Bilateral facial palsy with hypertension: a case report

Abstract

Bilateral facial paralysis is a rare condition, we report a case of a 70-year-old healthy, illiterate man with sequential bilateral facial paralysis as a manifestation of unknown cause after exclusion of various known causes. He initially presented with a left sided Bell’s palsy 12 months back, within a month there was facial palsy on the contra lateral side, but patient has not taken any measures to seek any medical attention initially. Later on 4 months back, he developed episodic headache and reeling sensation. His physical examination revealed bilateral lower motor neuron facial palsy with high blood pressure. As the investigations revealed no cause, we have arrived at the diagnosis of Bilateral Bell’s palsy and treated his hypertension.