Bilateral Bell's phenomenon

doi:10.1136/bmjusa.02100007

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

View larger version (86K):
[in this window]
[in a new window]

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 turnedupwards 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 formsof muscular dystrophy, and motor neuron disease. Rarely, itcan be the presenting feature of Guillain-Barré syndrome,which this man went on to develop. He responded well to intravenousimmunoglobulins.

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

Add to CiteULike CiteULike Add to Complore Complore Add to Connotea Connotea Add to Del.icio.us Del.icio.us Add to Digg Digg Add to Reddit Reddit Add to Technorati Technorati What's this?