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Pathology
Palsy of CN VII
Aetiology
Commonest cause of lower motor neuron facial palsy
Idiopathic – possibly links to Herpes Simplex 1 Virus
Signs
Weakness of one side of the face usually including forehead
Symptoms
Aching pain below mastoid, weakness of one side of the face, speech difficulties and drooling from one side of mouth
Investigations
Clinical Diagnosis: Based on exclusion of stroke and other neurological pathology
Treatment
Medical: High dose oral prednisolone, eye lubrication and acyclovir
Prognosis
Excellent prognosis
Corneal ulceration, facial weakness, speech problems, contractures
Key Facts
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Key Images
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Key References
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