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Answers: 2006 Series -  April 4, 2006 Lecture 39 of 52  NEXT»

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This 34-year-old man had an acoustic neuroma removed surgically 18 months earlier.  He is doing well except for weakness of the right side of his face.  He has difficulty closing his eyelids on the right side and has weakness of his lower facial muscles.

1.  The clinical appearance is that of:   
 

d -- (a) and (c) above

This is a typical clinical picture of seventh or facial nerve palsy

 

2.  The lesion is: 
 

a -- peripheral

Since the paralysis affects both the upper and lower face muscles the lesion is of peripheral origin. Central lesions affect only the lower facial muscles. 


3.  This condition occurring idiopathically is called:
  c -- Bell palsy

When this condition occurs idiopathically it is called Bell palsy.  This condition is usually self limiting.

 


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