Brief Answer:
Gabapentin for nerve pain

Detailed Answer:
Hello again.

Everybody has some facial asymmetry. When I say everybody, I mean everybody. If you take a random face and divide it in the middle you will see those are not the same. This is not a problem, or something you should worry about. Now you have realised this difference, but if you will look carefully you will notice that this is the same for everyone else.

The pain instead can be troublesome. If it is not from the teeth and the EMG records no abnormal activity then it should go away. There is nothing to cause pain permanently. But it is difficult to say when this is going to go away. It might take weeks, also months as well. But if it is within normal limits it will definitely go away.

Meanwhile, Gabapentin might helpon the pain. Talk to your GP on the possibility of prescribing some Gabapentin to be taken at least for a month.

Hope this helps.

Sincerely, wish you the best help.

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Brief Answer:
i do not recommend steroids

Detailed Answer:
Prednisone, which is a steroid, is a very strong anti inflammatory drug, with many adverse effects. I do not recommend using it, unless there is a strong indication. When I say strong I mean severe diseases, like autoimmune and tumors. Luckily yours seems a benign neuropathy, with little evidence of inflammation. If there is any sign of inflammation you can use simple ibuprofen for a few days, which is a good anti inflammatory drug, but with a few side effects, unlike prednisone which is very strong.

For the feeling of the face I recommend gabapentin or amitriptyline.

Best regards.

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Brief Answer:
Your face is already normal

Detailed Answer:
Hello. Physiotherapy in that region is done naturally by normal blinking. I do not notice a clear difference, meaning that most of normal people have that kind of difference. You face at the moment is perfectly normal, though not perfectly symmetrical, because nobody has a perfectly symmetrical face.

Again, your face is normal.

Sincerely.

Geldon Fejzo MD.

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Brief Answer:
possible but not probable

Detailed Answer:
Hello. Your face looks normal. Of course, neuropathy can change the tonus of the muscles, but this does not seem your case. Wish the best health.

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Brief Answer:
Not necessarily

Detailed Answer:
Hello.

If it is a facial palsy it would involve all facial muscles, including nose and eye muscles.

Still, your nose and eye muscles seem normal to me. But remember, they will never be the same with the muscles of the other part of the face. They never are.

Best regards.

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Brief Answer:
your face is ok

Detailed Answer:
I think your muscles are perfectly corresponding your age. In my opinion, since they move normally, leave behind this concern. There is nothing to worry. I would not worry. Suggest you do the same.

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Brief Answer:
it will gi away.

Detailed Answer:
Definitely it will go away. No one can tell for sure when it will go away. It might take weeks, or maybe months. But for sure it will go away.

Sincerely.

Geldin Fejzo

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Brief Answer:
many causes

Detailed Answer:

FORCEPS DELIVERY

Dystrophia myotonica

Möbius syndrome (facial diplegia associated with other cranial nerve deficits)

Trauma     Basal skull fractures

FACIAL INJURY

Penetrating injury to middle ear

Altitude paralysis (barotrauma)

Scuba diving (barotrauma)

Lightning

Neurologic     Opercular syndrome (cortical lesion in facial motor area)

Millard-Gubler syndrome (abducens palsy with contralateral hemiplegia caused by lesion in base of pons involving corticospinal tract)

INFECTION

     External otitis

Otitis media

Mastoiditis

Chickenpox

Herpes zoster cephalicus (Ramsay Hunt syndrome)

Encephalitis

Poliomyelitis (type 1)

Mumps

Mononucleosis

Leprosy

Influenza

Coxsackievirus

Malaria

Syphilis

Scleroma

Tuberculosis

Botulism

Acute hemorrhagic conjunctivitis (enterovirus 70)

Gnathostomiasis

Mucormycosis

Lyme disease

Cat scratch

Acquired immunodeficiency syndrome (AIDS)

METABOLIC

     Diabetes mellitus

Hyperthyroidism

Pregnancy

Hypertension

Acute porphyria

Vitamin A deficiency

NEOPLASTIC

     Benign lesions of parotid

Cholesteatoma

Seventh nerve tumor

Glomus jugulare tumor

Leukemia

Meningioma

Hemangioblastoma

Sarcoma

Carcinoma (invading or metastatic)

Anomalous sigmoid sinus

Carotid artery aneurysm

Hemangioma of tympanum

Hydradenoma (external canal)

Facial nerve tumor (cylindroma)

Schwannoma

Teratoma

Hand-Schüller-Christian disease

Fibrous dysplasia

Neurofibromatosis II

TOXIC

Thalidomide (Miehlke syndrome, cranial nerves VI and VII with congenital malformed external ears and deafness)

Ethylene glycol

Alcoholism

Arsenic intoxication

Tetanus

Diphtheria

Carbon monoxide

IATROGENIC

     Mandibular block anesthesia

Antitetanus serum

Vaccine treatment for rabies

Postimmunization

Parotid surgery

Mastoid surgery

Post-tonsillectomy and adenoidectomy

Iontophoresis (local anesthesia)

Embolization

Dental

IDIOPATHIC

     Familial Bell palsy

Melkersson-Rosenthal syndrome (recurrent alternating facial palsy, furrowed tongue, faciolabial edema)

Hereditary hypertrophic neuropathy

(Charcot-Marie-Tooth disease, Dejerine-Sottas disease)

AUTOIMMUNE

Amyloidosis

Temporal arteritis

Thrombotic thrombocytopenic purpura

Periarteritis nodosa

Landry-Guillain-Barré syndrome (ascending paralysis)

Multiple sclerosis

Myasthenia gravis

Sarcoidosis (Heerfordt syndrome, uveoparotid fever)

Osteopetrosis

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Brief Answer:
improbable

Detailed Answer:
One of the causes is alcohol intoxication, but in order for this to happen you should have alcohol for a long time.

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Brief Answer:
it is not permanent.

Detailed Answer:
Hello. I doubt this being alcohol related. These situations tend to happen after you consume lots of alcohol for several years, like 20 or 30 years. I think you have a normal face. Try to enjoy it.

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