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CASE REPORT
Year : 2017  |  Volume : 3  |  Issue : 1  |  Page : 112-119

Bilateral facial palsy and neurosarcoidosis – An approach to a difficult diagnosis


1 Department of Family Medicine, St. Luke's University Health Network, Bethlehem, Pennsylvania 18015, USA
2 Lewis Katz School of Medicine at Temple University, 3500 N Broad St, Philadelphia, PA 19140, USA
3 Department of Internal Medicine, St. Luke's University Health Network, Bethlehem, Pennsylvania 18015, USA
4 Department of Pathology, St. Luke's University Health Network, Bethlehem, Pennsylvania 18015, USA

Correspondence Address:
Sudip Nanda
Department of Internal Medicine, St. Luke's University Health Network, 801, Ostrum Street, Bethlehem, Pennsylvania-18015
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2455-5568.209850

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We present a 71-year-old Caucasian female who presented with right upper quadrant abdominal pain and flank pain. As an inpatient, she subsequently developed bilateral facial palsy. After extensive workup, she was diagnosed with neurosarcoidosis. We present an algorithmic approach to diagnosing facial palsy and specific consideration when bilateral. Bilateral facial palsy accounts for <2% of all facial palsies. Unlike unilateral facial palsy, bilateral facial palsy is often associated with significant underlying disease. This systematic approach was helpful in providing the diagnosis of neurosarcoidosis and review of the disease helped confirm the diagnosis and direct further workup. The following core competencies are addressed in this article: Patient care, Medical knowledge.


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