no. 7, pp. 1198–1202, 1994. View at Scopus
  3. D. C. Teller and T. P. Murphy, “Bilateral facial paralysis: a case presentation and literature review,” Journal of Otolaryngology, vol. 21, no. 1, pp. 44–47, 1992. View at Scopus
  4. M. May and S. R. Klein, “Differential diagnosis of facial nerve palsy,” Otolaryngologic Clinics of North America, vol. 24, no. 3, pp. 613–645, 1991. View at Scopus
  5. P. Serrano, N. Hernández, J. A. Arroyo, J. M. de Llobet, and P. Domingo, “Bilateral Bell palsy and acute HIV type 1 infection: report of 2 cases and review,” Clinical Infectious Diseases, vol. 44, no. 6, pp. e57–e61, 2007. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  6. T. Price and D. G. Fife, “Bilateral simultaneous facial nerve palsy,” Journal of Laryngology and Otology, vol. 116, no. 1, pp. 46–48, 2002. View at Publisher · View at Google Scholar · View at Scopus
  7. J. R. Clark, R. D. Carlson, A. R. Pachner, C. T. Sasaki, and A. C. Steere, “Facial paralysis in Lyme disease,” Laryngoscope, vol. 95, no. 11, pp. 1341–1345, 1985. View at Scopus
  8. F. S. G. Fortes, R. F. Bento, R. K. Tsuji, et al., “Bilateral peripheral facial palsy in HIV patient,” Arch Otorhinolaryngol, vol. 9, no. 3, pp. 229–233, 2005.
  9. S. Pirana, R. F. Bento, P. Bogar, et al., “paralasia facial e surdez subita bilateral na doenca de Lyme,” Revista Brasileira de Oto-Rino-Laringologia, vol. 62, pp. 500–502, 1996.
  10. C. L. Goh, A. Kamarudin, and M. Khatija, “Lyme disease is not prevalent in patients presenting with annular erythema in Singapore,” Singapore Medical Journal, vol. 37, no. 3, pp. 250–251, 1996. View at Scopus
  11. A. Kamaratos, S. Kokkoris, J. Protopsaltis et al., “Simultaneous bilateral facial palsy in a diabetic patient,” Diabetes Care, vol. 27, no. 2, pp. 623–624, 2004. View at Publisher · View at Google Scholar · View at Scopus
  12. K. K. Adour, J. Wingerd, and H. E. Doty, “Prevalence of concurrent diabetes mellitus and idiopathic facial paralysis (Bell's palsy),” Diabetes, vol. 24, no. 5, pp. 449–451, 1975. View at Scopus
  13. K. Terada, T. Niizuma, Y. Kosaka, M. Inoue, S. Ogita, and N. Kataoka, “Bilateral facial nerve palsy associated with Epstein-Barr virus infection with a review of the literature,” Scandinavian Journal of Infectious Diseases, vol. 36, no. 1, pp. 75–77, 2004. View at Publisher · View at Google Scholar · View at Scopus
  14. C. T. Coddington, J. D. Isaacs, A. Q. Siddiqui, and T. C. Andrews, “Bilateral facial nerve palsy associated with Epstein-Barr virus infection,” Journal of Neurology, Neurosurgery and Psychiatry, vol. 81, no. 10, pp. 1155–1156, 2010. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  15. B. A. Cunha, Infectious Mononucleosis: Differential diagnosis and workup, http://emedicine.medscape.com/article/222040-diagnosis.
  16. Z. A. Shaikh, R. Bakshi, M. Wasay, A. Dai, and E. Gosy, “Magnetic resonance imaging findings in bilateral Bell's palsy,” Journal of Neuroimaging, vol. 10, no. 4, pp. 223–225, 2000. View at Scopus
  17. R. Tien, W. P. Dillon, and R. K. Jackler, “Contrast-enhanced MR imaging of the facial nerve in 11 patients with Bell's palsy,” American Journal of Roentgenology, vol. 155, no. 3, pp. 573–579, 1990. View at Scopus
  18. M. May and K. R. O’Harra, “Imaging studies: diagnostic role and clinicopathologic corelations,” in The Facial Nerve, M. May and S. Barry, Eds., chapter 13, Thieme Medical Publishers, New York, NY, USA, 2nd edition, 2000.
  19. Y. H. Kim, I. J. Choi, H. M. Kim, J. H. Ban, C. H. Cho, and J. H. Ahn, “Bilateral simultaneous facial nerve palsy: clinical analysis in seven cases,” Otology and Neurotology, vol. 29, no. 3, pp. 397–400, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  20. E. Rontal and M. E. Sigel, “Bilateral facial paralysis,” Laryngoscope, vol. 82, no. 4, pp. 607–616, 1972. View at Scopus