Neuro-ophthalmologic complications and manifestations of upper and lower motor neuron facial paresis.

Curr Neurol Neurosci Rep

Department of Ophthalmology (Division of Neurology), Duke University Eye Center and Duke University Medical Center, DUMC 3802, Durham, NC 27710-3802, USA.

Published: November 2010

The facial nerve (cranial nerve VII) courses a long pathway beginning in the precentral gyrus and ending at the facial muscles, lacrimal and salivary glands, and structures of the inner ear. Lesions along this pathway, clinically divided into upper and lower motor neuron lesions, present with unique characteristics that assist the physician in identifying the lesion site. The sequelae particularly of peripheral CN VII palsies, may result in significant and chronic damage to the cornea that may be challenging for the physician and patient.

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http://dx.doi.org/10.1007/s11910-010-0143-1DOI Listing

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