Bell’s palsy – The Full Wiki

Bell's palsy - The Full Wiki

Seven frequencies were developed experimentally by Dr Paul NOGIER in the 1970s. With a loading dose you will probably feel the benefits in a week. i tried hydromorphone which resulted in me crying all the time for no reason… To describe the pain sensation, patients often describe a trigger area on the face so sensitive that touching or even air currents can trigger an episode; however, in many patients the pain is generated spontaneously without any apparent stimulation. This is not necessarily a problem. Thus, neuropathic pain may be divided into peripheral neuropathic pain, central neuropathic pain, or mixed (peripheral and central) neuropathic pain. Most nerves serve both functions and are called mixed nerves.

^ Rosenbloom, Mark; Tarabar, Asim; Adler, Robert A. PubMed provides review articles from the past five years (limit to free review articles or to systematic reviews) The TRIP database provides clinical publications about evidence-based medicine. However, the citation should be changed since the information on the website is more current than indicated in the article (up to 2009). shrinks). PMID 20227645. Often the eye in the affected side cannot be closed. For example, having a form where all (but the first) letters are lowercase, can help with such searches where mixed case is used.

In some cases denture wearers experience some discomfort. I found this article very useful in helping me self-diagnose once the rash appeared, encouraging me to go straight back and get onto that antiviral treatment. So I land in St Johns and my back is playing up a bit more. Yellow: nerves coming from the right hemisphere of the brain. Note that the forehead muscles receive innervation from both hemispheres of the brain (represented in yellow and orange). Bell’s palsy is characterized by facial drooping on the affected half, due to malfunction of the facial nerve (VII cranial nerve), which controls the muscles of the face. Seek immediate medical care (call 911) if you, or someone you are with, have unexplained, severe pain in your rib cage, chest pain, a crushing feeling or pressure in your chest, severe shortness of breath, difficulty breathing, or a change in consciousness.

It is not meant to cover all possible precautions, drug interactions, circumstances or adverse effects. This usually involves a plan which will address the underlying or associated cause [6]. I can imagine any all-over skin, nerve or muscle condition that causes pain would be absolutely hellish. Some people live with this type of neuralgia for the rest of their lives, but for most, the condition gradually fades away within five years. Due to an anatomical peculiarity, forehead muscles receive innervation from both sides of the brain. chronic fatigue syndrome  persistent debilitating fatigue of recent onset, with greatly reduced physical activity and some combination of muscle weakness, sore throat, mild fever, tender lymph nodes, headaches, and depression, not attributable to any other known causes; it is of controversial etiology. If the problem resides in the facial nerve itself (peripheral palsy) all nerve signals are lost on the ipsilateral (same side of the lesion) half side of the face, including to the forehead (contralateral forehead still wrinkles).

One disease that may be difficult to exclude in the differential diagnosis is involvement of the facial nerve in infections with the herpes zoster virus. It is estimated that one in three people in the United States will experience chronic pain at some point in their lives. Lyme disease may produce the typical palsy, and may be easily diagnosed by looking for Lyme-specific antibodies in the blood. Flowmetry may also demonstrate decreased optic nerve perfusion during an attack, particularly at the peripapillary temporal and nasal sectors, as well as at the level of the neuroretinal rim.[14] Visual fields performed during an attack may demonstrate non-specific changes, but in general, they remain normal following an attack. Although defined as a mononeuritis (involving only one nerve), patients diagnosed with Bell’s palsy may have “myriad neurological symptoms” including “facial tingling, moderate or severe headache/neck pain, memory problems, balance problems, ipsilateral limb paresthesias, ipsilateral limb weakness, and a sense of clumsiness” that are “unexplained by facial nerve dysfunction”.[2] This is yet an enigmatic facet of this condition. Some viruses are thought to establish a persistent (or latent) infection without symptoms, e.g. the Zoster virus of the face[3] and Epstein-Barr viruses, both of the herpes family.

It must have been very worrisome to be so young with the shingles. Many people however find relief from medication, chiropractic manipulation or one of the five surgical options. cold), physical stress (e.g. trauma) – in short, a host of different conditions, may trigger reactivation. It is thought that as a result of inflammation of the facial nerve, pressure is produced on the nerve where it exits the skull within its bony canal, blocking the transmission of neural signals or damaging the nerve. Patients with facial palsy for which an underlying cause can be found are not considered to have Bell’s palsy per se. Possible causes include tumor, meningitis, stroke, diabetes mellitus, head trauma and inflammatory diseases of the cranial nerves (sarcoidosis, brucellosis, etc.).

