Central facial palsy
| Central facial palsy | |
|---|---|
| Synonyms | Central seven |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Facial muscle weakness, drooping of the mouth corner |
| Complications | Speech difficulties, difficulty with facial expressions |
| Onset | Sudden |
| Duration | Variable |
| Types | N/A |
| Causes | Stroke, brain tumor, multiple sclerosis |
| Risks | Hypertension, diabetes, smoking |
| Diagnosis | Clinical examination, neuroimaging |
| Differential diagnosis | Bell's palsy, peripheral facial palsy |
| Prevention | N/A |
| Treatment | Physical therapy, speech therapy, treatment of underlying cause |
| Medication | N/A |
| Prognosis | Variable, depends on underlying cause |
| Frequency | Common in stroke patients |
| Deaths | N/A |
Central facial palsy is a neurological disorder that results in an inability to control facial muscles on the affected side. It is caused by damage to upper motor neurons of the facial nerve.
Causes
Central facial palsy is caused by damage to the upper motor neurons of the facial nerve. This damage can occur due to a variety of conditions, including stroke, brain tumor, multiple sclerosis, and traumatic brain injury.
Symptoms
The primary symptom of central facial palsy is an inability to control the facial muscles on the affected side. This can result in a variety of issues, including difficulty with facial expressions, difficulty speaking, and difficulty eating. Other symptoms can include drooping of the mouth and/or eye on the affected side, and loss of the sense of taste on the front two-thirds of the tongue.
Diagnosis
Diagnosis of central facial palsy typically involves a physical examination and a review of the patient's medical history. Additional tests, such as MRI or CT scan, may be used to confirm the diagnosis and determine the underlying cause.
Treatment
Treatment for central facial palsy focuses on addressing the underlying cause of the condition. This can involve medication, surgery, or other treatments depending on the specific cause. Physical therapy may also be used to help improve facial muscle control and function.
Prognosis
The prognosis for central facial palsy varies depending on the underlying cause of the condition. In some cases, patients may experience a complete recovery, while in others the condition may be permanent.
See also
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Contributors: Prab R. Tumpati, MD