Acute facial nerve paralysis

What is Bell's Palsy? What are the symptoms? What causes Bell's Palsy? Who is at risk? How is it diagnosed?

Background: This study reviews recent literature on facial palsy guidelines and provides systematic reviews on related topics of interest. Methods: An electronic database search was performed to identify recent guidelines dealing with facial nerve palsy, systematic reviews and recent meta-analysis published between and inclusive. The literature search used the search terms "Bell's palsy," "Ramsay-Hunt syndrome," "Facial palsy," "Facial paralysis," "Facial paresis," "Guideline," "Meta-analysis," "Systematic review," and "Randomized controlled trial. Results: The characteristics of treatment trends for facial palsy have been reviewed over the past decade. The most prominent change noted may be the shift from the conventional House-Brackmann facial nerve grading system to the Sunnybrook and eFACE systems.

She complains of no pain or numbness. You perform a neurologic exam; strength and sensation are normal throughout, with no weakness in the arms or legs and no other neurologic findings. Is this a stroke? Anatomy of Facial Muscle Control Two facial nerves, the right and the left, control all of the muscles in the face.

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