A 42-year-old male presents to the emergency department complaining of weakness on one side of his face. History Since the past two days: Altered taste sensation; pain in and around the ear on the same side as the facial weakness No history of trauma No discharge from the ear No limb weakness Asthma and depression Recently quit smoking Medication: Salbutamol and becotide inhalers; paroxetine 20 mg od No allergies Examination Cardiovascular, respiratory, and abdominal examinations: Normal Gait and balance: Normal Neurology of the upper and lower limbs: Unremarkable Face examination: Asymmetry (more obvious while smiling) While showing his teeth, the right side of his face droops. While raising the eyebrow, there is a loss of forehead wrinkles on the right side.
Difficulty in closing the right eye The remaining cranial nerves are unaffected. Ear examination: Normal No evidence of trauma…
