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BMJ Case Rep. 2010; 2010: bcr0620103083.
Published online 2010 November 26. doi:  10.1136/bcr.06.2010.3083
PMCID: PMC3028036
Unusual association of diseases/symptoms

A patient with bilateral facial palsy associated with hypertension and chickenpox: learning points


Bilateral facial nerve paralysis is an uncommon presentation and even more so in children. There are reports of different causes of bilateral facial nerve palsy. It is well-established that hypertension and chickenpox causes unilateral facial paralysis and the importance of checking the blood pressure in children with facial nerve paralysis cannot be stressed enough. The authors report a boy with bilateral facial nerve paralysis in association with hypertension and having recently recovered from chickenpox. The authors review aspects of bilateral facial nerve paralysis as well as hypertension and chickenpox causing facial nerve paralysis.

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