We present a rare case of bilateral crocodile tears syndrome (CTS) in the course 
of Melkersson-Rosenthal syndrome. Melkersson-Rosenthal syndrome is characterised 
by a triad of recurrent orofacial swelling, relapsing facial paralysis, and 
fissured tongue. The classic triad is infrequent and oligosymptomatic variants 
are seen more frequently. CTS is a rare complication of facial nerve paralysis 
characterised by inappropriate lacrimation on the side of the palsy in response 
to salivary stimuli. It results from aberrant reinnervation of the lacrimal 
gland by salivary parasympathetic fibres. The therapeutic approach for an acute 
bout of Melkersson-Rosenthal syndrome consists mainly of steroid administration. 
CTS management is composed of anticholinergic drugs and surgical procedures. 
Botulin toxin injection into the lacrimal gland is the most modern therapeutic 
option. In the case presented CTS developed in a 50-year-old man after 5 
incidents of facial palsy due to Melkersson-Rosenthal syndrome. The case 
deserves attention due to the rarity of the observed symptoms and signs.