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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms Of Central Facial Palsy?

My BP is 180/40. I am 70 now. 2 days before I suffered a facial paralysis of my left lower jaw and my BP was then 200/90. It seems that I am now suffering from central facial palsy. Doctors prescribed me Telma AM 80 and Nebister 5. Any suggestions further for my cure........
Thu, 26 Sep 2019
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Neurologist 's  Response
Hi,

Your reported blood pressure of 180/40 is abnormal to begin with and if not a reporting error often times represents cardiac pumping problems. A normal number is usually between 40-60 whereas yours is about 140 (i.e. 180-40). That's extremely high and could be caused by several things such as iron deficiency, aortic stiffness or atherosclerosis, or HYPERTHRYOIDISM.

Your 2nd mentioned blood pressure of 200/90 also demonstrates a very high or wide pulse pressure of 110 (i.e. 200-90). Any one of the above mentioned problems which can cause these types of blood pressures could lead to stroke or ischemic brain disease which is likely what your doctors are referring to as "central facial palsy" which has its origins typically in the brainstem.

Treatment for this is to first diagnose the CAUSE and so you should speak to a neurologist if this is the case for further guidance on what comes next in the workup and possible other consultations with specialists depending on what's found.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi, Neurologist
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What Are The Symptoms Of Central Facial Palsy?

Hi, Your reported blood pressure of 180/40 is abnormal to begin with and if not a reporting error often times represents cardiac pumping problems. A normal number is usually between 40-60 whereas yours is about 140 (i.e. 180-40). That s extremely high and could be caused by several things such as iron deficiency, aortic stiffness or atherosclerosis, or HYPERTHRYOIDISM. Your 2nd mentioned blood pressure of 200/90 also demonstrates a very high or wide pulse pressure of 110 (i.e. 200-90). Any one of the above mentioned problems which can cause these types of blood pressures could lead to stroke or ischemic brain disease which is likely what your doctors are referring to as central facial palsy which has its origins typically in the brainstem. Treatment for this is to first diagnose the CAUSE and so you should speak to a neurologist if this is the case for further guidance on what comes next in the workup and possible other consultations with specialists depending on what s found. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist