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These tests may include: blood tests to check for the presence of a bacterial or viral infection blood tests to check for diabetes or other conditions imaging tests such as an MRI or CT scan to check the nerves in your face and rule out the possibility of a stroke or brain tumor an electromyography (EMG) test, in which a doctor inserts very thin wire electrodes into a muscle to confirm whether there’s any damage to the nerves that control the facial muscles — this test can also determine how much damage there is lumbar puncture may be done if Lyme disease is suspected In most cases, Bell’s palsy symptoms improve without treatment