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January 1983, Vol 137, No. 1 >
Article | January 1983

Bilateral Bell's Palsy FREE

CHRISTOPHER W. GOFF, MD; ROBERT CERCIELLO, MD; GREGORY L. HOLMES, MD
Am J Dis Child. 1983;137(1):83. doi:10.1001/archpedi.1983.02140270073023.
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Idiopathic facial nerve paralysis, or Bell's palsy, is characterized by the following1: (1) complete or partial paralysis of the entire side of the face, (2) absence of symptoms or signs of other neurologic disorders, and (3) absence of symptoms or signs of disease of the ear or posterior fossa.

It is seen fairly often in clinical practice, with an annual incidence between 13 and 23/100,000 population.2,3

In contrast, bilateral Bell's palsy is rare.4 In a series of 308 patients with Bell's palsy, Adour and Swanson5 found only one patient with bilateral involvement. Hauser2 reported that two of his 121 patients with idiopathic facial paralysis had bilateral disease. Leibowitz'6 series of 582 cases included only five patients who had bilateral involvement. The ages of the patients with bilateral Bell's palsy in these three large series were not specified. Iso-Patients With Bilateral Bell's Palsy Patient/Age, yr/Sex

REFERENCES

1 +
Taverner D:  Bell's palsy: A clinical and electromyographic study . Brain 1955;;78:209-228.
2 +
Hauser WA:  Incidence and prognosis of Bell's palsy in the population of Rochester, Minnesota . Mayo Clin Proc 1971;;46:258-264.
3 +
Brewis M, Poskanzer DC, Rolland C, et al:  Neurological disease in an English city . Acta Neurol Scand Suppl 1966;;24:1-89.
4 +
McGovern FH:  Bilateral Bell's palsy . Laryngoscope 1965;;75:1070-1080.
5 +
Adour KK, Swanson PJ:  Facial paralysis in 403 consecutive patients . Trans Am Acad Ophthalmol Otolaryngol 1971;;75:1284-1301.
6 +
Leibowitz U:  Bell's palsy: Two disease entities? Neurology 1966;;16:1105-1109.
7 +
Patrick HT:  Facial diplegia in multiple neuritis . J Nerv Ment Dis 1916;;44:322-333.
8 +
Weintraub MI:  Bilateral facial palsy: A rare presentation of infectious mononucleosis . Clin Pediatr 1977;;16:1158-1159.
9 +
Hattori T, Schlagenhauff RE:  Bilateral facial palsy: Occurrence with diabetes mellitus . NY State J Med 1977;;77:1492-1494.
10 +
Schuring A, Saunders W:  Facial diplegia, a viral disease? Arch Otolaryngol 1964;;80:103-105.
11 +
Adour KK, Wingerd J, Bell DN, et al:  Prednisone treatment for idiopathic facial paralysis (Bell's palsy) . N Engl J Med 1972;;287: 1268-1272.
12 +
Adour KK:  Diagnosis and management of facial paralysis . N Engl J Med 1982;;307:348-351.

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References

1 +
Taverner D:  Bell's palsy: A clinical and electromyographic study . Brain 1955;;78:209-228.
2 +
Hauser WA:  Incidence and prognosis of Bell's palsy in the population of Rochester, Minnesota . Mayo Clin Proc 1971;;46:258-264.
3 +
Brewis M, Poskanzer DC, Rolland C, et al:  Neurological disease in an English city . Acta Neurol Scand Suppl 1966;;24:1-89.
4 +
McGovern FH:  Bilateral Bell's palsy . Laryngoscope 1965;;75:1070-1080.
5 +
Adour KK, Swanson PJ:  Facial paralysis in 403 consecutive patients . Trans Am Acad Ophthalmol Otolaryngol 1971;;75:1284-1301.
6 +
Leibowitz U:  Bell's palsy: Two disease entities? Neurology 1966;;16:1105-1109.
7 +
Patrick HT:  Facial diplegia in multiple neuritis . J Nerv Ment Dis 1916;;44:322-333.
8 +
Weintraub MI:  Bilateral facial palsy: A rare presentation of infectious mononucleosis . Clin Pediatr 1977;;16:1158-1159.
9 +
Hattori T, Schlagenhauff RE:  Bilateral facial palsy: Occurrence with diabetes mellitus . NY State J Med 1977;;77:1492-1494.
10 +
Schuring A, Saunders W:  Facial diplegia, a viral disease? Arch Otolaryngol 1964;;80:103-105.
11 +
Adour KK, Wingerd J, Bell DN, et al:  Prednisone treatment for idiopathic facial paralysis (Bell's palsy) . N Engl J Med 1972;;287: 1268-1272.
12 +
Adour KK:  Diagnosis and management of facial paralysis . N Engl J Med 1982;;307:348-351.

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