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Infarction in bilateral corona radiata presented as unilateral peripheral facial paralysis: a case report

Year: 2025

Type: article

Abstract: A 56-year-old man presented with right-sided drooping of the mouth corner and eyelid, along with weakness in the left lower limb. His MRI revealed a corona radiata lacunar infarction on the left and an acute infarction on the right. However, the needle electromyography (EMG) results were unremarkable. It was determined that his unilateral peripheral facial paralysis (PFP)-like symptoms were secondary to bilateral corona radiata infarctions. This case highlights that some patients with cerebral strokes may present with PFP-like symptoms. To minimize misdiagnosis, clinicians should consider the possibility of central lesions manifesting as PFP.

Source: BMC Neurology

DOI: 10.1186/s12883-025-04195-4

Authors: Gao Zheng-hua, Lu Yao, Lin Song-jun, Cai Hao-bin, Cai Tian-tian

Institutions: Guangzhou University of Chinese Medicine, Shenzhen Traditional Chinese Medicine Hospital

Language: English

Topic: Facial Nerve Paralysis Treatment and Research

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,090