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WW. A 61-year-old female patient, presents with sudden onset of facial paralysis four days ago. Your examination reveals a significant droop of the left side of her mouth and a flattened left nasolabial fold. She is drooling slightly from the left side of her mouth. She is not able to close her left eye or raise her eyebrow. You suspect:Group of answer choicesDamage to right cranial nerve VA right-sided CVA (cerebrovascular attack)Damage to left cranial nerve VIIDamage to right cranial nerve VII

Question

WW. A 61-year-old female patient, presents with sudden onset of facial paralysis four days ago. Your examination reveals a significant droop of the left side of her mouth and a flattened left nasolabial fold. She is drooling slightly from the left side of her mouth. She is not able to close her left eye or raise her eyebrow. You suspect:Group of answer choicesDamage to right cranial nerve VA right-sided CVA (cerebrovascular attack)Damage to left cranial nerve VIIDamage to right cranial nerve VII

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Solution

The symptoms described in the question are indicative of Bell's Palsy, which is a condition that causes sudden, temporary weakness or paralysis of the muscles on one side of the face. This condition is caused by damage or inflammation of the facial nerve, which carries signals from the brain to the muscles of the face.

In this case, the patient is showing symptoms on the left side of her face, which means the damage is to the facial nerve on the same side. The facial nerve is also known as cranial nerve VII. Therefore, the correct answer is: Damage to left cranial nerve VII.

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