Bilateral facial nerve palsy in a newly diagnosed diabetic patient with associated herpes labialis

Bilateral facial nerve palsy is a very rare condition, usually following neurologic, neoplastic, traumatic, infective or metabolic causes. We present here a case of 29-year-old male, diagnosed on admission as diabetic with herpes labialis and bilateral facial paralysis. As the differentials are extensive, diagnostic workup and subsequent treatment should be done keeping various etiological factors in mind.