In this report, we describe a case of idiopathic bilateral facial nerve palsy in a previously healthy male in his 30s, with recent unprotected sexual activity and a possible genetic predisposition as the only identifiable risk factors. The case highlights both the diagnostic complexity of bilateral facial palsy and the importance of methodical exclusion of systemic causes and early initiation of corticosteroid therapy, which led to complete recovery.
Mann et al. (Wed,) studied this question.