A 46 year old male sat down hard on a bench banging the lower part of his head against the rail behind. There was a large “goose-egg” on his head and lots of pain. He developed a headache from the injury but felt better within a couple of hours and after taking aspirin.
The next morning he awakened to find he had weakness on the entire left side of his face. This quickly (within hours) led to paralysis on that side. He was unable to wrinkle his forehead, smile, show his teeth, or puff out his cheek on the affected side. He was also unable to close his left eye. Taste perception was distorted over the left anterior portion of the tongue.
The ER doctor asked for a CT scan and an MRI. Afterwards he prescribed rest. A temporary patch protected the exposed eye.
Within 2 months there was complete recovery of the facial paralysis and taste distortion.
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