特发性面神经麻痹(Bell’s palsy,BP)绝大多数为一侧性,双侧麻痹 BP 极为少见。现将遇到的1例报告如下:男性,19岁,工人。于1983年11月4日晨起洗脸时,发现右眼闭不拢,嘴巴向右歪,吃饭时食物残留于右颊内,并且感到右耳垂后胀痛,经针刺治疗不见好转。7日始发现左眼亦闭不上,进食,水时双侧均颊食及涌水,来诊收住院。检查:神清,发育正常。视力、视野及眼底正常。双侧角膜反射迟钝,双侧不能作皱额、蹙眉、闭目、示齿、鼓气和噘嘴等动作。双鼻唇沟平坦,口角下垂,舌前2/3味觉减退,余颅神经正常。双 The majority of idiopathic facial paralysis (Bell’s palsy, BP) is one-sided, bipolar BP is extremely rare. One case we now encounter is reported as follows: Male, 19 years old, worker. On the morning of November 4, 1983, when I started washing my face, I found my right eye was closed and my mouth was crooked to the right. When the meal was left in the right cheek, I felt pain in my right ear lobe and acupuncture treatment did not improve. On the 7th, it was found that the left eye was not closed either. When eating, both buccal food and gushing water were on both sides for consultation and admission. Check: God clear, normal development. Vision, vision and fundus normal. Unilateral bilateral corneal reflex, both sides can not make wrinkles, frown, eyes closed, showing teeth, drumming and pouting and other movements. Double nasolabial fold flat, mouth drooping tongue 2/3 taste decreased, more than normal cranial nerve. double