Welcome to NeuroTalk.
It sounds like your brother needs the contrast study so they can rule out neuritis which is an inflammation of the nerve. The right hand and right leg weakness sounds like he may have suffered a neck injury or trauma.
I doubt they can tell if the pharyngeal mucosal space cyst is the direct cause of the face numbness. There are other areas where this cranial nerve can be inflamed such as the neck. The recovered hand and leg weakness suggests the neck was involved.
Did he suffer any trauma like a car accident or fall?
An imaging study of his cervical vertebra may be in order.
Sounds like all we have are more question than answers. The steroids usually show at least some improvement quickly. If he starts to slowly improve, that is usually consider a confirmation of the diagnosis. Nerve healing can be slow. He needs to have good B-12 and folic acid levels for nerve healing. A 500 to 1000 mcg daily of B-12 plus a B-50 complex daily would be good.
As Jo*mar said, has he had seizures?
Let us know how else we can help.
My best to you and your brother.
Mark in Idaho
60 years old, retired due to disability, married 34 years, father of three, grandfather of four, Suffered a serious concussion at 10 years old (1965) stopped most driving after concussion at 46 years old (2001), Post Concussion Syndrome/Multiple Concussion/Impact Syndrome with PTSD, immediate/short term visual and auditory memory problems, slowed processing speed, visual/auditory processing difficulties, insomnia, absence seizures, OCD, 14 concussions since first concussion at 8 years old, Taking paroxetine for 14 years and gabapentin for 12 years. Added L-Tryptophan and stopped paroxetine after 3 months of tapering. I currently take 100 mgs of 5-HTP AM, 500 mgs of L-Tryptophan at noon.
As of Nov 15th, Due to high stress issues resulting in PTSD, docs put me on 3 meds. Clonazepam but only for 30 days ) .125 mgs twice daily (Doc presc. .25 mgs 2x daily but half a tablet is good) , citalopram (Celexa), an SSRI , and olanzapine (Zyprexa), an atypical anti-psychotic that usually causes weight gain before bed. I lost over 30 pounds since mid July. It just stopped the weight loss. Took me off the gabapentin.
May 2014, I am off the olanzapine due to a 6 fold price increase. Back on 600 mgs of gabapentin before bed.
Oct 2014, off the Celexa. The 5-HTP is doing much better and leaves me feeling normal as compared to being on an SSRI.
I am also taking L-Theanine to help with GABA regulation
"Be Still and Know That I am God" Psalm 46:10