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Acquired causes of facial nerve palsy Infection Varicella (Ramsay-Hunt discussed below), Borrelia burgdorferi (particularly common in endemic areas with one study in Southampton (UK) finding that 42.5% of Lyme serology tests were positive in children with LMN facial nerve palsy), Herpes Zoster, Coxsackie, Mumps, CMV Complications of other infections Acute/Chronic Otitis Media (rare now with an incidence of 0.005% ), Meningitis, Mastoiditis Inflammatory conditions including vasculitis, HSP and Kawasaki Neoplasia Schwannoma, Rhabdomyosarcoma, Histiocytosis, Leukaemia, Parotid Gland tumours Trauma Temporal bone fractures A bit more on Ramsay-Hunt syndrome Ramsay-Hunt Syndrome, also known as herpes zoster oticus , is characterised by the involvement of the seventh and eighth cranial nerves

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