A case of bilateral facial paralysis after rubella infection.

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A 33-year-old female came to our hospital because of bilateral facial weakness. She had had rubella 7 days previously. On admission, she also had weakness and numbness of both lower extremities. She was treated with corticosteroid, γ-globulin, and antibiotics. Her knee jerk and ankle jerk were exaggerated bilaterally, but no Babinski response was noted. The symptoms gradually improved, and after about 40 days she was discharged, apparently fully recovered except for slight right facial weakness. We diagnosed her illness as myelopathy and bilateral peripheral facial paralysis due to rubella, because of exaggerated tendon reflexes, proximal muscular weakness of both lower extremities, and elevated rubella antibody in the serum and cerebrospinal fluid.