Clinicians should NOT obtain routine laboratory testing or diagnostic imaging in patients with new-onset<unk>  (Level C)
Clinical diagnosis
Must performed detail ear exam to rule out ear infection and Ramsay Hunt Syndrome
Facial weakness progressing to paralysis over weeks to months, progressive twitching or facial spasm suggests a neoplasm affecting the facial nerve
If facial paralysis + pulsatile tinnitus and hearing loss, suspect a glomus tumor or cerebellar pontine angle tumor
Must performed detail ear exam to rule out ear infection and Ramsay Hunt Syndrome
Facial weakness progressing to paralysis over weeks to months, progressive twitching or facial spasm suggests a neoplasm affecting the facial nerve
If facial paralysis + pulsatile tinnitus and hearing loss, suspect a glomus tumor or cerebellar pontine angle tumor
Bell's palsy
Horner syndrome
CVA
Rucksack paralysis
Trigeminal neuralgia
Third nerve palsy
Tick paralysis
Sixth nerve palsy