Facial nerve bilateral

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Friday, August 24, 2018
We present a year-old Caucasian female who presented with right upper quadrant abdominal pain and flank pain. As an inpatient, she subsequently developed bilateral facial palsy. After extensive workup, she was diagnosed with neurosarcoidosis. We present an algorithmic approach to diagnosing facial palsy and specific consideration when bilateral. Unlike unilateral facial palsy, bilateral facial palsy is often associated with significant underlying disease. This systematic approach was helpful in providing the diagnosis of neurosarcoidosis and review of the disease helped confirm the diagnosis and direct further workup.
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Guillain-Barré Syndrome presenting with bilateral facial nerve paralysis: a case report

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Facial nerve - Wikipedia

Bilateral paralysis of the facial nerve is a relatively rare presentation and often indicates a serious underlying medical condition. Unilateral facial paralysis is a common clinical entity. Majority of these cases are due to idiopathic or Bell's palsy. Bilateral facial paralysis, unlike its unilateral counterpart is an extremely rare presentation.
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Bilateral Facial Palsy

Leptomeningeal carcinomatosis is rare, and its precise incidence is unknown. It is associated with a wide spectrum of solid and hematological malignancies. To complicate its diagnosis, the clinical presentation of leptomeningeal carcinomatosis can be variable. We report a case of a year-old male with bilateral facial nerve paralysis as first presentation of lung adenocarcinoma. To our knowledge, this is the only case describing bilateral facial nerve palsy as the first and only manifestation of lung adenocarcinoma.
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