The facial nerve is also called cranial nerve VII. In addition, check the corneal reflex, palpate the parotid glands for tumors, and test the patient’s hearing. The material includes 2,570 cases of peripheral facial nerve palsy studied during a period of 25 years. For many people experiencing these symptoms, their first reaction is that they are having a stroke. True, these other things are real rare. Other symptoms can include: Difficulty closing one eyeDifficulty eating and drinking; food falls out of one side of the mouthDrooling due to lack of control over the muscles of the faceDrooping of the face, such as the eyelid or corner of the mouthProblems smiling, grimacing, or making facial expressionsTwitching or weakness of the muscles in the face Other symptoms that may occur: Dry eye, which may lead to eye sores or infectionsDry mouthHeadacheLoss of sense of tasteSound that is louder in one ear (hyperacusis)Twitching in face Exams and Tests Often, Bell’s palsy can be diagnosed just by taking a health history and doing a complete physical exam. Natick, Massachusetts: Kiiko Matsumoto International, pages 35-37, 234-236, 425.
If you are diagnosed with Bell’s palsy, no need to worry. Part or all of the face may be affected. If the underlying cause is a virus, antivirals can be prescribed to deal with the causal factors. Some cases are mild and don’t require treatment, with symptoms subsiding within two weeks without treatment. Clinical Evidence search and appraisal October 2013. Diagnostic Considerations Bell’s palsy and stroke are the two most common causes of sudden facial weakness (Gilden 2004). Existing negative RCTs of corticosteroid therapy in idiopathic facial nerve paresis (Bell’s palsy) have inadequate power to detect a treatment effect because of the small numbers of enrolled patients .
Twerski A, Twerski B: The emotional impact of facial paralysis, in May M (ed): The Facial Nerve.