Etiology of Facial Paralysis
There are numerous causes of facial nerve paralysis
(see table 1). The most common causes include Bell’s
palsy, acoustic neuromas, trauma and parotid cancer.
Bell’s
Palsy |
* Herpes virus
related
* Must rule out other causes of Facial Paralysis
|
Trauma |
* Cerebellopontine angle
tumor: Acoustic Neuromas, meningioma
* Parotid cancer: pleomorphic adenoma, squamous
cell carcinoma, adenoid cystic carcinoma
* Head & neck tumors
|
Tumor |
# Cerebellopontine angle
tumor: Acoustic Neuromas, meningioma
# Parotid cancer: pleomorphic adenoma, squamous
cell carcinoma, adenoid cystic carcinoma
# Head & neck tumors
|
Metabolic |
* Diabetes mellitus
* Hyperthyroidism
* Pregnancy
* Hypertension
* Vitamin A deficiency |
Neurologic |
* Opercular syndrome: cortical
lesion in facial motor area
* Millard-Gubler syndrome |
Melkersson-Rosenthal
Syndrome |
* Recurrent Alternating
FNP
* Furrowed Tongue
* Faciolabial Edema
|
Toxic |
* Thalidomide
* Ethylene glycol
* Alcoholism
* Arsenic intoxication
* Tetanus
* Diptheria
|
Congenital |
* Dystrophia myotonica
* Moebius syndrome
* Hemifacial microsomia
|
|