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Scand J Infect Dis. 2004;36(1):75-7.

Bilateral facial nerve palsy associated with Epstein-Barr virus infection with a review of the literature.

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  • 1Department of Pediatrics, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama Prefecture, 701-0192, Japan.


A case of bilateral simultaneous facial nerve palsy associated with an Epstein-Barr virus (EBV) infection in a 14-month-old girl is described. Diagnosis of the EBV infection was based on the presence of 7% atypical lymphocytes, EBV-DNA and seroconversion in the VCA-IgG antibody, an EBV-specific antibody. Although bilateral facial nerve palsy is very rare, approximately 40% of the EBV-associated facial nerve palsy cases reported have been bilateral.

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