Bilateral Bell's phenomenon

doi:10.1136/bmjusa.01090007

BMJ, doi: 10.1136/bmjusa.01090007, (Published 5 September 2002)

Fillers

Bilateral Bell's phenomenon

J Smith, locum registrar.

B Henderson, consultant, department of neurology.

Pinderfields Hospital, Wakefield WF1 4DG, UK
The first 100% of the full text of this article appears below.

This article originally appeared in BMJ USA

Two weeks after a systemic illness with fever and diarrhoea, 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 neurone disease. Rarely, it canbe the presenting feature of Guillain-Barré syndrome, which thisman went on to develop. He responded well to intravenous immunoglobulins.

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.

© BMJ 2002