Bell's Palsy Case Study

Improved Essays
Bell’s palsy causes an unexpected weakness in facial muscles, in rare cases it can affect both sides. The patient’s history and neurologic exam will decide if the facial shortcoming is central or peripheral. If it is central and MRI is required to test for infectious and inflammatory diseases, if it is peripheral no tests will be suggested immediately. The median age is 40 years old for Bell’s palsy but can happen at any age, 3 years old has been the lowest. The number of cases for Bell’s palsy is 20 per 100,000 population per year and increases with age. The causes of Bell’s palsy are unknown but threats include diabetes, and a recent upper respiratory tract infection. Corticosteroids and antivirals are used to treat Bell’s palsy, no …show more content…
It can happen any age youngest reported has been 3, middle age is 40, and highest age is people over 70. Progress is slow and recovery times vary. With treatment or without treatment most people begin to recover within 2 weeks after initial start of indicators. Most people recover completely within 3-6 months however, symptoms may last longer. Herpes simplex virus type 1 (HSV-1) has been strongly implied as a cause of Bell’s palsy.

Bell’s palsy causes pain and stress to the body. The individual or family would have to pay for ER visit, eye drops, eye patch, and treatment meds. Being sensitive to sound and light can keep the patient possibly out of work. Also, loss of movement in the face patients will lose their ability to taste, chew, and drink.

Bell’s Palsy is usually triggered by inflammation and oedema in the facial nerve canal resulting in demyelination of the facial nerve usually due to HSV-1. HSV is the etiologic agent in this virus, once a cold sore is on the lips the virus moves up the axons of the sensory nerves and exist in in the geniculate ganglion which is located in facial canal of the head. In times of stress, the virus reboots and triggers destruction to the myelin. Moreover HSV, other possible etiologies for Bell’s palsy is herpes zoster, Lyme disease, syphilis, Epstein-Barr viral infection, cytomegalovirus, HIV, inflammation alone, upper
…show more content…
In the event that shortcoming is central an MRI (not routinely indicated) is required to test the patient for infectious and inflammatory diseases. On the off chance that facial shortcoming is peripheral no tests will be immediately indicated. Unless other cranial-nerve deficits obtain, or no recovery 3-6 weeks after the start of the symptoms. Facial retraining such as mime therapy may improve stiffness and lip movement also can lessen the threat of motor synkinesis. Corticosteroids and acyclovir are prescribed to patient to help facial-muscle strength. One study determined 3 months or later corticosteroids was better than acyclovir after treatment. But with both was superior combination in restoring facial-muscle

Related Documents

  • Superior Essays

    About 80% who go into remission will go within a month of induction therapy, but in some patients the disease will come back, and lowering the cure to 40%. Chronic lymphoid leukemia, people with it usually survive nine years, but some have survived as long as 35 years. In stage I or II, remission occurs in about 70% of people treated with chemo, but it always comes back at some point. Chronic myeloid leukemia, depending on the person’s age, the extent of the disease and the treatments used depends on the survival. 60% of people younger than 40 with mild symptoms survive three years after treatment if they have a bone transplant.…

    • 1859 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    Leading up to his stroke he had 1 risk factor on the scoring scale, which was his hypertension. This score put his risk of having a stroke at 2.8% per year. Now that he has had a stroke, his risk is increased to a score of 3 which corresponds to 5.9% chance of having a stroke per year. The purpose of the risk stratification system is to determine what treatment should be given for the atrial fibrillation. A score of 0 still means there is risk of stroke but it is not very high; however, an antiplatelet agent, such as 81mg daily dose aspirin, is still recommended.…

    • 999 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Aerobic Physical Activity

    • 1300 Words
    • 5 Pages

    Subjects with metabolic syndrome in the treatment group decreased significantly by 59% showing physical activity and other life style changes can not only help prevent disease by physical changes in the body meaning healthier organs but can also help combat older people who may already have diseases. Other articles agree with the fact physical activity can help prevent disease for example (Appel LJ) carried out a trial to see what effect a 12 week moderate intensity aerobic exercise programme would have on blood pressure in older adults. Was carried out on sedimentary subjects and blood pressure was measured during screening visits and every two weeks during the programme. There was an overall…

    • 1300 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Hematotrophic phase: After third week of gestation, substances are transported passively via intervillous space. (Anju et al., 2011) Growth rate: Growth rate of fetus is linear up to 37 weeks of gestation, after which it plateaus (Anju et al., 2011). A slow growth rate and preterm labor can cause a low birth weight. Low birth weight (below 2000 grams) can increase the likelihood of schizophrenia by almost four times (Subero, 2013). Normative growth data: Normative growth data are available for healthy term infants.…

    • 1115 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    As an adult onset disease, people with ADPKD do not start experiencing symptoms until 30 to 40 years of age, regardless of having the disease since birth. Polycystic Kidney Disease may also be autosomal recessive, although ARPKD is relatively rare, and mainly affects infants, carrying a high mortality rate within the first month of life. ADPKD currently has no cure, however, there are many options for treatment such as dialysis, or in cases of more severity, a kidney…

    • 1649 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Without treatment of HIV, there are normally three stages of disease. The first step of HIV is called the acute stage. This occurs within the first couple of weeks, after the person is infected with HIV. In this stage, one might experience flu-like symptoms, and these usually last several weeks. This is because your body is responding to an infection.…

    • 791 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The Importance Of Enzymes

    • 1572 Words
    • 6 Pages

    One such disease would be Pompe disease type 2. This disease affects the lysosomal enzymes. Patients will have a total absence or a partial deficiency of this enzyme, therefore the body is not able to breakdown lysosomal glycogen leading to extremely high accumulation of this compound and cellular dysfunction. Symptoms in infants can include hypotonia "Floppy baby syndrome," respiratory and cardiac problems and problems feeding. Without treatment death usually occurs within two years but even with treatment the mortality rate is still high.…

    • 1572 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Shingles is a very serious virus causing severe pain and extreme rash that can become annoying for many victims of the rash. In having the symptoms above, one should see a doctor if: 1) The pain and rash occur near an eye. 2) If left untreated, this infection can lead to permanent eye…

    • 867 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    As the patient gets older, their chances of survival decrease by a staggering amount. Treatment options: For acute lymphocytic leukemia, there are a few different options/stages of treatment. To begin most treatments, the patient will undergo induction. Induction is the very beginning of chemotherapy. Within the first month, over 99.9% of the cancerous cells have the potential to be destroyed, but the patient will still be left with that 0.1% of cells inside of you.…

    • 1025 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Multiple Sclerosis Essay

    • 724 Words
    • 3 Pages

    Find evidence that the damage occurred at least one month apart and 3. Rule out all other possible diagnoses. They use MRI, CSF, and EP. Treatment for, MS currently there is no cure but there are medicines that help enhance life for people with MS. There are medications that have been shown to modify the course of MS by dropping the number of relapses and slowing down the progression of disability and degeneration of the nerves.…

    • 724 Words
    • 3 Pages
    Improved Essays