A remarkable clinical pattern in our case was that there was bilateral peripheral facial nerve palsy. This clinical symptom has been reported in one other case report [10] and 3/5 cases in the Italian series reported a facial diplegia in one case and facial weakness in two cases [8]. Therefore, we can describe a bilateral facial involvement in five out of nine patients (55.5%) and a documented bilateral facial diplegia in 3/9 patients (33,3%). Facial nerve involvement in GBS is a common finding in 27–50% [12]. There are no data available for a bilateral seventh nerve involvement in GBS. Estimated data reported up to 12–25% [11].