Here, we illustrate a year old female admitting with weakness on left side of the face who firstly considered peripheral facial palsy in the forefront. However, detailed neurological examination and cranial MRI findings finally yielded the proper diagnosis of right hemisphere ischemic stroke. Via this remarkable presentation, we point out the clinical challenges in evaluation processes of patients with facial palsy in emergency practice and emphasize the importance of detailed examination for the proper diagnosis as well as initiation of appropriate treatment agents without delay. Peripheral facial nerve paralysis is an acute facial nerve affection which is encountered frequently in emergency medicine practice. Typically, the diagnosis can be made based on the weakness of all muscles innervated by the facial nerve branches. The discrimination between peripheral and central facial nerve palsies can be made according to whether the upper facial muscles are spared or not . However, in contrast with common knowledge, upper facial weakness has also been reported to exist in patients with central facial palsy associated with unilateral stroke syndromes  , .
Effects of Stroke
Effects of Stroke | American Stroke Association
Erica Jacques is an occupational therapist and freelance writer with more than 15 years of combined experience. Jacques has been published on Mybackpaininfo. Facial paralysis can occur after a stroke, according to MedlinePlus. In fact, several facial symptoms may result from a stroke. Early recognition of the facial signs of stroke can be key to stroke recovery. According to the National Institute of Neurological Disorders and Stroke NINDS , a person suspected of having a stroke should get to the hospital as soon as possible for specialized intervention.
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The brain is an extremely complex organ that controls various body functions. If a stroke occurs and blood flow can't reach the region that controls a particular body function, that part of the body won't work as it should. If the stroke occurs toward the back of the brain, for instance, it's likely that some disability involving vision will result.
Error: This is required. Error: Not a valid value. Often, facial droop will get better by itself, but sometimes the cause is a serious problem — such as a stroke — so you should see a doctor if you notice your face is drooping. In the case of a stroke , the facial droop will come on suddenly, and other muscles on one side of the body might also be affected. If you suspect that you or someone else is having a stroke, call triple zero immediately and ask for an ambulance.