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Familial recurrent Bell's palsy with ocular motor palsies

Departments of Neurology (Drs. Aldrich, Beck, and Albers) and Ophthalmology (Dr. Beck), University of Michigan Medical Center, Ann Arbor, MI.

We studied a family in which the father and 7 of 10 children had episodes of Bell's palsy. Five of the eight affected family members also had ocular motor palsies. Facial nerve and blink reflex studies in four affected siblings demonstrated asymmetrically reduced amplitude of evoked responses without delaved conduction. EMG revealed siens of chronic denervation and reinnervation in ail four patients; two had synkineiis. Three siblings had diabetes mellitus, but with no clinically evident polyneuropathy.

Address correspondence and reprint requests to Dr. Aldrich. Department of Neurology, 1920/0316 Taubman Center, University Hospital, Ann Arbor, MI 48109.

Presented in part at the thirty-sixth annual meeting of the American Academy of Neurology, Boston, MA, April 1984.

Received August 27, 1986. Accepted for publication in final form November 19, 1986.

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