Teaching NeuroImages: Sucking candy sign in Bell palsy

A 20-year-old woman presented with spontaneous onset of facial weakness. Examination revealed House-Brackmann grade IV1 right facial paresis and a contralaterally pigmented tongue (figure) from habitual sucking candy use. Contemporaneous taste loss on the anterior right tongue led her to keep the candy as far away from that area as possible—the posterior left tongue.

Source: Neurology - November 6, 2017 Category: Neurology Authors: Armand, C. E., Robbins, M. S. Tags: Clinical neurology examination, Cranial neuropathy, All Education RESIDENT AND FELLOW SECTION Source Type: research