Abstract

A 48-year-old woman presents to your office with upper and lower left-sided facial weakness she noticed while applying mascara that morning. Other than the peripheral pattern of left facial weakness and absent taste of the left tongue, her neurologic examination is normal. You see no signs to suggest Ramsay Hunt syndrome1 and your practice is not in a Lyme disease endemic area. You make a diagnosis of idiopathic Bell's palsy.

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