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Bilateral simultaneous Bell’s palsy is extremely rare and occurs in about 0.3-2.0% of the facial palsy cases. In contrast to the unilateral form of facial palsy, which often has an unknown cause, bilateral facial palsy is increasingly recognized as secondary to a variety of other disorders, including neurological, infectious, traumatic, metabolic, vascular, neoplastic, and degenerative disorders. Yet, bilateral simultaneous Bell’s palsy is by definition, not associated with any demonstrable disease along the course of the facial nerve or elsewhere in the body. So, as usual, it is important to make an early diagnosis for the best treatment. We report our experience with two cases of bilateral simultaneous Bell’s palsy recently seen in our practice.
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