Korean J Otorhinolaryngol-Head Neck Surg.  2015 Aug;58(8):576-579. 10.3342/kjorl-hns.2015.58.8.576.

Human Immunodeficiency Virus Diagnosed from Bilateral Facial Nerve Paralysis as the First Symptom

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Yangsan Hospital, Yangsan, Korea.
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Korea. o3jdoc@hanmail.net


The incidence of neurological complication has subsequently increased with the rise of human immunodeficiency virus (HIV) infection. Peripheral facial palsy, one of the presenting symptoms of neurological complications, is caused by HIV infection. Worldwide reported cases of bilateral facial palsy associated with HIV are extremely rare, with just 20 cases reported. In this case, bilateral facial palsy occurred during the first clinical manifestation of the HIV infection. It is important to recognize bilateral facial palsy as the first sign of HIV infection due to its significance for early diagnosis and treatment of HIV.


Facial paralysis; Human immunodeficiency virus
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