FACIAL WEAKNESS - Common Patterns Adults

1)      Bell’s palsy – paralysis of all ipsilateral facial muscles (“close your eyes”, “show me your teeth”), hyperacusis (abnormally loud sound on the ipsilateral side), loss of tears, loss of taste, Tx – valacyclovir 1 g bid for 1 week OR famciclovir 750 mg tid OR acyclovir 800 mg five times a day for 5 days and oral prednisolone 1 mg/kg/day for 1 week, if complete paralysis after 1 week, do electroneurography, if this shows 90% degeneration, refer for surgical decompression, among patients without 90% degeneration 80-100% regain good outcome.

2)      Stroke

» SYMPTOM, SIGNS, SYNDROMES GLOSSARY