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BELL’S PALSY By: Josfeena Bashir Lecturer, BGSBU DEFINITION Bell’s palsy (facial paralysis) is caused by unilateral inflammation of the seventh cranial nerve, which results in weakness or paralysis of the facial muscles on the affected side INCIDENCE Younger than 45 years of age Men & women are affected equally CAUSES Although the cause is unknown, Theories about causes include Vascular ischemia, Viral disease (herpes simplex, herpes zoster), Autoimmune disease, a combination of all of these factors. NERVE TRAUMA Risk factor The third trimester of pregnancy In individuals with immune disorders such as HIV infection, Individuals with diabetes. Viral upper respiratory infection Pathophysiology Etiology Inflammation of facial nerve The inflamed, oedematous nerve becomes compressed to the point of damage, or its blood supply is occluded, Producing ischemic Necrosis of facial nerve Paralysis of facial nerve Clinical manifestation Onset of symptoms may be sudden or may progress over a 2- to 5-day period Pain behind the ear may precede the onset of facial paralysis dry eye or tingling around the lips  Unable to Close The Eyelid, Wrinkle The Forehead, Dysarthria & dysphagia The mouth is pulled toward the unaffected side Drooling of saliva occurs, the affected eye has constant tearing or lacrimation. Sense of taste is lost over the anterior two-thirds of the tongue Diagnostic evaluation History of the onset of symptoms is used to diagnose Bell’s palsy. Observation of the patient confirms the diagnosis. An EMG may be done. The possibility of a stroke must be ruled out. Management Corticosteroid therapy- to decrease inflammation (eg, prednisone 1 mg/kg/day for 10 to 14 Acyclovir combined with prednisone is possibly effective in improving facial function Eye care to maintain lubrication and moisture if unable to close. May need to be patched during sleep. Physical therapy, electrical stimulation to maintain muscle tone. Nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesics to relieve pain Heat application Massage Electrical stimulation Surgical management Tarsorrhaphy Complication Corneal ulceration Impairment of vision Body image disturbance related to facial nerve paralysis Nursing management Test motor components of facial nerve (VII) by assessing patient's smile, ability to whistle, purse lips, wrinkle forehead, and close eyes. Observe for facial asymmetry. Observe patient's ability to handle secretions, food, fluids; observe for drooling. Assess patient's ability to blink and speak clearly. Assess effect of altered appearance on body image. Administer or teach patient to administer artificial tears and ophthalmic ointment as prescribed  Bell's palsy

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Paralysis is a complete loss of motor power in any muscle group. When paralysis affects all four extremities, it is called quadriplegia when it affects only the lower extremities, paraplegia and when it affects the extremities on one side of the body, hemiplegic. For this reason, the term paralysis is generally reserved for more focal, less stereotyped weakness, for instance, affecting all the muscles innervated by a peripheral nerve. Many different anatomical lesions and etiologies can cause paralysis and determine its treatment. Bikash Debsingha | Dr. Gourav Kr. Sharma | Dr. Kausal Kishore Chandrul "Review of the Diagnosis and Treatment of Paralysis" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-5 , August 2021, URL: https://www.ijtsrd.com/papers/ijtsrd45108.pdf Paper URL: https://www.ijtsrd.com/pharmacy/pharmacology-/45108/review-of-the-diagnosis-and-treatment-of-paralysis/bikash-debsingha Review of the Diagnosis and Treatment of Paralysis

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Common Neurological Disorders for undergraduates( MBBS, NURSING,PHRMA STUDENT...

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