Bell's palsy

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Tests and diagnosis

By Mayo Clinic staff

There is no specific laboratory test to confirm a diagnosis of Bell's palsy. Your doctor may be able to make a preliminary diagnosis of Bell's palsy by looking at your face and asking you to try to move your facial muscles.

Other conditions — such as a stroke, infections and tumors — also may cause facial muscle weakness, mimicking Bell's palsy. If after a few days there's still doubt about the diagnosis, your doctor may recommend other tests:

  • Electromyography (EMG). This test can confirm the presence of nerve damage and determine its severity. An EMG measures the electrical activity of a muscle in response to stimulation and the nature and speed of the conduction of electrical impulses along a nerve.
  • Imaging scans. An X-ray, magnetic resonance imaging (MRI) or computerized tomography (CT) may be needed on occasion to eliminate other possible sources of pressure on the facial nerve, such as an infection, tumor or skull fracture.

DS00168

Feb. 2, 2008

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