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Suggest Treatment For Right Sided Facial Weakness And Sinus Infection

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Posted on Thu, 3 Nov 2016
Question: I HAVE RT. SIDED FACIAL WEAKNESS, NUMBNESS ON RT. SIDE OF MOUTH/LIPS. NO HEAD ACHE BUT HAVE SINUS INFECTION. MY EYES (BILATERAL) WATER AT ALL TIMES AND FEEL HOT AND STINGY. wENT TO ER SATURDAY AND HAD MRI & CT SCAN WHICH WERE NEGATIVE EXCEPT FOR INFLAMATION OF SINUSES. STRENGTHS ARE STRONG AND EQUAL, PERL, TONGUE MIDLINE AND A&O. THEY QUESTIONED LYME (BUT NO HX OF BUG BITE OR RASH THAT I AM AWARE OF) AND ASSOCIATED BELLS PALSY HOWEVER I CAN RAISE MY EYE BROW ON AFFECTED SIDE. THEY SENT ME HOME ON DOXYCYLINE 100 MG BID X 3 WEEKS TREATING ME FOR SINUS & LYME B/C THEY DON'T KNOW WHAT ELSE IT COULD BE. NO HX OF TRAUMA OR HITTING MY HEAD. wHAT AR YOUR THOUGHTS PLEASE.
doctor
Answered by Dr. Ishu Bishnoi (12 minutes later)
Brief Answer:
Differential diagnosis of facial palsy

Detailed Answer:
Hi Cwb7711, thanks for asking from HCM.


I can understand your concern. At your age (62 years), spontaneous facial palsy could be due to

: Bell palsy - Ruled out
: Herpes simplex virus infection
: diabetes mellitus,
: human immunodeficiency virus (HIV) infection
: XXXXXXX Hunt syndrome (peripheral facial palsy with zoster optics)
: Autoimmune disorders like sarcoidosis, Sjogren's syndrome,
: parotid-nerve tumors,
: polyarteritis nods and amyloidosis

I have given you the list. You should ask your doctor to confirm palsy by
: Nerve conduction velocity
: If diagnosis confusion, he might ask neurosurgeon to take biopsy of nerve

Also rule out above mentioned conditions by
: Blood sugar level
: Hiv ELISA test
: Checking serum antibodies to detect autoimmune disorders like c-ANCA, p-ANCA, ANA, ESR, CRP.

Also, you needs steroids (Prednisolone) tablets to recover facial nerve function. Kindly consult this about doctor. Steroids help in acute stage of facial palsy.

Hope it will help you. Thanks. Take care,
If still in doubt, do let me know.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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Suggest Treatment For Right Sided Facial Weakness And Sinus Infection

Brief Answer: Differential diagnosis of facial palsy Detailed Answer: Hi Cwb7711, thanks for asking from HCM. I can understand your concern. At your age (62 years), spontaneous facial palsy could be due to : Bell palsy - Ruled out : Herpes simplex virus infection : diabetes mellitus, : human immunodeficiency virus (HIV) infection : XXXXXXX Hunt syndrome (peripheral facial palsy with zoster optics) : Autoimmune disorders like sarcoidosis, Sjogren's syndrome, : parotid-nerve tumors, : polyarteritis nods and amyloidosis I have given you the list. You should ask your doctor to confirm palsy by : Nerve conduction velocity : If diagnosis confusion, he might ask neurosurgeon to take biopsy of nerve Also rule out above mentioned conditions by : Blood sugar level : Hiv ELISA test : Checking serum antibodies to detect autoimmune disorders like c-ANCA, p-ANCA, ANA, ESR, CRP. Also, you needs steroids (Prednisolone) tablets to recover facial nerve function. Kindly consult this about doctor. Steroids help in acute stage of facial palsy. Hope it will help you. Thanks. Take care, If still in doubt, do let me know.