Case Study Of Bell's Palsy

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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 benefits notable from adding both medications together. Both medications are considered to be cost-effective. Recovery takes about 6 weeks to 3 months. If no recovery transpires within 4 months then the patients is most likely to have sequelae. …show more content…
Patients may be unable to close their eye or smile and also amplified salivation on the affected side. Bell’s palsy is named after Sir Charles Bell, a 19th century Scottish specialist who explained the facial nerve and its relationship to the …show more content…
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 respiratory infection and microvascular

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