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Bell's Palsy

Bell's palsy is characterised by facial drooping on the affected half, due to malfunction of the facial nerve (VII cranial nerve ), which controls the muscles of the face. Each facial nerve directs the muscles on one side of the face, including those that control eye blinking and closing, and facial expressions such as smiling and frowning . The facial nerve also transmits taste sensations from the tongue. Bell's palsy occurs more often in pregnant women, in people with diabetes or upper respiratory ailments, such as the flu or a cold, and in people with conditions that compromise their immune systems. When Bell's palsy occurs, the function of the facial nerve is disrupted, causing an interruption in the messages the brain sends to the facial muscles. In some cases, doctors prescribe a corticosteroid medication within the first few days, hoping to increase the likelihood of a good recovery.

Bell's palsy is a neurological disorder caused by damage to the seventh cranial nerve, also known as the facial nerve, which results in weakness or paralysis on one side of the face. Because it can happen suddenly, someone might think the problem is a stroke - when a blood vessel in the brain gets clogged or bursts. Bell's palsy can be scary, but it usually doesn't last long and goes away without treatment. In the UK, about one in 60 people will be affected at some point in their lifetime. Through these messages, the facial nerves control the muscles of your face, forehead, and neck. Each facial nerve starts in the brain, goes through the skull in a narrow tube of bone, and exits the skull behind the ear. Other small nerve branches run to the glands that make saliva, the glands that make tears, and the front of the tongue. Until recently, its cause was unknown in most cases, but it has now been related to both Lyme disease and Herpes simplex . Men and women are equally affected, although pregnancy increases the risk threefold.

Causes of Bell's Palsy

The common Causes of Bell's Palsy :

  • The exect cause of Bell's palsy is unknown.
  • Injury, like getting hit really hard in the face
  • The flu or a bad cold
  • Sarcoidosis
  • Biabetes
  • Ear infections
  • The virus that causes cold sores, herpes simplex
  • High blood pressure
  • Trauma

Symptoms of Bell's Palsy

Some Symptoms of Bell's Palsy :

  • Headache
  • Changes in the amount of tears and saliva your body produces
  • Facial stiffness or a feeling that your face is being pulled to one side
  • Pain behind or in front of your ear on the affected side
  • Loss of taste on the front portion of your tongue
  • Pain, usually in the ear on the affected side
  • Facial droop and difficulty with facial expressions
  • Sounds that seem louder on the affected side

Treatment of Bell's Palsy

  • Some doctors try to surgically relieve pressure on the nerve by removing part of the bone. This is an unproven procedure that is considered controversial and is no longer commonly performed. If the eyelid will not close, other surgeries around the eye may be considered.
  • Most patients who do not recover are distressed by their symptoms. They may need help dealing with the emotional issues associated with the condition.
  • Corticosteroids or nonsteroidal anti-inflammatory drugs (NSAIDs) – to reduce inflammation and pain
  • Antibiotic or antiviral drugs – if infection is the cause
  • Prescription antiviral medications, such as acyclovir (Zovirax) and famciclovir (Famvir), may limit or reduce damage to the nerve from some viral causes.
  • Facial massage may help prevent permanent contractures of the paralyzed muscles before recovery takes place.

 

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