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Facial Weakness (Nerve (LMN lesion (Inflammation/Infection (Ramzy Hunt…

- - - - Ramzy Hunt syndrome
        -PE: otoscope shows vesicles due to zoster virus
      - Lyme disease
      - Bell's palsy
        -Usually idiopathic but could be due to viral infection; dx of exclusion
    - - Parotid tumor resection
      - Temporal bone fracture
    - - CP angle lesions, eg. Schwannoma
        -Both VII & VIII affected
      - Parotid tumor
    - - Multiple Sclerosis
      - Guillan-Barre
        -Ascending paralysis
        Miller Fisher Syndrome
        -Descending paralysis
    - - Brainstem (Pontine) stroke
        -Crossed hemiparesis, with no sparing of forehead
        -Loss of taste sensation
        -Hyperacusis