Facial paralysis

Alternative names:

paralysis of the face

Home care:

Treatment depends on the cause. Follow your health care provider's treatment recommendations.

If the eye cannot fully close, the cornea must be protected from drying out with prescribed lubricating eye drops or gel.

Call your health care provider if:

• there is any facial paralysis; if it is accompanied by a severe headache, seizure, or blindness it may be an emergency situation!
• the muscles in the body are involved

What to expect at your health care provider's office:

The medical history will be obtained and a physical examination performed.

Medical history questions documenting facial paralysis in detail include:

• Are both sides of the face affected?
• Is there any recent history of illness or injury?
• What other symptoms are also present?
  • Is there a facial droop?
  • Is there drooling?
  • Are there excessive tears from one eye?
  • Are there headaches?
  • Are there seizures?
  • Are there any vision problems?
  • Is there weakness or paralysis elsewhere in the body?

The physical examination will include a detailed neurological examination.

Diagnostic tests that may be performed include:

• blood studies such as a CBC or blood differential
• CT scan of the head
• electromyography
• myelography
• X-rays of the head

Intervention:
Arrangements may be made for physical therapy, speech therapy, or occupational therapy, if appropriate.

If facial paralysis from Bell's palsy persists for greater than 6 to 12 months, plastic surgery may be recommended to improve eye closure and facial appearance.

After seeing your health care provider:
You may want to add a diagnosis related to facial paralysis to your personal medical record.