Post-traumatic Bilateral Facial Nerve Palsy: A Case Report

Bilateral facial nerve palsy is very rare and comprises only 0.3%-2% of facial palsy cases. This condition is often caused by disease affecting whole body (systemic) and therefore requires urgent intervention and evaluation. It has a broad differential diagnosis demands detailed history, examination and investigations for determining correct aetiology.

We present a case of bilateral post-traumatic concomitant facial nerve palsy that developed days after head trauma in a young male. We managed the patient conservatively keeping surgical option available. The patient recovered fully on medicinal therapy.

Timing of onset of facial palsy is of immense importance. Early intervention is desired in these cases for optimal results. The team should keep surgical option available if need arises.