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Nurse Practitioner

11 year old obese female with second episode of #Bell's-palsy. Last summer she had left sided facial nerve paralysis. Two weeks ago diagnosed with right sided facial nerve paralysis. Negative MRI w/wo contrast. Negative Lyme Elisa. All labs normal except ANA 1:40 speckled. What, if anything, predisposes a patient to recurrent #Bell's-palsy ?