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June 1975

Measles Associated With Bell Palsy

Author Affiliations

Departments of Neurology and Microbiology Albert Einstein College of Medicine Bronx, NY

Am J Dis Child. 1975;129(6):747. doi:10.1001/archpedi.1975.02120430079022

Complications of measles may affect both the central and peripheral nervous systems.1,2 However, to our knowledge, isolated facial palsy has not been described. The following report describes a case of facial paresis occurring early in the course of rubeola uncomplicated by otitis media.

Report of a Case.—An 18-month-old girl was seen in the emergency room on Sept 12, 1973. Three days previously she developed a temperature of 38.3 C (101.0 F). The following day irritability, drowsiness, and facial asymmetry were noted by her mother. Facial weakness appeared to progress during the next 24 hours, and the patient also developed a rash of the face and trunk. A physician began oral treatment with penicillin the day before she came to the hospital. She had not been vaccinated against measles.

Physical examination showed a temperature of 39.4 C (103.0 F). She had facial asymmetry and a morbilliform eruption. Numerous Koplik

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