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Bell's palsy and HIV infection
M M Brown1, A Thompson, B T Goh
1Department of Neurology, London Hospital, UK.
Journal of Neurology, Neurosurgery, and Psychiatry
|March 1, 1988
Summary
Three young homosexual men with human immunodeficiency virus (HIV) antibodies developed unilateral facial palsy. This early sign of HIV infection resolved well, indicating potential for recovery despite neurological symptoms.
Area of Science:
- Neurology
- Infectious Diseases
- Immunology
Background:
- Facial palsy can have diverse etiologies.
- Human immunodeficiency virus (HIV) infection can manifest with various neurological complications.
- Early detection of HIV-associated neurological conditions is crucial.
Observation:
- Three young homosexual men presented with unilateral infranuclear facial palsy.
- All patients tested positive for antibodies to human immunodeficiency virus (HIV).
- Two patients exhibited persistent generalized lymphadenopathy, but did not meet criteria for Acquired Immune Deficiency Syndrome (AIDS).
Findings:
- No generalized neuropathy or other identifiable causes for facial palsy were found.
- The facial palsy was attributed to early-stage HIV infection.
- All patients experienced excellent recovery from the facial palsy.
Implications:
- Unilateral facial palsy may be an early neurological indicator of HIV infection.
- Prompt diagnosis and management of HIV can lead to favorable neurological outcomes.
- This highlights the importance of considering HIV in young adults presenting with isolated facial nerve palsy.