Bell’s palsy
unilateral facial paralysis eyebrow paralysis inability to close eye drooping at affected corner of mouth loss of taste sensation at anterior 2/3 of the tongue
most common cause of LMN facial paralyss
bells palsy
oral prednisone + valcyclovir
other causes of LMN facial paralysis
HSV Ramsay Hunt syndrome - vesicles on ear Lyme disease Mastoid infections Meningitis Temporal bone fracture Tumor (acoustic schwannoma of CPA)
order MRI/CT of head if + near signs
Encephalitis & meningitis may be present
common causes of hearing loss
aging hearing aid if needed or other causes prolonged or intense exposure to noise meniere's diseaseae