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Yes. Spinal Cord injury doesn't affect anything below the level of injury. For instance, a C4 injury would result in loss of feeling and movement from the shoulders down. Any higher would impact breathing. But facial expressions and speech are usually unaffected, although speech can be temporarily affected by the presence of a ventilator, in the case of a high injury. What you may be thinking of is locked-in syndrome, a rare condition caused by a brain-stem stroke, where everything is affected besides the eyes.

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Q: If you are paralyzed from the neck down are you still able to have facial expressions and talk?
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