INTRODUCTION Types 1 and 2 were the first herpes virus described (HHV-1 and HHV-2), called herpes simplex 1 and 2 or HSV-1 and HSV-2. Such scenarios warrant a broader differential diagnosis with thorough investigations. The time course of the R1 latency in the blink reflex tests paralleled the recovery of the facial nerve paralysis well, whereas electroneurographic recovery tended to be delayed, compared to that of the paralysis; these responses are usually seen in Bell’s palsy. The sores usually last seven to 10 days and are contagious until completely scabbed over. Read carefully the following paragraphs, I’ll try to describe the facial nerve in the simplest possible way. Pain may either precede the palsy or occur concurrently. It may cause teary eyes, excess drooling, numbness, ear pain or hypersensitive hearing on your affected side.
There is also some evidence that facial exercises reduce sequelae in acute cases. Symptoms often begin to improve right away. There are several symptoms associated with Bell’s Palsy. During this latency period, the viral DNA is not completely silent. Before bed the previous night, the patient noted that fluid dripped out of the right side of his mouth while drinking. These are common sensation experienced by individuals who suffer from Bell’s Palsy, and the degree of discomfort vary from one person to another. It all depends on the severity of the condition.
For non-health care it is not necessary to understand how this difference occurs between central and peripheral lesions of the facial nerve. Complete facial palsy at the time of presentation, impairment of lacrimation, dysacusis, and advanced age are all poor prognostic signs. I agree with this. Use a firm pressure Try to close the eye slowly and gently, without letting your mouth pull up or your eyebrow move downward Try to raise your eyebrows, and then hold for 10 -15 seconds. Cochrane Database Syst Rev. In particular, the herpes virus was believed to cause irritation on the nerve, which also leads to genital herpes and cold sores. Starting on the 70’s, many studies tried to establish this disease etiology5,6,7.
He was hypertensive with an initial blood pressure of 182/108. Inflamed nerves cause pressure on the cheekbone next to these affected areas. There may also be cases where the nerve may pinch in the narrow gap on the bone, which causes damages to the nerve’s protective covering. Bell’s palsy is a facial paralysis caused by herpes simplex virus, the same that causes cold sores and genital famous. Sullivan FM , SwanIR, DonnanPT, et al. It is important for the condition to be diagnosed as quickly as possible once the symptoms start to appear. This way, it will be more effective for treatment to take effect once these are administered by the doctor.
The main means of diagnosing the condition is by detecting evidences of possible causes of paralysis on the face. These causes may include stroke, tumor or even Lyme disease. Of those, 11 (29%) had positive PCR for the HSV-1 virus in the first week of disease development. No ulcerations were noted in his ears. Additionally, any changes that are apparent in the facial structure may be a sign of a tumor, so this condition will be assessed by the doctor, as well. After these physical examinations, other tests may be required for further analysis including CT scans, Xrays, MRI, or EMG, to name a few.