a1 Sophia Rehabilitation Centre, Delft, The Netherlands
a2 Department of Neurology, Westeinde Hospital, The Hague, The Netherlands
a3 Department of Neurology, Rijnland Hospital, Leiderdorp, The Netherlands
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.
(Accepted November 03 2011)
Dr D M Oosterveer takes responsibility for the integrity of the content of the paper
Competing interests: None declared