Halil Onder1, Levent Albayrak2, Halil Polat3

1Yozgat State Hospital, Department of Neurology, Yozgat, Turkey
2Yozgat State Hospital, Department of Emergency Medicine, Yozgat, Turkey
3Yozgat State Hospital, Department of Otorhinolaryngology, Yozgat, Turkey

Keywords: Facial paralysis; Stroke; Emergency department; Facial innervation; Pathophysiology


Here, we illustrate a 69-year old female admitting with weakness on left side of the face who firstly considered peripheral facial palsy in the forefront. However, detailed neurological examination and cranial MRI findings finally yielded the proper diagnosis of right hemisphere ischemic stroke. Via this remarkable presentation, we point out the clinical challenges in evaluation processes of patients with facial palsy in emergency practice and emphasize the importance of detailed examination for the proper diagnosis as well as initiation of appropriate treatment agents without delay.