BILATERAL SIMULTANEOUS FACIAL PALSY: CLINICAL ANALYSIS OF FIVE CASES RETROSPECTIVE REVIEW

Ravneet Ravinder Verma and Ravinder Verma*

ABSTRACT

Facial palsy is most often unilateral. Simultaneous bilateral palsy is described when the involvement of the opposite side occurs within 30 days of onset of the first side. It is most often a part of a symptom complex of a systemic disease, occurring in 0.3% to 2.0% of all facial palsy cases. Half of all bilateral facial palsies are idiopathic and classified as Bell’s palsy. 5 patients have presented to us with simultaneous bilateral facial nerve weakness over the last 40 years. The management of these cases changed over time with more and more investigative facilities available. We discuss the lessons learnt over time with better understanding of the disease and provide a roadmap in the management of these patients.

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