Idiopathic Bilateral Facial Paralysis: A Case Report

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Idiopathic Bilateral Facial Paralysis: A Case Report

Jaswinder Singh Randhawa, Shah Kamal Khan Jamal Din, Mohd. Yussof Hj. Najar Din, Marzuki Zainal Abidin: Idiopathic Bilateral Facial Paralysis: A Case Report. Mal. J. Oral Maxillofac. Surg. 2010; 8: 25–28.

Abstract: Bell’s palsy or idiopathic facial paralysis is a dysfunction of the 7th cranial nerve (the facial nerve) that results in inability to control facial muscles on the affected side. We present a rare case of idiopathic bilateral facial nerve palsy of sudden onset in a healthy 37 year old Malay male who was referred to the Oral and Maxillofacial Surgery Clinic for treatment. He presented with bilateral facial drooping and inability to speak after experiencing an Upper Respiratory Tract Infection (URTI) a week earlier. His condition was diagnosed as idiopathic bilateral facial paralysis through clinical examination which ruled out absence of signs and symptoms of ear, posterior fossa and CNS diseases. The MRI revealed no abnormalities in relation to his condition. He was treated with an antiviral and corticosteroid course for 10 days followed by physiotherapy for 3 months.