Most often, at symptom onset, patients believe that they have suffered a stroke or have an intracranial tumor.11 Individuals present with abrupt unilateral weakness or complete paralysis resulting in drooping of the eyebrow and the corner of the mouth.2'3 Patients commonly complain of facial numbness or eye irritation.2 A condition referred to as Bell's phenomenon occurs when the eye rolls upward on attempted closure, while the eyelid does not close and the lower eyelid droops.Another visual clinical manifestation is asymmetry in the patient's smile that is caused by paralysis.
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