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Facial droop. Check the forehead before you do anything else. ✅ Bell palsy = LOWER motor neuron CN VII palsy. The WHOLE ipsilateral face is weak, including forehead and eye closure. Often hyperacusis, taste changes, or postauricular pain. No other focal deficits. Stroke = UPPER motor neuron facial weakness. CONTRALATERAL LOWER face with FOREHEAD SPARING, usually alongside arm weakness, aphasia, neglect, or gaze preference. The forehead has bilateral cortical input. If it is weak, the lesion is p
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Facial droop. Check the forehead before you do anything else. ✅ Bell palsy = LOWER motor neuron CN VII palsy. The WHOLE ipsilateral face is weak, including forehead and eye closure. Often hyperacusis, taste changes, or postauricular pain. No other focal deficits. Stroke = UPPER motor neuron facial weakness. CONTRALATERAL LOWER face with FOREHEAD SPARING, usually alongside arm weakness, aphasia, neglect, or gaze preference. The forehead has bilateral cortical input. If it is weak, the lesion is p
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