facial nerve palsy
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Bell’s palsyAcute peripheral paralysis of the face due to a herpes simplex immune-mediated condition, often characterised by severe pain arising in the trigeminal nerve, the chief sensory nerve of the face, which arises in cranial nerve VII.
Abrupt onset, drooping mouth, unblinking eye, twisted nose, uneven smile, distorted expressions; paralysis hits maximum in 1 to 14 days; retroauricular pain, facial numbness, epiphora, parageusia, decreased tearing, hyperacusis, hypoesthesia or dysesthesia of cranial nerves (CN V and IX), motor paresis of CN IX and X, papillitis of tongue.
Risk of Bell’s palsy increases with age; age 10 to 19, 2:1 female:male ratio; age 40, 3:2 men:women ratio; pregnant women have 3.3 times increased risk than nonpregnant; DM = 4.5 times increased risk of BP; 10% of patients have positive family Hx of BP.
Tumours or masses, otitis media, sarcoid, Lyme disease, skull fracture, facial injury.
Guillain-Barré syndrome, Melkersson-Rosenthal syndrome, Möbius syndrome, motor neuron disease, myasthenia gravis.
Trauma, Bell’s palsy, stroke, parotid tumours, intracranial tumours.
Microvascular and micro-neurosurgical tissue transfers allow restoration of functional, unconscious, symmetrical facial movements; acyclovir; steroids (uncertain efficacy); artificial tears; neuromuscular retraining—e.g., mirror/visual feedback, biofeedback or electromyography feedback.
60 to 80% recover, especially if incomplete paralysis, and patient is young.
facial nerve palsyFacial palsy, see there.
palsy(pal'ze) [Fr. palesie, paralisie, fr L. paralysis, fr Gr. paralysis, loosening, disabling] Paralysis.
birth palsySee: birth paralysis
brachial palsySee: birth paralysis
Palsy caused by degeneration of the nuclear cells of the lower cranial nerves. This causes progressive muscular paralysis.
cerebral palsyAbbreviation: CP
See: cerebral palsy
Paralysis resulting from pressure on nerves in the axilla from use of a crutch.
diver's palsySee: decompression illness
Erb's palsySee: Duchenne-Erb paralysis
facial palsySee: Bell's palsy
facial nerve palsySee: Bell's palsy
Paralysis of the extremities in lead poisoning.
Paralysis induced by mercury poisoning.
A form of paresthesia characterized by numbness, esp. at night.
peroneal nerve palsy
Paralysis of the peroneal nerve, often caused by automobile accidents in which a pedestrian's leg is injured, by fractures of the tibia, or by other occurrences of nerve disruption or compression. It produces footdrop.
pressure palsySee: compression paralysis
progressive supranuclear palsy
A chronic progressive degenerative disease of the central nervous system that has its onset in middle age. Common symptoms include difficulty walking (with frequent falls), impairments in speech and in swallowing, and an inability to gaze upward.
Saturday night palsy
Paralysis due to prolonged ischemia of the musculospiral nerve incident to compressing an arm against a hard edge. It occurs if the patient has been comatose or in a stupor or has fallen asleep with the arm hanging over the edge of a bed or chair. In some cultures individuals traditionally become intoxicated on Saturday night; while stuporous, they may remain in a position that allows nerve compression.Synonym: musculospiral paralysis; radial paralysis; Saturday night paralysisSunday morning paralysis
scrivener's palsySee: writer's cramp
An archaic term for Parkinson's disease.