Abstract:Facial diplegia is rare and occurs as a simultaneous onset. The relative lack of awareness of this event often leads to dilemma in diagnosis. In this case study, we report a 22-year old female who developed an isolated, spontaneous, simultaneous facial diplegia which was misdiagnosed as bilateral Bell's Palsy. Later, after a detailed clinical evaluation, it has been found to be a variant of Guillian Barre syndrome and managed appropriately.

Rhinosporidiosis is a rare chronic granulomatous disease caused by Rhinosporidium seeberi. Diagnosis is made on clinicopathological features. The disease is endemic in India. In India highest number of cases are reported from southern states of Kerala and Tamil Nadu which are on either side of Western Ghats. This study was conducted to know the prevalence of this disease in Srikakulam district, Andhra Pradesh. So far there is no study which is documented from this area.

Cutaneous metastasis (CM), a rare occurrence, can produce a variety of skin lesions. Signet‐ring cell carcinoma (SRCC) is a very aggressive tumour with low survival rate irrespective of location. We report a case of SRCC with CM presenting with asymptomatic progressive unilateral angio‐oedema‐like findings. A high index of suspicion and low threshold for biopsy are crucial for early diagnosis of CM as the prognosis is poor, especially when the primary cancer is SRCC.

Ferrara et al, described a transmissive hypoacusia in the first stages of the disease, while sensorineural or mixedtype hypoacusia were observed later. Research studies have been undertaken to discover the existence of typical

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