Acute Lower motor neurone facial palsy: Unilateral, including forehead.
Support, eye protection, Prednisolone 25mg bd for 5d
Do glucose as increased incidence w Diabetes
If due to varicella zoster e.g. Ramsay Hunt- Antivirals. Look for rash in mouth and ear.
If Ear symptoms e.g. rash, d/c, pain, parotid disease refer to ENT
Eye irritation/complication refer Ophthalmology
Systemic symptoms e.g. fever/headache /malaise or if immunocompromised–consider admission
If suspect cancer 2ww referral.
Refer to neurology:
Palsy not recovering by 3/12
Upper Motor Neurone pattern (Sparing forehead)
Associated Cranial nerve, cerebellar, sensory or motor symptoms or signs in the limbs
If already known to Neurology services contact relevant team, including MS Nurses if MS related