Bilateral Bell's phenomenon

doi:10.1136/bmjusa.02100007

BMJ, doi: 10.1136/bmjusa.02100007, (Published 26 January 2003)

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Bilateral Bell's phenomenon

The first 100% of the full text of this article appears below.

From BMJ USA 2002;October:577

Two weeks after a systemic illness with fever and diarrhea, a 57 year old man developed this appearance. His eyeballs turnedupwards when he attempted to close his eyes. Bilateral Bell'sphenomenon is found in myasthenia gravis, sarcoidosis, bilateralBell's palsies, congenital facial diplegia, some rare forms ofmuscular dystrophy, and motor neuron disease. Rarely, it can bethe presenting feature of Guillain-Barré syndrome, which thisman went on to develop. He responded well to intravenousimmunoglobulins.

J Smith, locum registrar, B Henderson,consultant, department of neurology, Pinderfields Hospital, Wakefield WF1 4DG, UK

Footnotes

This item originally appeared in the July 14, 2001 issue of "BMJ" (323:118). Full text and related material are availableon BMJ 's web site, bmj.com