Lower motor neurone facial palsy

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Isolated facial muscle weakness is an uncommon presentation to the ED and may be quickly diagnosed by the unwary as Bells palsy. The Emergency Physician must be aware of two potential pitfalls when presented with a patient with facial weakness:. Bells palsy is defined as an acute idiopathic peripheral facial nerve paresis and is the most common cause of acute peripheral facial weakness [1].

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Introduction : Facial nerve is the seventh cranial nerve having important functions, and hence its paralysis can lead to a great deal of mechanical impairment and emotional embarrassment. Etiopathogenisis of lower motor neuron facial palsy is still a diagnostic challenge and the literature has shown varying results pertaining to the same. This study was designed to sketch out the prevalence of disease causation and the profile of peripheral facial palsy patients presenting to the ENT department at Government Medical College, Kozhikode.

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The facial motor nucleus is a collection of neurons in the brainstem that belong to the facial nerve cranial nerve VII. These lower motor neurons innervate the muscles of facial expression and the stapedius. The nucleus is situated in the caudal portion of the ventrolateral pontine tegmentum.

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A facial palsy is weakness or paralysis of the muscles of the face. Figure 1 — The course and intracranial branches of the facial nerve. Many causative associations have been proposed, the most universally accepted theory suggests a viral originyet no conclusive evidence is available at present.

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When refering to evidence in academic writing, you should always try to reference the primary original source. That is usually the journal article where the information was first stated. In most cases Physiopedia articles are a secondary source and so should not be used as references.

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Facial paralysis is one of the common problem leading to facial deformation. Bell's palsy BP is defined as a lower motor neuron palsy of acute onset and idiopathic origin. BP is regarded as a benign common neurological disorder of unknown cause. It has an acute onset and is almost always a mononeuritis.

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Central facial palsy colloquially referred to as central seven is a symptom or finding characterized by paralysis or paresis of the lower half of one side of the face. It usually results from damage to upper motor neurons of the facial nerve. The facial motor nucleus has dorsal and ventral divisions that contain lower motor neurons supplying the muscles of the upper and lower face, respectively.

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Professional Reference articles are designed for health professionals to use. You may find the Bell's Palsy article more useful, or one of our other health articles. Synonym: Bell's palsy lower motor neurone facial palsy ; idiopathic facial paralysis IFP. Damage to the facial nerve - either upper motor neurone UMN or lower motor neurone LMN - produces weak muscles of facial expression.

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