Katiby Yosof, Mcdermott Jimmy, Sovory Lisa
Neurology, Arrowhead Regional Medical Center, Colton, USA.
Neurology, California University of Science and Medicine, Colton, USA.
Cureus. 2025 Jun 15;17(6):e86070. doi: 10.7759/cureus.86070. eCollection 2025 Jun.
Bell's palsy typically causes one-sided facial paralysis, while bilateral involvement (facial diplegia) is uncommon. The following case is presented of a middle-aged woman who developed simultaneous facial diplegia diagnosed as Bell's palsy. Further complicating the diagnostic picture were MRI findings of temporal lobe abnormalities, recent Botox injection, and unspecified finger nodules. Diagnostic tests excluded other causes of bilateral facial paralysis. The patient was treated with antivirals and steroids and had a full recovery. This case shows the rare occurrence of facial diplegia in Bell's palsy, emphasizing the importance of considering this diagnosis, even in atypical presentations.
贝尔麻痹通常导致单侧面部瘫痪，而双侧受累（双侧面瘫）并不常见。以下介绍的是一位中年女性的病例，她同时出现双侧面瘫，被诊断为贝尔麻痹。颞叶异常的MRI检查结果、近期的肉毒杆菌毒素注射以及不明手指结节使诊断情况更加复杂。诊断测试排除了双侧面瘫的其他病因。患者接受了抗病毒药物和类固醇治疗，并完全康复。该病例显示了贝尔麻痹中双侧面瘫的罕见情况，强调了即使在非典型表现中考虑这一诊断的重要性。
