A 36 year old pregnant woman develops sudden inability to close her left eye and drooping of the left corner of her mouth. She has hyperacusis and loss of taste on the anterior two thirds of the tongue. Forehead wrinkling is absent on the left. Which of the following is the most likely diagnosis?
- A)Cortical stroke involving the right precentral gyrus
- B)Bell palsyGABARITO
- C)Upper motor neuron lesion of the left facial pathway
- D)Trigeminal neuropathy
- E)Myasthenia gravis
Explicação
Bell palsy is correct. This is a lower motor neuron lesion of the facial nerve causing complete ipsilateral facial weakness including the forehead, often with hyperacusis and altered taste because CN VII also carries stapedius and chorda tympani fibers. Pregna... Ver explicação completa e trilha adaptativa →