Facial Nerve Palsy (also ENT)

Question 1

When is UMN lesion an emergency

Answer 1

If it leads to stroke

Question 2

The forehead is affected in a … lesion

Answer 2

LMN

Question 3

Are patients able to move their eyebrows in an UMN lesion

Answer 3

Yes (forehead spared)

Question 4

Diseases that lead to unilateral UMN lesions

Answer 4

• cerebrovascular accidents

- tumours

Question 5

Diseases that lead to bilateral UMN lesions

Answer 5

• pseudobulbar palsies

- motor neurone disease

Question 6

Presentation of Bell’s palsy

Answer 6

Unilateral LMN palsy

Question 7

The majority of facial nerve palsy patients recover over several weeks but how many had residual weakness

Answer 7

1/3rd

Question 8

When to give prednisolone in Bell’s palsy

Answer 8

Patient presenting within 72hrs of symptoms

Question 9

What is given to prevent eye damage on weakened side in Bell’s palsy

Answer 9

Lubricating eye drops

Question 10

What should be checked for if there is pain in the eye in Bell’s palsy

Answer 10

Exposure keratopathy

Question 11

Ramsay-Hunt syndrome

Answer 11

Exam MCQ material

Question 12

Viral cause of Ramsay-Hunt syndrome

Answer 12

HZV

Question 13

2 presentations of Ramsay-Hunter syndrome

Answer 13

• unilateral LMN facial nerve palsy

- painful & tender vesicular rash in ear canal

Question 14

Urgent Tx of Ramsay-Hunter syndrome

Answer 14

• prednisolone
• aciclovir
• lubricating eye drops