Bell’s palsy: differential diagnosis
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Bell’s palsy: differential diagnosis. Fever, Aches: arthralgia and myalgia, Headache, Exhaustion. Fully referenced neurology checklist.
Lyme neuroborreliosis: indicators
- Fever
- Aches: arthralgia and myalgia
- Headache
- Exhaustion
- Associated myelitis
- Associated radiculitis
- Otalgia or post-auricular pain
- Neck stiffness
Parry Romberg syndrome
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Stroke
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Foville syndrome
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Milllard-Gubler syndrome
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Cerebellopontine angle syndrome
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Other neurological differentials
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References
- Toulgoat F, Sarrazin JL, Benoudiba F, et al. Facial nerve: from anatomy to pathology. Diagn Interv Imaging 2013; 94:1033-1042.
- Markby DP. Lyme disease facial palsy: differentiation from Bell's palsy. BMJ 1989; 299:605-606.
- McEntire CRS, Chung SY, Barrera KJ, et al. FACE DROPS. A clinical risk assessment tool for differentiation of acute Lyme disease–associated facial palsy from Bell palsy. Neurol Clin Pract 2005 (Online ahead of print).
- Croxson G, May M, Mester SJ. Grading facial nerve function: House-Brackmann versus Burres-Fisch methods. Am J Otol 1990; 11:240-246.
- Agarwal R, Manandhar L, Saluja P, Grandhi B. Pontine stroke presenting as isolated facial nerve palsy mimicking Bell's palsy: a case report. J Med Case Rep 2011; 5:287.
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