Isolated central facial palsy

Acute Isolated Central Facial Palsy as Manifestation of Middle Cerebral Artery Ischemia

“…In a recent prospective observational study, only 11 (.5%) of 2,000 patients had this specific clinical picture in line with our observations of .4%. Interestingly, all the recent studies mostly reported I‐CFP in the context of small vessel stroke mechanism with lacunar lesion localization either in the corona radiata or internal capsule . On the contrary, our study showed that only one‐fifth of patients with I‐CFP had small vessel strokes.…”

“…Interestingly, all the recent studies mostly reported I-CFP in the context of small vessel stroke mechanism with lacunar lesion localization either in the corona radiata or internal capsule. [14][15][16][17] On the contrary, our study showed that only one-fifth of patients with I-CFP had small vessel strokes. As recent reports on I-CFP lacked any supportive or confirmatory intracranial vascular imaging, based on our findings we hypothesize that flow-limiting large vessel thromboembolic disease may have been missed particularly if IV tPA was given, and stroke etiology could have been misleadingly attributed to small vessel disease.…”