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Doctor insights on: Infranuclear Facial Palsy

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34yr fem left facial palsy?

34yr fem left facial palsy?

Depends on cause: You should see a Facial Plastic Surgeon (ENT) or Plastic Surgeon who specializes in facial paralysis. The treatment depends on the cause of the paralysis, the severity, and the length of time it has been present. This problem can always be improved! ...Read more

Palsy (Definition)

...is a corruption of French "paralise" from Latinized Greek "paralysis." In the old days it meant any kind of persistent weakness. To this day Parkinson's disease is also called "paralysis agitans" which is a Latin translation of Dr. Parkinson's original name for it, the "shaking palsy." We've obviously reborrowed the full form "paralysis" into English as well; today ...Read more


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How is facial palsy diagnosed?

How is facial palsy diagnosed?

See your doctor.: Facial palsy can be the result of numerous conditions. Typically, the cause can be determined by visiting your physician so they can take a history and examine you. Sometimes, imaging studies, like an MRI, can be performed to help determine a diagnosis. ...Read more

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What are causes of facial palsy?

What are causes of facial palsy?

Bell's palsy: Most cases tracked to viral infections. Herpes simplex mostly but rarely Herpes Zoster. Can see in elderly with stroke and even brain tumors or sarcoidosis to mention a few ...Read more

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How to diagnose the facial palsy?

How to diagnose the facial palsy?

Facial palsy: Having a facial palsy can be diagnosed after visual inspection during attempted movement of the facial muscles. The subsequent work up to determine the cause depends on the findings and the history.. ...Read more

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How do I care a facial palsy at home?

How do I care a facial palsy at home?

Eye care: One of the issues with a facial palsy is incomplete eye closing and lack of good lubrication of the eye and cornea from the lacrimal gland (also supplied by the facial nerve). Most facial palsy 's will improve. Care of the eye during the weakness with eye drops and eye lubricants at night helps protect the cornea of the eye from exposure and drying. ...Read more

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I have facial palsy. After > 1 month is the recovery slow?

I have facial palsy. After > 1 month is the recovery slow?

No, be patient: If the facial paralysis is Bell's palsy, it could take a few months to get better. However, you should see a specialist such as a Facial Plastic Surgeon (ENT) or Plastic surgeon to make sure there is nothing else to be looked into here. ...Read more

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I had a facial palsy 3 months ago and the recovery is much slow?

I had a facial palsy 3 months ago and the recovery is much slow?

Facial exercises..: Facial or bell's palsy is unfortunately quite common. Though most reverse entirely in several weeks, a significant number of cases leave some residual weakness (droopy eyelid, side of mouth, drool). I believe facial exercises, physical therapy may help. Cause probably viral inflamation (possibly herpes simplex). Must differentiate from stroke. Don't presume, see doc. ...Read more

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34 yr female suffering from facial palsy as a result of an accident. After 6yrs, now can that be corrected? Dr pl advise. Thank you

34 yr female suffering from facial palsy as a result of an accident. After 6yrs, now can that be corrected? Dr pl advise. Thank you

Unfavorable news: If it has been 6 years since the injury then any recovery by your nervous system has already occurred. Your prognosis for recovery even with nerve surgery at this point would be poor. ...Read more

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Tell me the difference between bell's palsy and facial palsy?

Both facial palsies: Bell's palsy is facial weakness or paralysis that is thought to be due to a viral infection of the facial nerve. There are other causes of facial palsy including tumor growth, stroke, infection and trauma to name a few. ...Read more

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Any difference between bell's palsy and facial palsy or they are the same?

Bell's /facial palsy: Bell's palsy refers to a weakness of the facial nerve (nerve that controls the movement of the facial muscles) from an unknown cause. Facial palsy refers to a weakness in the facial nerve. Bell's palsy is a type of facial palsy but other types include stroke, chicken pox virus (ramsey-hunt syndrome), tumors on the facial nerve, tumors that compress the facial nerve, and trauma of the facial nerve. ...Read more

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Can anyone tell me the difference between bell's palsy and facial palsy or they are the same?

Can anyone tell me the difference between bell's palsy and facial palsy or they are the same?

Not exactly: While both present with inability to move one side of the face, bell's palsy is a diagnosis of exclusion. Other causes of unilateral facial paralysis (lyme disease, stroke, ear infection, ear or brain tumor, etc) need to be ruled out during the evaluation.
In short, all bell's is facial palsy but not all facial palsy is bell's. ...Read more

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What is the physiotherapy of facial palsy?

What is the physiotherapy of facial palsy?

Smiling: The most common cause of facial palsy is bell's palsy. This involves the facial nerve. Recovery takes time as the nerve regrows. Use of the facial muscle should be normal and natural. Smiling and laughing use many facial muscles and are very good physiotherapy. Also try singing! ...Read more

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How to get rid of facial palsy?

Depends on timing: First your doctor needs to determine the cause of the paralysis. If it is from a virus, then just wait. Almost all of these will go away on their own. If there is some other problem such as a tumor, it needs to be taken care of first. If the palsy lasts more than 1 year, see a facial plastic surgeon to discuss options for making the face work properly. There are some very good options. ...Read more

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How to get rid of right facial palsy?

How to get rid of right facial palsy?

Depends on cause: Many things can cause facial palsy- viral infection, tumors, strokes to name a few. Recovery will be different depending on the cause and the severity. If not already done, you should be evaluated by a facial/ent specialist or a neurologist and they can advise you on your possible recovery. ...Read more

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Can palsy (like facial palsy which can cause the muscles on one side of the face to go limp) be inherited?

