Emedicine facial nerve palsy











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Congenital facial paralysis treatment

Bell's palsy is the most common cause of acute facial nerve paralysis. In the case of inflammation the nerve is exposed to edema and subsequent high pressure, resulting in a periferic type palsy. In other projects Wikimedia Commons. From Wikipedia, the free encyclopedia. Free muscle transfer like gracilis muscle. Facial nerve paralysis is characterised by unilateral facial weakness, with other symptoms including loss of taste , hyperacusis and decreased salivation and tear secretion. Radial neuropathy Wrist drop Cheiralgia paresthetica. In patients with mild injuries, management is the same as with Bell's palsy — protect the eyes and wait. Central facial palsy can be caused by a lacunar infarct affecting fibers in the internal capsule going to the nucleus. Other signs may be linked to the cause of the paralysis, such as vesicles in the ear, which may occur if the facial palsy is due to shingles. Charcot—Marie—Tooth disease Dejerine—Sottas disease Refsum's disease Hereditary spastic paraplegia Hereditary neuropathy with liability to pressure palsy Familial amyloid neuropathy. Alcoholic polyneuropathy. Once suspected, there should be immediate surgical exploration to determine if a cholesteatoma has formed as this must be removed if present. Peripheral nervous system disorders Otorhinolaryngology Face.

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Description: Bell's palsy may develop over several days, and may last several months, in the majority of cases recovering spontaneously. Once suspected, there should be immediate surgical exploration to determine if a cholesteatoma has formed as this must be removed if present. The pathway of the facial nerve is long and relatively convoluted, so there are a number of causes that may result in facial nerve paralysis. Common culprits are facial neuromas , congenital cholesteatomas , hemangiomas , acoustic neuromas , parotid gland neoplasms , or metastases of other tumours. Peripheral nervous system disorders Otorhinolaryngology Face. Radial neuropathy Wrist drop Cheiralgia paresthetica. A thorough medical history and physical examination , including a neurological examination , are the first steps in making a diagnosis. Free muscle transfer like gracilis muscle. Management includes Antiviral drugs and oral steroids. Tarsal tunnel syndrome. In those cases steroids can be a good help. Winged scapula Backpack palsy. Other neoplastic causes include leptomeningeal carcinomatosis.
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