American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Apply for this position
Open Access
Journal Browser
American Journal of Medical Case Reports. 2016, 4(8), 261-262
DOI: 10.12691/ajmcr-4-8-3
Open AccessCase Study

Bell’s Palsy as the Initial Presentation of Multiple Myeloma: A Case Report

Qiaofang Chen1, , Carol Huibregtse1 and Cheruppolil R. Santhosh-Kumar1

1Vince Lombardi Cancer Clinic, Aurora Cancer Care, Aurora Health Care Sheboygan, Wisconsin

Pub. Date: August 30, 2016

Cite this paper:
Qiaofang Chen, Carol Huibregtse and Cheruppolil R. Santhosh-Kumar. Bell’s Palsy as the Initial Presentation of Multiple Myeloma: A Case Report. American Journal of Medical Case Reports. 2016; 4(8):261-262. doi: 10.12691/ajmcr-4-8-3


A 54-year-old white woman presented to the emergency department with inability to smile, difficulty in closing her right eye and drooling when attempting to drink liquids for two days prior to presentation. Neurological examination revealed classic signs of right peripheral seventh cranial nerve paresis. The patient also complained of fatigue, general malaise and weight loss of 20 pounds during the past few weeks.

Bell's palsy multiple myeloma

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Roser V, Jordi B. Neurologic complications in multiple myeloma and plasmacytoma. European Association of NeuroOncology Magazine. 2012; 2:71-7.
[2]  Koeppen, S., (2014). Treatment of multiple myeloma, thalidomide-, bortezomib-, and lenalidomide-induced peripheral neuropathy. Oncology Res Treat. 37(9): 506-13.
[3]  Kumar S, Das S, Goyal JL, Chauhan D, Sangit V. Bilateral orbital tumor formation and isolated facial palsy in Waldenstrom's macroglobulinemia. Int Ophthalmol. 2005;26:235-7.
[4]  Lagarde J, Cret C, Karlin L, Ameri A. [Petrous plasmacytoma revealed by a painful peripheral facial palsy]. Rev Neurol (Paris). 2011;167:526-9.
[5]  Kwaan HC. Hyperviscosity in plasma cell dyscrasias. Clin Hemorheol Microcirc. 2013;55:75-83.
[6]  Sergentanis T.N., Kastritis E., Terpos E., Dimopoulos MA., Psaltopoulou T (2016) Cytogenics and survival of multiple myeloma: isolated and combined effects. Clinical Lymphoma Myeloma Leukemia, Jun 16(6): 335-40.
[7]  Peitersen E. The natural history of Bell’s palsy. Am J Otol. 1982;4:107-11.