Abstract
BACKGROUND: Bilateral facial nerve palsy is very rare and comprises only 0.3%-2% of facial palsy cases. This condition is often caused by disease affecting whole body (systemic) and therefore requires urgent intervention and evaluation. It has a broad differential diagnosis demands detailed history, examination and investigations for determining correct aetiology. CASE PRESENTATION: We present a case of bilateral post-traumatic concomitant facial nerve palsy that developed days after head trauma in a young male. We managed the patient conservatively keeping surgical option available. The patient recovered fully on medicinal therapy. CONCLUSION: Timing of onset of facial palsy is of immense importance. Early intervention is desired in these cases for optimal results. The team should keep surgical option available if need arises.