Face: Do you have a facial droop
or does one side of your face feel numb?
* Remember FASTER: F -- facial droop
; A -- arm, can you move your arms?; S -- speech, is it slurred?
Despite two reconstructive operations, Heather has been left with a facial droop
, deafness in her right ear and no tear function in her right eye.
A 57-year-old Chinese male presented to the Emergency Department (ED) of a tertiary hospital with complaints of transient left upper and lower limb weakness associated with a left facial droop
and slurring of speech that had lasted for half an hour.
Patient is a 62-year-old female who presented to the emergency department as a stroke call due to symptoms of left sided weakness, facial droop
, and slurred speech.
In the department, the patient was noted to have flaccid left-sided paralysis, with a left-sided facial droop
(forehead sparing), and mild dysarthria.
Another case involved a 75-year-old man with progressive right facial droop
, who had experienced neurologic symptoms on the right side of his face, including numbness, tingling, oculomotor dysfunction, and radiating pain.
Symptoms included dysarthria, left lower facial droop
, flaccid left arm, weak left leg, and left hemineglect.
A previously well 21-year-old Bangladesh-born man presented with a six-month history of night sweats, fever, and axillary lymphadenopathy and a four-week history of evolving neurological symptoms including vertigo, diplopia, ataxia, left sided weakness, and right facial droop
. On examination there were multiple cranial nerve palsies, reduced power in the left upper and lower limbs, and enlarged left axillary lymph nodes.
A 71 year-old female with a past medical history significant for hypertension, hyperlipidemia, diabetes, and strokes, presented initially to the stroke service with a sudden onset of right facial droop
, right-sided weakness, dysarthria, and seizures that had gotten progressively worse for six weeks
There was significant right ptosis, right-sided facial droop
, and decreased sensation to pain, touch, and temperature in the distribution of the ophthalmic division of the right trigeminal nerve.
After the seizure, patient was found to have on examination, left facial droop
, left upper extremity power of 3/5, left lower extremity power of 3/5, sensory neglect, dysarthria, perservation, and confusion.