Evaluate a case of an adult female patient who presents with facial spasms and other complaints including facial weakness, slurred speech, and drooling. • Differentiate central causes of facial spasm from central causes of facial spasm. • Consider the effect of chiropractic adjustments on intracranial arterial function. • Develop improved skills in obtaining an accurate case history and performing a neurological examination of patients presenting with facial spasms. • Improve interpretation of relevant clinical findings of patients presenting with facial spasms. • List the differential diagnoses to consider in a patient presenting with facial spasms. • Identify portions of the brainstem, origins of the cranial nerves and the relationship between arteries and cranial nerves at the brainstem.