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 | Overview |
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is the sudden onset of weakness of the muscles of one side of the face, for which no other cause can be found. It is due to a loss of function in the nerve that supplies the facial muscles (the facial nerve). The cause is unknown, but there is some reason to believe that a viral infection of the nerve is responsible. is common, affecting approximately 23 per 100,000 people per year, or 1 in 60 to 70 people in a lifetime.
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| Causes |
| | the temporal bone - the bone that contains the middle ear. The facial nerve travels through this bone on its way to the facial muscles and so may be damaged. , particularly a stab wound to the neck. Tumours in the upper part of the neck. Damage to the facial nerve during ear surgery.
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| Symptoms |
| | of the face, the onset of which is usually quite rapid - over a few hours. Some or all of the following symptoms may also be present on the same side as the weakness: pain in the ear. a feeling of numbness of the face, although the sense of touch remains normal. on the front part of the tongue. loss of saliva production and increase in tear flow. sometimes, increased hearing sensitivit.
There is no disturbance of balance in . Because of the weakness or paralysis of the facial muscles the person will usually have difficulty in closing the eye properly on the affected side. The muscles on the unaffected side of the face tend to pull the mouth over to that side, causing the person to drool and often giving the initial visual impression that the of the face is the one with the movement.
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| Risk Factors |
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