Central facial palsy
Facial nerve palsy
Central facial palsy is a symptom or finding characterized by paralysis or paresis of the lower half of one side of the face. It usually results from damage to upper.
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In a central facial palsy, only the lower face is paralyzed, especially perioral musculature. Facial tone is intact (no atrophy), and there are no fasciculations ( Video.
Ned Tijdschr Geneeskd. ;A [A young woman with central facial nerve palsy]. [Article in Dutch]. Broere CM(1), de Witte BR, Claes JF.
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Description:Total paralysis No movement House and Brackmann staged injury from grade , with different chances of spontaneous recovery. These stages correspond with the pathologic findings of neurapraxia, axonotmesis, neurotmesis, and partial and complete transection of the facial nerve. A clinical House-Brackmann grade 1 injury refers to neurapraxia, which is the most likely stage for spontaneous recovery. Axonotmesis is the term for longer compression of the nerve, clinically a House-Brackmann level injury, with temporary axonoplasmal flow interruption and subsequent Wallerian anterograde degeneration. Degeneration in axonotmesis is most often incomplete, with more or fewer axons surviving.