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5 Cards in this Set
- Front
- Back
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Features of interruption of the facial nerve at the stylomastoid foramen |
Corner of mouth drops Creases and skin folds effaced Forehead unfurrowed Eyelids will not close Bells phenomenon Lower lids sag Sensations are intact Hyoeracussis in Bells palsy |
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Risk factors of Bells palsy |
Pregnancy Diabetes Aging |
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What infections are associated with Bells palsy |
HSV type 1 reactivation in the geniculate ganglion Reactivation of Varicella zoster virus |
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Differential diagnosis of acute facial palsy |
Lyme disease can be unilateral or bilateral Ramsay Hunt syndrome: reactivation of the herpes zoster virus in the geniculate ganglion causing severe facial palsy associated with vesicular eruptions in the external auditory canal, sometimes in pharynx and other parts of cranial intergument nerve 8 can be affected as well Bilateral in Sarcoidosis and Guillan Barré Syndrome Leprosy Diabetes mellitus Sjogrens syndrome Amyloidosis Melkersson-Rosenthal syndrome: recurrent facial paralysis eventually becoming permanent facial edema with plication of the tongue and sometimes idiopathic |
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Treatment of acute facial paralysis |
Tape eye shut when sleeping Massaging the weakened muscles Artificial tears Course of glucocorticoids daily for 5 days and tapered kf next 5 days |
