Familial Bell’s Palsy: Patient With Facial Synkinesis and Bilateral Recurrence of Facial Palsy

We present a case of Bell's palsy involving bilateral recurrence in a family history of multiple affected individuals. Bell's palsy, also referred to as facial palsy (FP), has been associated with infectious, ischemic, and familial cluster occurrences, yet its etiology remains largely unclear. Familial clustering, also referred to as familial Bell's palsy, may indicate an underlying anatomical abnormality of the facial canal or an immune-mediated mechanism contributing to a hereditary predisposition. However, this potential link remains understudied. Regardless of the underlying cause, the diagnosis and management of FP follow standardized protocols. Our patient contributes to the growing body of evidence suggesting that familial FP may be a more prevalent cause than previously recognized. Therefore, obtaining a detailed family history is essential when evaluating cases of FP to identify any hereditary component. Familial FP tends to have a higher likelihood of recurrence and may lead to synkinesis.