eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2016-03-02 4 2 62 64 10.12691/ajmcr-4-2-8 AJMCR2016428 article Ahmet Z. Burakgazi azburakgazi@carilionclinic.org 1 James W. Schmidley 2 Department of Medicine, Division of Neurology, Roanoke Memorial Hospital; Assistant Professor of Medicine (Neurology), Virginia Tech Carilion School of Medicine and Research Institute, Roanoke, VA. Department of Medicine, Division of Neurology, Roanoke Memorial Hospital; Professor of Medicine (Neurology), Virginia Tech Carilion School of Medicine and Research Institute, Roanoke, VA. HIV infection can cause neurological complications at all stages of the disease. Bilateral facial paralysis is not common in HIV, and more likely to have a systemic cause such as GBS, brain stem encephalitis, sarcoidosis, Lyme disease, syphilis or bacterial meningitis. Although HIV-associated bilateral facial palsy is very rare, it should be included in the differential diagnosis in unexplained cases, particularly in high-risk patients. We report a unique case of bilateral facial nerve palsy as an initial presenting symptom of AIDS, with an updated literature review. http://pubs.sciepub.com/ajmcr/4/2/8/ajmcr-4-2-8.pdf facial palsy HIV infection