Bilateral Bell's phenomenon

doi:10.1136/bmjusa.01090007

BMJ 2003;327:E62 (4 October), doi:10.1136/bmjusa.01090007 (published 5 September 2002)

BMJ USA: Filler

Bilateral Bell's phenomenon

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

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J Smith, locum registrar

B Henderson, consultant, department of neurology

Pinderfields Hospital, Wakefield WF1 4DG, UK

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.

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