Can palsy (like facial palsy which can cause the muscles on one side of the face to go limp) be inherited?

Yes but rare: Facial palsy or paralysis can be inherited but this is rare. There are a number of syndromes that include facial paralysis. If this is present in a newborn then careful evaluation should be done by a pediatric specialist. ...Read more

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Hi, Doctors my wife gets facial palsy before week & we started treatment since 5 days I want to ask you can we do something to recovery fast thanks?

Hi, Doctors my wife gets facial palsy before week & we started treatment since 5 days I want to ask you can we do something to recovery fast thanks?

Bell's palsy: Presumably your wife is suffering from Bell's palsy. The facial weakness resolves in 1-2 months. Corticosteroids and anti-viral medication are often prescribed. Facial exercises, massaging the facial muscles and opening and closing the eye lid are helpful. Take extra care with oral hygiene as food can pool on the affected side. Eye drops to lubricate the eye and a patch at night to protect it. ...Read more

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I am having acute facial palsy. Should I visit a neurologist immediately?

Yes: Either a neurologist or perhaps an ENT specialist as they treat many patients with facial palsy. ...Read more

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I have otitis media with facial palsy! Has anyone ever recovered from this?

Ever? Yes: If you are not under the care of an otolaryngologist or otologist you need to see one right away. A combination of medications including antibiotics and anti-inflammatories are typically useful. You may need to have a ventilating tube placed in the affected ear to clear the infection expediently. Follow your specialists instructions compulsively. Protect your eye. ...Read more

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If anastozole (arimiset) possibly caused facial palsy, should it be discontinued or do all aromotase inhibitors contain the same basic ingredients?

Arimidex (anastrozole): On oct, 27, 2012: 12, 989 people reported to have side effects when taking arimidex (anastrozole). Among them, 27 people (0.21%) have facial palsy. The annual incidence in the population is. 02%. Thus there appears to be a slightly greater incidence in those taking arimidex (anastrozole). ...Read more

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I had a facial palsy since year of 2000 and still have a problem in my right eye?

I had a facial palsy since year of 2000 and still have a problem in my right eye?

Dry: Dry eye is common after facial palsy. Try lubricating drops and ointment at bedtime. If that fails, sometimes lid surgery can help. ...Read more

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Is synkinesis after facial palsy permanent? Developed palsy after trauma from surgery. When I smile, corner lip spasms. 5 months post op

Is synkinesis after facial palsy permanent? Developed palsy after trauma from surgery. When I smile, corner lip spasms. 5 months post op

First: Discuss this with the surgeon. From a neurological standpoint you can monitor recovery with a Blink Study (facial nerve NCV) the development of aberrant nerve re growth obviates a careful assessment of facial nerve function including taste, ability to tolerate loud noises, production of saliva and tears (not just facial muscle responses) See a neurologist for this. ...Read more

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Suffered facial palsy post craniotomy. Face appears mostly normal but when I smile or laugh my lip twitches. Is this Synkinesis or nerve irritated?

Suffered facial palsy post craniotomy. Face appears mostly normal but when I smile or laugh my lip twitches. Is this Synkinesis or nerve irritated?

Probably weakness: There's no way to know without seeing it but usually synkinesis is the yoking of the movements of the eye and mouth: when you smile you blink and vice versa but only on the damaged side. Twitching of a previously damaged area is likely residual weakness from the injury or continued irritation. Would be tough to get isolated lip irritation from a craniotomy injury. I would go with weakness ...Read more

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Does facial palsy always present with ramsay hunt syndrome, I have all other symptoms, only pain is to the back of my head and neck. Blisters in ear etc?

Does facial palsy always present with ramsay hunt syndrome, I have all other symptoms, only pain is to the back of my head and neck. Blisters in ear etc?

RHS: Facial paralys can present few days before or after onset of other symptoms in rhs. Acute facial paralysis is the hallmark of rhs, but the syndrome as described by dr. Hunt can have varying presentation, making the history and physical examination the most important tool. Other nerves in close proximity to the facial nerve can be affected by vzv. Focus is on differential diagnosis and treatment. ...Read more

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Had facial palsy from result from surgery 5 months. Got most movement back but when I smile, chew or swallow, my ear flutters. Is this synkinesis?

Had facial palsy from result from surgery 5 months. Got most movement back but when I smile, chew or swallow, my ear flutters. Is this synkinesis?

Rare but possible: I have never encountered this but the auricular muscles are innervated by the facial nerve and so this is possible but not common. ...Read more

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If my bell's palsy facial paralysis hasn't gone away after a year will it ever go away?

Unlikely: Most people with true bell's palsy will recover most or all of their facial movement with time. Some will have permanent paralysis or weakness. If your face has not improved at all then you should see an ENT specialist for more evaluation. It is possible that you have another problem that has caused your facial paralysis such as a tumor growth and this should be checked. ...Read more

Dr. William Singer
1,056 Doctors shared insights

Paralysis (Definition)

A paralyzed limb cannot be voluntarily moved, and the term reflects leg involvement, paraplegia, full body, quadriplegia, and less than full, tetraplegia. Causes can be many, including stroke, trauma, ...Read more


Dr. Sheila Smith
32 Doctors shared insights

Paralyzed On One Side Of Face (Definition)

Facial nerve palsy due to birth trauma is the loss of controllable (voluntary) muscle movement in an infant's face due to pressure on the facial nerve just before or at ...Read more