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Unilateral facial nerve palsy (FNP), with an incidence of around 25 per 100,000 population, is a common neurologic disorder mimicking a stroke. It often leads to emergency department visits. Bellâs palsy, also known as idiopathic facial paralysis, is the most common cause of unilateral facial paralysis, accounting for approximately 70% of these cases . Bilateral FNP is exceedingly rare, representing less than 2% of all the facial palsy cases, and has an incidence of 1 per 5,000,000 population [2, 3].
It can cause drooping of part of the face, and is often caused by a virus that causes swelling, which puts pressure on the facial nerve. It usually only affects one side of the face. Microvascular cranial nerve palsy. This condition affects the nerves in the eye.ut it may also be caused by an injury to the head or an infection. A disorder affecting the brain, such as an aneurysm or brain tumor, may also cause third nerve palsy. Diabetes and migraines are other possible causes. Fourth nerve palsy. Also called superior oblique palsy, this affects the superior oblique muscle.