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Review 9: Managing Peripheral Facial Palsy

Reviewers

Avital N. Porat, MD

Medical Director, Quality & Safety, Hartford Region, Attending Physician, Hartford Hospital, Hartford, CT; Assistant Professor of Emergency Medicine, University of Connecticut
Hartford, CT

Megan E. Smith, MD, MS

University of Connecticut Integrated Residency in Emergency Medicine, Hartford, CT
Hartford, CT

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1. Article Citation
2. Synopsis
3. Critique
4. ABEM Quick Quiz Answers
5. Key Points
6. Original Article

Article Citation

Garro A, Nigrovic LE. Managing peripheral facial palsy. Ann Emerg Med. 2018;71(5):618-624.

Synopsis

Patients with acute-onset peripheral facial palsy are often seen in the emergency department (ED), and differentiating peripheral causes from central causes is the first step in evaluation. Once the physician rules out a central cause, clinical judgment is used to determine the most likely cause for the peripheral palsy, as management differs depending on the cause. This article outlines the approach to managing a patient with peripheral facial palsy and discusses treatment based on the etiology of the palsy.

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