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Differential diagnosis of recurrent or bilateral peripheral facial palsy

Published online by Cambridge University Press:  29 June 2012

D M Oosterveer*
Affiliation:
Sophia Rehabilitation Centre, Delft, The Netherlands
C P Bénit
Affiliation:
Department of Neurology, Westeinde Hospital, The Hague, The Netherlands
E L L M de Schryver
Affiliation:
Department of Neurology, Rijnland Hospital, Leiderdorp, The Netherlands
*
Address for correspondence: Dr D M Oosterveer, Sophia Rehabilitation Centre, Reinier de Graafweg 1, 2625 AD Delft, The Netherlands Fax: +31 15 27 80 219 E-mail: [email protected]

Abstract

Objective:

To describe the differential diagnosis of recurrent or bilateral peripheral facial palsy.

Method:

Case report and literature review.

Results:

Two patients with recurrent, alternating, peripheral facial palsy are described. In both patients, additional investigation was performed to search for a specific diagnosis. In the first patient, only a positive family history was found, indicating a possible familial susceptibility. In the other patient, diabetes mellitus and hypertension were identified as risk factors.

Conclusion:

There is an important and extensive differential diagnosis of recurrent or bilateral facial palsy. However, in a large proportion of patients the cause remains unknown.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2012

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