*H&P: Unilateral, idiopathic facial weakness that self resolves.
*H&P: Unilateral, idiopathic facial weakness that self resolves.
*Dx: Clinical based on symptoms. Differentiate from stroke by looking for forehead and eyelid muscle involvement (spared in stroke).
*Dx: Clinical based on symptoms. Differentiate from stroke by looking for forehead and eyelid muscle involvement (spared in stroke).
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*Tx: None needed. Some people give acyclovir because of presumed association with VZV. Ophthalmic ointments or tape on eye to prevent corneal drying at night.
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*Tx: Steroids or just wait. Some people give acyclovir because of presumed association with VZV. Ophthalmic ointments or tape on eye to prevent corneal drying at night.