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Bell’s Palsy

Bell’s Palsy. The Department Of Neurology Cong Lin. George Herbert Bush. Concept. Facial weakness of the peripheral type idiopathic outside the central nervous system without any other cranial nerve palsies. Bell’s Palsy:. the cause is unclear exposure to chill.

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Bell’s Palsy

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  1. Bell’s Palsy The Department Of Neurology Cong Lin

  2. George Herbert Bush

  3. Concept • Facial weakness of the peripheral type • idiopathic • outside the central nervous system • without any other cranial nerve palsies Bell’s Palsy:

  4. the cause is unclear exposure to chill a viral infection edema degeneration. [Etiology and pathology] Etiology pathology

  5. Anatomicophysiology

  6. [Clinical features] • Occurs at any age and any time. • unilateral • The onset is acute. attain maximum paralysis in 48h --5 days. • pain behind the ear.

  7. Peripheral facial palsy

  8. [Diagnosis] • based on the acute onset and the peripheral facial palsy. • distinguished from facial paralysis due to other causes • distinguished from the supranuclear one (such as in a stroke)

  9. Prognosis • usually good. recover within a few weeks or in a month or two. • But if there is evidence of denervation after 10 days, one may expect a long delay in the onset of recovery.

  10. Treatment • surgical decompression may be harmful. • take some corticosteroids, such as prednisone (40 to 60mg/day). • Vitamin B • antiviral agents may be useful. • physiatrics and acupuncture therapy • a shield to protect the eye.

  11. The major features of Bell’s palsy is: Any age, any time. Unilateral Acute Peripheral facial palsy idiopathic Bell’s phenomenon summary

  12. Thanks

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