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Evidence checklist

Bell's Palsy (Facial Nerve Paralysis)

DC 820738 CFR § 4.124aNeurological

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 4 collected
Cranial nerve examination documenting facial nerve palsy severityCritical

A neurologist's or otolaryngologist's examination using the House-Brackmann grading scale to document facial weakness severity from Grade I (normal) to Grade VI (complete paralysis).

Private provider · independent opinion
Nexus opinion linking Bell's palsy to service (at least as likely as not)Critical

Medical opinion connecting Bell's palsy to in-service cold/wet exposure, viral infection during service, or stress-related immune suppression during deployment.

Private provider · independent opinion
Facial nerve EMG/electroneurography (ENoG)

Electrodiagnostic testing measuring facial nerve degeneration percentage and assessing prognosis. Useful for documenting severity and incomplete recovery.

Private provider · independent opinion
MRI with gadolinium (facial nerve enhancement)

MRI showing gadolinium enhancement of the facial nerve at the geniculate ganglion, confirming Bell's palsy and ruling out structural causes.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Treatment records (steroids, antivirals, eye protection)

Records of prednisone and antiviral treatment, physical therapy for facial retraining, and records of eye complications (exposure keratopathy) from incomplete eye closure.

VA or private records · written request
03

Lay statements

0 of 2 collected
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Cranial Nerve ConditionsCritical

VA standardized form for DC 8207 (facial nerve) capturing the degree of facial paralysis, synkinesis, and functional impact.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

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