Stroke with Facial Palsy

Basilar artery ischemia / infarction affect CN7

Rarely (if ever) CN7 alone.  Usually other symptoms / signs:

• Diplopia, dysarthria, dysphagia, hoarseness
• Abnormal EOMs;  CN 9, 10, 12;  Motor & Coordination deficits

Facial Weakness patterns  —  Stroke vs. Bell’s

• Eyebrows & forehead maintain normal strength with Stroke; are Weak with Bell’s
• Stroke:  maybe dissociation between voluntary & spontaneous facial movement