What Causes One-sided Facial Droop?
Gabapentin for nerve pain
Detailed Answer:
Hello again.
Everybody has some facial asymmetry. When I say everybody, I mean everybody. If you take a random face and divide it in the middle you will see those are not the same. This is not a problem, or something you should worry about. Now you have realised this difference, but if you will look carefully you will notice that this is the same for everyone else.
The pain instead can be troublesome. If it is not from the teeth and the EMG records no abnormal activity then it should go away. There is nothing to cause pain permanently. But it is difficult to say when this is going to go away. It might take weeks, also months as well. But if it is within normal limits it will definitely go away.
Meanwhile, Gabapentin might helpon the pain. Talk to your GP on the possibility of prescribing some Gabapentin to be taken at least for a month.
Hope this helps.
Sincerely, wish you the best help.
i do not recommend steroids
Detailed Answer:
Prednisone, which is a steroid, is a very strong anti inflammatory drug, with many adverse effects. I do not recommend using it, unless there is a strong indication. When I say strong I mean severe diseases, like autoimmune and tumors. Luckily yours seems a benign neuropathy, with little evidence of inflammation. If there is any sign of inflammation you can use simple ibuprofen for a few days, which is a good anti inflammatory drug, but with a few side effects, unlike prednisone which is very strong.
For the feeling of the face I recommend gabapentin or amitriptyline.
Best regards.
Also I have attached two images of my eye. One was before I noticed the slight saggyness and the other one was after I noticed it. The bottom eyelid used to be covering more of my eyeball and now it hardly does. I know it's only a tiny difference but I don't know why that has happened. Can physiotherapy make it go back to normal?
Your face is already normal
Detailed Answer:
Hello. Physiotherapy in that region is done naturally by normal blinking. I do not notice a clear difference, meaning that most of normal people have that kind of difference. You face at the moment is perfectly normal, though not perfectly symmetrical, because nobody has a perfectly symmetrical face.
Again, your face is normal.
Sincerely.
Geldon Fejzo MD.
possible but not probable
Detailed Answer:
Hello. Your face looks normal. Of course, neuropathy can change the tonus of the muscles, but this does not seem your case. Wish the best health.
Not necessarily
Detailed Answer:
Hello.
If it is a facial palsy it would involve all facial muscles, including nose and eye muscles.
Still, your nose and eye muscles seem normal to me. But remember, they will never be the same with the muscles of the other part of the face. They never are.
Best regards.
your face is ok
Detailed Answer:
I think your muscles are perfectly corresponding your age. In my opinion, since they move normally, leave behind this concern. There is nothing to worry. I would not worry. Suggest you do the same.
it will gi away.
Detailed Answer:
Definitely it will go away. No one can tell for sure when it will go away. It might take weeks, or maybe months. But for sure it will go away.
Sincerely.
Geldin Fejzo
many causes
Detailed Answer:
FORCEPS DELIVERY
Dystrophia myotonica
Möbius syndrome (facial diplegia associated with other cranial nerve deficits)
Trauma Basal skull fractures
FACIAL INJURY
Penetrating injury to middle ear
Altitude paralysis (barotrauma)
Scuba diving (barotrauma)
Lightning
Neurologic Opercular syndrome (cortical lesion in facial motor area)
Millard-Gubler syndrome (abducens palsy with contralateral hemiplegia caused by lesion in base of pons involving corticospinal tract)
INFECTION
External otitis
Otitis media
Mastoiditis
Chickenpox
Herpes zoster cephalicus (Ramsay Hunt syndrome)
Encephalitis
Poliomyelitis (type 1)
Mumps
Mononucleosis
Leprosy
Influenza
Coxsackievirus
Malaria
Syphilis
Scleroma
Tuberculosis
Botulism
Acute hemorrhagic conjunctivitis (enterovirus 70)
Gnathostomiasis
Mucormycosis
Lyme disease
Cat scratch
Acquired immunodeficiency syndrome (AIDS)
METABOLIC
Diabetes mellitus
Hyperthyroidism
Pregnancy
Hypertension
Acute porphyria
Vitamin A deficiency
NEOPLASTIC
Benign lesions of parotid
Cholesteatoma
Seventh nerve tumor
Glomus jugulare tumor
Leukemia
Meningioma
Hemangioblastoma
Sarcoma
Carcinoma (invading or metastatic)
Anomalous sigmoid sinus
Carotid artery aneurysm
Hemangioma of tympanum
Hydradenoma (external canal)
Facial nerve tumor (cylindroma)
Schwannoma
Teratoma
Hand-Schüller-Christian disease
Fibrous dysplasia
Neurofibromatosis II
TOXIC
Thalidomide (Miehlke syndrome, cranial nerves VI and VII with congenital malformed external ears and deafness)
Ethylene glycol
Alcoholism
Arsenic intoxication
Tetanus
Diphtheria
Carbon monoxide
IATROGENIC
Mandibular block anesthesia
Antitetanus serum
Vaccine treatment for rabies
Postimmunization
Parotid surgery
Mastoid surgery
Post-tonsillectomy and adenoidectomy
Iontophoresis (local anesthesia)
Embolization
Dental
IDIOPATHIC
Familial Bell palsy
Melkersson-Rosenthal syndrome (recurrent alternating facial palsy, furrowed tongue, faciolabial edema)
Hereditary hypertrophic neuropathy
(Charcot-Marie-Tooth disease, Dejerine-Sottas disease)
AUTOIMMUNE
Amyloidosis
Temporal arteritis
Thrombotic thrombocytopenic purpura
Periarteritis nodosa
Landry-Guillain-Barré syndrome (ascending paralysis)
Multiple sclerosis
Myasthenia gravis
Sarcoidosis (Heerfordt syndrome, uveoparotid fever)
Osteopetrosis
My doctor said it's trigmenial neuropathy and I had it for 4 months
improbable
Detailed Answer:
One of the causes is alcohol intoxication, but in order for this to happen you should have alcohol for a long time.
Does this mean it is permanent ? (Sorry I am asking so many questions)
it is not permanent.
Detailed Answer:
Hello. I doubt this being alcohol related. These situations tend to happen after you consume lots of alcohol for several years, like 20 or 30 years. I think you have a normal face. Try to enjoy it.