The treatment of polyneuropathies is aimed firstly at eliminating or controlling the cause, secondly at maintaining muscle strength and physical function, and thirdly at controlling symptoms such as neuropathic pain. Short-term peripheral compression is often painless, with pain attacks lasting no more than a few seconds. In a few cases, bilateral facial palsy has been associated with acute HIV infection. In some research[7] the herpes simplex virus type 1 (HSV-1) was identified in a majority of cases diagnosed as Bell’s palsy. This has given hope for anti-inflammatory and anti-viral drug therapy (prednisone and acyclovir). Agitation & behavioral changes are a very uncommon side effect in opiate pain medications (less than 3%.) Most people in severe pain will try just about anything to relieve their pain. That infection with herpes simplex virus should play a major role in cases diagnosed as Bell’s palsy therefore remains a hypothesis that requires further research.

Bell’s palsy is a diagnosis of exclusion; by elimination of other reasonable possibilities. “Prevalence and natural history of pain in adults with multiple sclerosis: Systematic review and meta-analysis”. In humans, the sophistication of the nervous system makes it possible to have language, abstract representation of concepts, transmission of culture, and many other features of human society that would not exist without the human brain. Being a residual diagnostic category, the Bell’s Palsy diagnosis likely spans different conditions which our current level of medical knowledge cannot distinguish. This may inject fundamental uncertainty into the discussion below of etiology, treatment options, recovery patterns etc. See also the section below on Other symptoms. Studies[2] show that a large number of patients (45%) are not referred to a specialist, which suggests that Bell’s palsy is considered by physicians to be a straightforward diagnosis that is easy to manage.

A significant number of cases are misdiagnosed (ibid.). This is unsurprising from a diagnosis of exclusion, which depends on a thorough investigation. In patients presenting with incomplete facial palsy, where the prognosis for recovery is very good, treatment may be unnecessary. Patients presenting with complete paralysis, marked by an inability to close the eyes and mouth on the involved side, are usually treated. Summary: Zostavax (the Shingles vaccine) is a live attenuated vaccine. The rash has pretty much healed but I have immensely itchy legs and skin still, that even with a batch of steel wool and a scalping knife I suspect won’t cure. To prevent the latter, the eyes may be protected by covers, or taped shut during sleep and for rest periods, and tear-like eye drops or eye ointments may be recommended, especially for cases with complete paralysis.

Where the eye does not close completely, the blink reflex is also affected, and care must be taken to protect the eye from injury. Another complication can occur in case of incomplete or erroneous regeneration of the damaged facial nerve. The nerve can be thought of as a bundle of smaller individual nerve connections which branch out to their proper destinations. During regrowth, nerves are generally able to track the original path to the right destination – but some nerves may sidetrack leading to a condition known as synkinesis. For instance, regrowth of nerves controlling muscles attached to the eye may sidetrack and also regrow connections reaching the muscles of the mouth. I was only ten years old, but I had dislocated both shoulders a few months earlier so I had a pretty good idea of where it fell on the pain scale. For example, when the person closes the eye, the corner of the mouth lifts involuntarily.

In addition, around 6%[citation needed] of patients exhibit crocodile tear syndrome, also called gustatolacrimal reflex or Bogorad’s Syndrome, on recovery, where they will shed tears while eating. Kugelberg-Welander syndrome  an inherited juvenile form of muscular atrophy due to lesions on the anterior horns of the spinal cord, beginning with the proximal muscles of the lower limbs and pelvic girdle and progressing to the distal muscles. Gustatorial sweating can also occur. A range of annual incidence rates have been reported in the literature: 15,[15] 24,[18] and 25-53[2] (all rates per 100,000 population per year). Many people who genuinely need these drugs for pain control typically do not become addicted. ^ “Bell’s Palsy Information Site: Newly Diagnosed with Bell’s Palsy FAQs” (Website). Both HSV and VZV have been proposed in the past as possible infectious culprits underlying PSS.[38] VZV was the first infectious agent proposed in 1985, with one study demonstrating an association between the level of varicella immunity and frequency of PSS attacks.[39] However, subsequent case series have failed to demonstrate this association in other tests, such as VZV PCR.

