01339nas a2200313   4500000000100000008004100001260001700042653001000059653000900069653004600078653002100124653002100145653001100166653001100177653002500188653001700213653000900230653002700239100001200266700001400278700001400292700001500306700001400321245005300335300001000388490000700398520060600405022001401011       1998                            d  c1998 Jul-Aug10aAdult10aAged10aAnemia, Refractory, with Excess of Blasts10aElectromyography10aFacial Paralysis10aFemale10aHumans10aLeprosy, Tuberculoid10aLyme Disease10aMale10aPolyradiculoneuropathy1 aArias G1 aNogués J1 aMañós M1 aAmilibia E1 aDicenta M00aBilateral facial nerve palsy: four case reports.  a227-90 v603 a<p>Bilateral facial nerve palsy is relatively uncommon and may occur in association with a variety of neurological, infectious, neoplastic or degenerative disorders. Presentation is made of 4 cases of bilateral facial diplegia due to a refractory anemia with excess of blasts, a Lyme disease and a tuberculoid leprosy. In one of these patients the cause of bilateral seventh-nerve palsy was unknown (Bell's palsy). Facial palsy returned to normal after treatment with steroids in 3 patients. The patient with myelodysplastic syndrome did not show any improvement and died 6 months after diagnosis.</p>  a0301-1569