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In a hemispheric stroke, facial weakness is ipsilateral to the motor weakness due to the organization of the brain's motor pathways. The facial muscles are primarily controlled by the facial nerve (cranial nerve VII), which receives input from both hemispheres of the brain. However, the upper part of the face (forehead) is bilaterally innervated, while the lower part of the face is primarily controlled by the contralateral hemisphere. Thus, when there is a stroke affecting one hemisphere, the lower facial muscles on the same side are weakened, resulting in ipsilateral facial weakness alongside contralateral limb weakness.

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3mo ago

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