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Upper motor neurone facial palsy

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Professional Reference articles are designed for health professionals to use. You may find the Bell's Palsy article more useful, or one of our other health articles. NICE has issued rapid update guidelines in relation to many of these. This guidance is changing frequently.

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Central facial palsy

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Facial Nerve Palsy. Information about Facial Nerve Palsy. Patient | Patient

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Facial Nerve Palsy

A facial palsy is weakness or paralysis of the muscles of the face. The facial nerve arises in the pons formed as separate sensory and motor roots , before travelling in the internal acoustic meatus, very close to the inner ear. As they enter the facial canal, the two roots fuse to form a single facial nerve, before giving off intracranial branches of the greater petrosal nerve, nerve to stapedius, and chorda tympani. The facial nerve then exits the facial canal and the cranium via the stylomastoid foramen.
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Central facial palsy colloquially referred to as central seven is a symptom or finding characterized by paralysis or paresis of the lower half of one side of the face. It usually results from damage to upper motor neurons of the facial nerve. The facial motor nucleus has dorsal and ventral divisions that contain lower motor neurons supplying the muscles of the upper and lower face, respectively.
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