Bilateral Facial Palsy

Hi everyone

I have apatient who diagnose with bilateral facial nerve palsy. The facial muscle involvement has gots better after 4 weeks after exs. However, patient quality of life is disturbed with the double vision that he is having. This actually prohibit him from going to work daily and also driving. Is that way for me to help him??is this weakness of the lateral rectalis of eyeball??no c/o dizziness. Thanks.

hi there,
as u have mentioned here,pts with pure fascial palsy should not show signs of double vision,there are various other reasons for exibiting double vision.as far as lateral rectus is concerned it is associated with the patholgy of 6th nerve that is abducent nerve.,check out if there is any involvement of the 6th nerve?find out the exact cause for the double vision? hope this information has helped u?

Hi..

Thanks for the reply. Yup..the cranial nerve 6 is involve.is there anything that we can do about the double vision??I will check this patientagain and get to you for the progress.

Hi there,
Check out if the patient had been wearing glasses before and when did he last check his eye sight?The acuity problem and the muscle weakness wud exacerbate the condition.