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Facial weakness Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Facial weakness. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had the facial weakness?

    Why: to determine if acute or chronic.

  2. Was it a sudden or gradual onset?

    Why: e.g. if sudden onset must consider Bell's palsy, diabetic neuropathy and transient ischemic attack as cause. If gradual onset must consider acoustic neuroma, advancing petrositis, brain tumor or brain abscess.

  3. Does the facial weakness spare the forehead muscles?

    Why: e.g. if still able to furrow the brow and wrinkle the forehead, the cause of the facial weakness is most likely due to a brain stroke, transient ischemic attack or brain tumor.

  4. Is it unilateral or bilateral?

    Why: e.g. if both sides of the face are affected, this may suggest Guillain-Barre syndrome, bilateral parotid disease (such as sarcoidosis), primary muscle disease (such as Dystrophia myotonica), motor neurone disease and myasthenia gravis.

  5. Has there been a recent tick bite?

    Why: may suggest Lyme disease.

  6. Risk factors for stroke or transient ischemic attack?

    Why: e.g. high blood pressure, high cholesterol, diabetes, smoking, atrial fibrillation, family history of early stroke.

  7. Past medical history?

    Why: e.g. Diabetes, strokes, multiple sclerosis, sarcoidosis, middle ear infection; immunocompromised (reduced immune system such as in AIDS) will increase the risk of progressive multifocal leucoencephalopathy.

  8. Medications?

    Why: e.g. oral contraceptive pill may increase the risk of stroke and transient ischemic attack.

  9. Paralysis or weakness of one side of the body?

    Why: If paralysis or weakness was of sudden onset consider stroke, transient ischemic attack, extradural or subdural hematoma (blood clot). If weakness of body is on the opposite side to the facial paralysis consider brain stem thrombosis (clot) or hemorrhage (bleed). If the weakness of one side of the body is gradual in onset consider a brain tumor, brain abscess or brain degenerative disease.

  10. Ear ache or hearing loss?

    Why: should consider acoustic neuroma, petrositis, mastoiditis, herpes zoster and cholesteatoma.

  11. Symptoms of Bell's palsy?

    Why: e.g. marked weakness on one side of the face, mouth sags, drooling from the affected side of mouth, loss of taste on front of tongue, eye may water, pain behind the ear.

  12. Symptoms of Lyme disease?

    Why: e.g. within 7-10 days of tick bite will get red patch at bite site that enlarges within days with a distinct red border and partially clearing middle. This rash is often accompanied by headache, fever, feeling unwell, muscle and joint aches and enlarged lymph nodes. Weeks or months later may develop nervous system symptoms such as facial palsy and other cranial neuropathies or cardiac complications. The third stage consists of arthritis which recurs in attacks for years.

  13. Symptoms of motor neurone disease?

    Why: e.g. wasting of the muscles often begins in the one hand and spreads throughout the arm, fasciculations (irregular contractions of areas of muscle), muscle cramps, the muscle wasting and weakness progresses and spreads gradually to affect many other areas of the body.

  14. Symptoms of Myasthenia gravis?

    Why: e.g. easy muscle fatigability especially eyelids, neck, shoulders, lower legs and trunk, droopy eyelids, double vision, weak voice.

Conditions listing medical symptoms: Facial weakness:

The following list of conditions have 'Facial weakness' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Facial weakness or choose View All.

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Conditions listing medical complications: Facial weakness:

The following list of medical conditions have 'Facial weakness' or similar listed as a medical complication in our database.


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