Neurological Sciences

, Volume 38, Issue 2, pp 369–371 | Cite as

Bilateral isolated facial palsy with fast recovery in infectious mononucleosis

  • Benedetta ForciEmail author
  • Alessio Novelli
  • Alessandro Sodero
  • Sandro Sorbi
Letter to the Editor

Dear Editor,

We illustrate a case of a rare neurological complication of infectious mononucleosis.

A 16-year-old male was brought to the Emergency Department of Careggi Hospital in Florence because of bilateral facial palsy. In the three previous weeks, he had fever, dry cough, severe asthenia, pharyngodynia, ageusia, and weight loss; his family physician had treated him with paracetamol and clarithromycin with poor results. The weakness that began 3 days prior in the lower part of his left hemi-face spreads to the remaining part of the facial musculature in a few hours. At the Emergency Department, neurological examination showed bilateral facial plegia and no abnormalities in limb strength, sensory, and reflexes. General physical examination was normal, with no hepatosplenomegaly or lymphadenomegaly.

Blood tests showed the inversion of leukocyte count with mild lymphocytosis and abnormal liver function tests. Serological examination tested negative for Treponema pallidum, HIV, HBV,...


Maximal Voluntary Contraction Lyme Disease Borrelia Burgdorferi Infectious Mononucleosis Internal Auditory Canal 
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Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interests.


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Copyright information

© Springer-Verlag Italia 2016

Authors and Affiliations

  1. 1.Dipartimento di Neuroscienze, Area del farmaco e Salute del bambino (NEUROFARBA)Azienda Ospedaliero Universitaria CareggiFlorenceItaly

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