BMJ  2003;327:E154 (4 October), doi:10.1136/bmjusa.02100007 (published 26 January 2003)

BMJ USA: Filler

Bilateral Bell's phenomenon

From BMJ USA 2002;October:577



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

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

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


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Did you confirm the diagnosis by laboratory investigation in this middle-aged man
Dr Abdulfatai Kunle Kunle
bmj.com, 2 Mar 2004 [Full text]
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