Bell's palsy
young male patient with sudden onset of deviation of mouth, drooling of saliva from mouth. Suggest diagnosis and treatment.
Bell's palsy. Thank you all for active participation in discussion.
Bell's palsy occurs due to a malfunction of the facial nerve (cranial nerve VII), which controls the muscles of the face. Facial palsy is typified by inability to control movement in the muscles of facial expression. The paralysis is of the infranuclear/lower motor neuron type.( LMN). Differential diagnosis: Brain tumor, stroke, Ramsay Hunt syndrome, Lyme disease.. Treatment: Corticosteroids, eye drops, eyepatch Risk factors: Diabetes, recent upper respiratory tract infection...
Bells palsy Early start of steroid Acyclovir Neurotonic supplements Physiotherapy with TENSE Chewing exercise Sos Neurologist opinion or imaging
Bell's palsy lt side Lmn Rx loading doses of prednisolone and slowly reduce the doses Neurobion forte Gabapentin 100mg+tab nortryptiline 10mg 1od at bedtime Avoid exposure to extreme cold
Lmn type of left facial palsy with bells eye phenomena Give steroid and acyclovir 400 mg five times in a day for 14 days Evaluation for cause is required Look for diabetes, leprosy, vasculitis
LMN type Facial nerve palsy(bells phenomenon).most commonly associated with herpes.treatment includes steroids with acyclo 400mg 5times day for 10 days or valacyclovir 1000mg per day for 5 days..and Physiotherapy.
bells palsy
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