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Bilateral Facial Palsy: An Atypical Neurological Complication of Varicella-Zoster Virus Reactivation

Year: 2025

Type: article

Abstract: Bilateral facial palsy is an exceptionally rare condition, often indicative of systemic involvement or severe underlying pathology. This report details a case of bilateral facial nerve paralysis in a young adult following recent varicella infection, an association infrequently documented in clinical practice. The patient presented with classic signs of bilateral facial nerve dysfunction alongside a history of recent chickenpox infection. Diagnostic workup confirmed bilateral axonal neuropathy, suggesting a peripheral nerve etiology linked to varicella-zoster virus reactivation. This case highlights the need for vigilance in recognizing rare neurological manifestations of common infections to ensure timely diagnosis and appropriate management.

Source: Cureus

DOI: 10.7759/cureus.81780

Authors: Reyaz Ahmad, Rohit Anand, Sushant Shangari, Reetu Singh

Institution: Tata Main Hospital

Language: English

Topic: Facial Nerve Paralysis Treatment and Research

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4409196006