What causes facial paralysis early in the morning?
Patient: wife woke up with right side of face paralyzed -- unable to blink right eye, move right side of mouth...rest of body seems ok. she is type 2 on insulin. she refuses to go to doctor. she looked up MILD STROKE and says she will be ok. I say she should have gone immediately. what can happen? Doctor: Hello dear,What your wife calls mild stroke is most probably not a stroke.It is Bell's palsy rather.In stroke mostly(unless it is a pontine stroke which also impair eye movements),there is only facial deviation and blinking of eye is not affected.Please take her soon to a neurologist as early treatment with antivirals and short course of steroids enhance the recovery significantly.Even if it is stroke,early treatment is must for recovery and to prevent recurrence.I hope it helped.