AN ISOLATED occurrence of peripheral paralysis first on one side of the face (Bell's palsy) and then on the other is unusual but not rare. This sequence in a man who has nine immediate relatives with histories of similar paralyses seems more than coincidental.
Report of a Case
In November 1960, W.G.J. (aged 56 years) developed acute, total paralysis of his left facial (seventh cranial) nerve. Without treatment, this attack of palsy subsided gradually. He remained asymptomatic until Dec 28, 1967, when pain occurred deep inside and behind his right ear. Within 24 hours, the right side of his face became totally paralyzed.Because function failed to return to the right side of his face, the patient reported to the Scott and White Clinic on March 26, 1968. Clinical investigation did not reveal diabetes or other causative disease, and his history did not indicate recurrent facial edema. His ear, nose,
DeSanto LW, Schubert HA. Bell's PalsyTen Cases in a Family. Arch Otolaryngol. 1969;89(5):700–702. doi:10.1001/archotol.1969.00770020702005
Customize your JAMA Network experience by selecting one or more topics from the list below.