Bilateral facial palsy due to Melkersson-Rosenthal syndrome.
Paul Robert Campbell, Christopher Kobylecki, Nazar Sharaf
✦ AI-curated · Sources linked
Case in brief
A 29-year-old woman presented with bilateral facial nerve palsy of unknown origin despite extensive testing. After further evaluation, she developed upper lip swelling, which led to the diagnosis of Melkersson-Rosenthal syndrome. This condition is characterized by a challenging diagnostic triad, which may not always present simultaneously.
Diagnostic / clinical pearl
Clinicians should consider Melkersson-Rosenthal syndrome in patients with facial nerve palsy and oligosymptomatic presentations, as early recognition can facilitate timely treatment.
Why it matters
Recognizing this syndrome can lead to earlier intervention with corticosteroids or immunosuppressive therapy, improving patient outcomes.