Familial Bell’s Palsy: A Case Report and Literature Review

Objective. To describe a unique case of familial Bell’s palsy and summarize the current literature regarding possible hereditary influences. Design. Case report. Main Outcome Measures. Clinical exam, CSF analysis, and family history provided per the patient. Results. We report the case of a 58-year-...

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Main Authors: Mark Kubik, Liliana Robles, Doris Kung
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2012/674981
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author Mark Kubik
Liliana Robles
Doris Kung
author_facet Mark Kubik
Liliana Robles
Doris Kung
author_sort Mark Kubik
collection DOAJ
description Objective. To describe a unique case of familial Bell’s palsy and summarize the current literature regarding possible hereditary influences. Design. Case report. Main Outcome Measures. Clinical exam, CSF analysis, and family history provided per the patient. Results. We report the case of a 58-year-old female who presented with recurrent and bilateral episodes of facial palsy. The patient underwent multiple CSF investigations to rule out a possible infectious and rheumatologic etiology that were all negative. Further questioning revealed she was one of seven family members with a history of unilateral facial nerve paralysis. Conclusion. The sheer number of similar case studies to date suggests that familial clustering of Bell’s palsy is a real, noncoincidental phenomenon. Our case represents a unique and perplexing example of one such family. Familial Bell’s palsy may represent an autoimmune disease secondary to inherited HLA alloantigens or a structural predisposition to disease based on the dimensions of the facial canal.
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spelling doaj-art-7343fc1757fa409cb7dba0a26d1c7ac52025-02-03T01:07:42ZengWileyCase Reports in Neurological Medicine2090-66682090-66762012-01-01201210.1155/2012/674981674981Familial Bell’s Palsy: A Case Report and Literature ReviewMark Kubik0Liliana Robles1Doris Kung2Department of Neurology, Baylor College of Medicine, Houston, TX 77030, USADepartment of Neurology, Baylor College of Medicine, Houston, TX 77030, USADepartment of Neurology, Baylor College of Medicine, Houston, TX 77030, USAObjective. To describe a unique case of familial Bell’s palsy and summarize the current literature regarding possible hereditary influences. Design. Case report. Main Outcome Measures. Clinical exam, CSF analysis, and family history provided per the patient. Results. We report the case of a 58-year-old female who presented with recurrent and bilateral episodes of facial palsy. The patient underwent multiple CSF investigations to rule out a possible infectious and rheumatologic etiology that were all negative. Further questioning revealed she was one of seven family members with a history of unilateral facial nerve paralysis. Conclusion. The sheer number of similar case studies to date suggests that familial clustering of Bell’s palsy is a real, noncoincidental phenomenon. Our case represents a unique and perplexing example of one such family. Familial Bell’s palsy may represent an autoimmune disease secondary to inherited HLA alloantigens or a structural predisposition to disease based on the dimensions of the facial canal.http://dx.doi.org/10.1155/2012/674981
spellingShingle Mark Kubik
Liliana Robles
Doris Kung
Familial Bell’s Palsy: A Case Report and Literature Review
Case Reports in Neurological Medicine
title Familial Bell’s Palsy: A Case Report and Literature Review
title_full Familial Bell’s Palsy: A Case Report and Literature Review
title_fullStr Familial Bell’s Palsy: A Case Report and Literature Review
title_full_unstemmed Familial Bell’s Palsy: A Case Report and Literature Review
title_short Familial Bell’s Palsy: A Case Report and Literature Review
title_sort familial bell s palsy a case report and literature review
url http://dx.doi.org/10.1155/2012/674981
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