^ a b c Morris AM, Deeks SL, Hill MD, et al. (2002). “Annualized incidence and spectrum of illness from an outbreak investigation of Bell’s palsy”. There’s reciprocity in the interaction between electron flow and magnetism. Oral Surg. PMID 12207155.
Bell's palsy - The Full Wiki

^ Facial Nerve Problems and Bell’s Palsy Information on ^ a b c Furuta Y, Ohtani F, Chida E, Mesuda Y, Fukuda S, Inuyama Y (2001). “Herpes simplex virus type 1 reactivation and antiviral therapy in patients with acute peripheral facial palsy”. Auris Nasus Larynx 28 Suppl: S13–7. doi:10.1016/S0385-8146(00)00105-X. PMID 11683332. ^ a b Kasse et al. (2003) Clinical data and prognosis in 1521 cases of Bell’s palsy.

International Congress Series (2003) Issue Vol.1240 Page no. 641-647 ISSN 05315131 (page 646) ^ – MedlinePlus Medical Encyclopedia: Facial nerve palsy due to birth trauma retrieved 10 September 2008 ^ Murakami S, Mizobuchi M, Nakashiro Y, Doi T, Hato N, Yanagihara N (1996). “Bell palsy and herpes simplex virus: identification of viral DNA in endoneurial fluid and muscle”. Ann. ^ Moore, RA; Derry, S; Aldington, D; Cole, P; Wiffen, PJ (Dec 12, 2012). This fold deepens, and then closes up at the top. 124 (1 Pt 1): 27–30.

PMID 7503474. ^ Hato N, Matsumoto S, Kisaki H, et al. (November 2003). “Efficacy of early treatment of Bell’s palsy with oral acyclovir and prednisolone”. Otol. Neurotol.

24 (6): 948–51. doi:10.1097/00129492-200311000-00022. PMID 14600480. ^ a b Sullivan FM, Swan IR, Donnan PT, et al. (October 2007). “Early treatment with prednisolone or acyclovir in Bell’s palsy”.

N. I’ve passed a kidney stone and I’ve had shingles. J. Med. short-bowel syndrome , short-gut syndrome any of the malabsorption conditions resulting from massive resection of the small bowel, the degree and kind of malabsorption depending on the site and extent of the resection; it is characterized by diarrhea, steatorrhea, and malnutrition. doi:10.1056/NEJMoa072006. PMID 17942873.

Visceral pain often is diffuse or vaguely localized, whereas pain from the lining of body cavities often is localized precisely, very intense, and exquisitely sensitive to palpation or movement. ^ Lockhart P, Daly F, Pitkethly M, Comerford N, Sullivan F (2009). ↑ Raitta C, Vannas A. Cochrane Database Syst Rev (4): CD001869. doi:10.1002/14651858.CD001869.pub4. PMID 19821283. ^ He L, Zhou MK, Zhou D, et al.

104 (6): 913–24. “Acupuncture for Bell’s palsy”. Cochrane Database Syst Rev (4): CD002914. doi:10.1002/14651858.CD002914.pub3. PMID 17943775. ^ Peitersen E (1982). “The natural history of Bell’s palsy”.

Am J Otol 4 (2): 107–11. PMID 7148998. quoted in Roob G, Fazekas F, Hartung HP (1999). “Peripheral facial palsy: etiology, diagnosis and treatment”. Eur. Neurol. 41 (1): 3–9.

doi:10.3122/jabfm.2011.04.100280. ISBN 978-0-8385-7701-1. ^ Peitersen E, Andersen P (1966). “Spontaneous course of 220 peripheral non-traumatic facial palsies”. Acta Otolaryngol.: Suppl 224:296+. PMID 6011525.

^ Ahmed A (2005). “When is facial paralysis Bell palsy? Current diagnosis and treatment”. Cleve Clin J Med 72 (5): 398–401, 405. doi:10.3949/ccjm.72.5.398. PMID 15929453. ^ a b Döner F, Kutluhan S (2000).

“Familial idiopathic facial palsy”. Eur Arch Otorhinolaryngol 257 (3): 117–9. doi:10.1007/s004050050205. PMID 10839481. And I’d think about gnawing off my own head. ^ Bender, Paula Gillingham. “Facing Bell’s Palsy while pregnant.” (Commercial website).

Sheknows: Pregnancy and Baby. Retrieved on 2007-09-06. ^ “Bell’s Palsy InfoSite & Forums: Facial Paralysis FAQs” (Website). Soft tissue pain may be acute or chronic, and a burning pain is due to surface lesions and usually can be discretely localized; pulpal pain or tooth pain varies according to whether it is acute or chronic, but it is often difficult to localize. Retrieved on 2007-09-06. 1969;47(5):1129-34. “[Idiopathic facial paralysis”] (in German).

HNO 46 (9): 786–98. PMID 9816532.

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