Can facial paralysis recover on its own without treatment?

Patient's question:

My grandfather has had a recurrence of facial paralysis symptoms, and it's not very severe right now. Can facial paralysis recover on its own gradually?

Doctor's answer:

First, facial paralysis is divided into central facial paralysis and peripheral facial paralysis. If it is central facial paralysis, it may be related to intracranial issues, such as tumors in the pontocerebellar angle or acute cerebral infarction. In terms of treatment, antithrombotic drugs are primarily used. A small portion of patients can gradually recover, but if it is peripheral facial paralysis, it is likely caused by a viral infection, and the treatment method is different. It is recommended to consult a neurology department for follow-up. Generally, it cannot recover on its own.

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