A 34-year-old woman presents with acute-onset right facial weakness over 24 hours. Vital signs: BP 118/76, HR 82, RR 14, temp 37.2°C, SpO2 98% on room air. She cannot close her right eye, has lost forehead wrinkling on the right, and reports decreased taste on the anterior two-thirds of her tongue. Electrolyte panel and brain MRI are normal. She denies recent trauma or otologic infection. Which of the following is the most likely diagnosis?
- A)Stroke involving the left internal capsule
- B)Glossopharyngeal neuralgia
- C)Myasthenia gravis
- D)Trigeminal neuralgia
- E)Bell palsyGABARITO
Explicação
Bell palsy is an idiopathic lower motor neuron facial nerve palsy that affects the entire side of the face, including the forehead. Associated decreased taste in the anterior tongue further localizes the lesion to CN VII. Ver explicação completa e trilha adaptativa →