Your patient has a chief complaint of right-sided facial pain, which is exacerbated by shaving and chewing
Your assessment reveals that the patient has normal motor function of his facial muscles and increased sensitivity to light touch and superficial pain stimuli. You conclude that he most likely has a. Bell's palsy. c. neoplasm of the trigeminal nerve root.
b. trigeminal neuralgia. d. supranuclear facial palsy.
B
Trigeminal neuralgia (tic douloureux), characterized by brief, paroxysmal unilateral facial pain along the distribution of the trigeminal nerve, is abnormal. The pain can be provoked by touch or movement of the face. There is no associated motor weakness. Bell's palsy is characterized by complete flaccid paralysis of the facial muscles on the involved side. Neoplasms that compress the nerve root can cause facial pain and impairment of sensation, not increased sensitivity to light touch and superficial pain stimuli. Supranuclear facial palsy is characterized by paralysis in the lower one-third to two-thirds of the face.
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