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Facial paralysis

Facial paralysis

Definition

Facial paralysis is the total loss of voluntary muscle movement of one side of the face.

Alternative Names

Paralysis of the face

Considerations

About 75% of all cases of facial paralysis in adults are due to a condition called Bell's palsy, in which the facial nerve becomes inflamed.

Stroke may cause facial paralysis. In this case, the eye on the affected side may be closed and the forehead can be wrinkled. (Persons with Bell's palsy can not do this.) Other muscles on one side of the body may also be involved with a stroke.

Facial paralysis due to a brain tumor generally develops slowly and causes headaches, seizures, or hearing loss.

In newborns, facial paralysis may result from birth trauma.

Causes

Home Care

Treatment depends on the cause. Follow your health care provider's treatment recommendations. Sometimes steroids and acyclovir may be given depending on the cause.

If the eye cannot be fully closed, the cornea must be protected from drying out with prescription eye drops or gel.

When to Contact a Medical Professional

Call your doctor if you have weakness or numbness in your face. Seek emergency medical help if these symptoms occur along with a severe headache, seizure, or blindness.

The doctor will perform a physical exam and ask you questions about your medical history and symptoms, including:

  • Are both sides of the face affected?
  • Have you recently been sick or injured?
  • What other symptoms do you have? For example, drooling, excessive tears from one eye, headaches, seizures, vision problems, weakness, or paralysis.

Tests that may be done include:

The doctor may refer you to a physical, speech, or occupational therapist. If facial paralysis from Bell's palsy persists for more than 6 - 12 months, plastic surgery may be recommended to improve eye closure and facial appearance.

Review Date: 3/5/2007
Reviewed By: Daniel Kantor, M.D., Director of the Comprehensive MS Center, Neuroscience Institute, University of Florida Health Science Center, Jacksonville, FL. Review provided by VeriMed Healthcare Network.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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