scholarly journals Rule of vitamin C in the treatment of idiopathic facial paralysis IFP (Bell's palsy)

2019 ◽  
Vol 10 (3) ◽  
pp. 2586-2590
Author(s):  
Abbas kinbar kuser ◽  
Redha Alwan Al-hashimi
Keyword(s):  
Ascorbic Acid ◽  
Vitamin C ◽  
Complete Resolution ◽  
Recovery Period ◽  
Complete Recovery ◽  
Bell’S Palsy ◽  
The Other ◽  
P Value ◽  
Good Recovery ◽  
Bell's Palsy

This study was designed to show the rule of Vitamin C in the treatment of Bell's palsy when adding to the treatment of bell's palsy in compares to treatment without ascorbic acid and how its effect of fastening time of recovery. Six months from February to July 2019, and 60 patients were collected for this study, 22 patients treated with classical treatment for Bell's palsy, and on the other side 38 patients, we added Vitamin C (500mg) besides classical treatment for Bell's palsy. The results of the current study revealed that Patients with IFP were treated with vitamin C and classical treatments are gotten complete recovery within 4 weeks (92.1%) as compared to classical treatment alone (14.6%) with significant P value 0.0001. About complete resolution after4 to 6 weeks, there is no difference between both vitamin C and classical treatment (92.1%) and classical treatment alone (86.4%) with non-significant P-value. About facial residual, after 6 weeks, there is no difference between both vitamin C and classical treatment (10.5%) and classical treatment alone (10%) with non-significant P-value. It has been concluded that there is the significant value of vitamin C in the treatment of Bell's palsy as compares with classical treatment alone; but this positive value when treated early and good recovery in the first 4 weeks of IFP. A very good result in the hastening of the recovery period in the first 4 weeks but the same as a classical treatment alone after 4 weeks. In this study, no significant values of vitamin C to prevent complications of IFP.

scholarly journals 18 Lyme disease as an emerging cause of Seventh Cranial Nerve Palsy (“Bell’s palsy”) in Nova Scotia

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e7-e7
Author(s):  
Julia LeBlanc ◽  
Michael Young ◽  
Ellen Wood ◽  
Donna MacKinnon-Cameron ◽  
Joanne Langley
Keyword(s):  
Emergency Department ◽  
Lyme Disease ◽  
Cranial Nerve ◽  
Cranial Nerve Palsy ◽  
Complete Resolution ◽  
Nerve Palsy ◽  
Health Centre ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Seventh Cranial Nerve

Abstract Introduction/Background Lyme disease, a tick-borne zoonosis caused by the bacterium Borrelia burgdorferi, has emerged in Nova Scotia (NS) as a common illness. Since 2002 when Lyme disease was first diagnosed in NS, >1000 cases have been reported. Seventh cranial nerve palsy (CNP-7) is said to be the most common presentation of early disseminated Lyme disease in children in endemic areas. Objectives We aimed to determine the frequency of CNP-7 in NS and if physicians are considering Lyme disease as an etiology. Design/Methods A retrospective review of health records of children seen at the IWK Health Centre from 2000-2018 who were ≤18 years of age with an ICD-9 or 10 diagnosis of Bell’s palsy (CNP-7) was conducted. CNP-7 due to local infection, trauma, malignancy, or systemic neurologic disease was excluded. Results Of 237 ICD “Bell’s palsy” diagnoses, 66 cases were eligible, of which 60.6 % (n=40) were female. The median age was 10 years (range 0-16). Five cases of Lyme disease-associated CNP-7 were recognized (7.6%), all since 2013. No bilateral CNP-7 occurred; 59.1% of cases were on the left. Most children presented within 3 days of symptom onset (84.8%) to the emergency department (95.4%), and 56.1% subsequently saw a pediatric neurologist. The most common associated symptom with CNP-7 was headache (22.7%). Lyme disease was considered in the differential diagnosis in 34.8 % (n=23) of cases, and only since 2012. Systemic steroids were prescribed to 51.5 % (34/66) of children in the emergency department, for durations varying from 1 to 10 days. The most common steroid course length was 5 days. Antimicrobials were prescribed for 18 (27.3%) children including acyclovir, beta lactams and tetracyclines. Resolution of the facial palsy findings was documented in 45 children, of whom 36 (54.5%) had complete resolution and 9 (13.6%) had partial resolution. Four children with Lyme disease associated CNP-7 had complete resolution, and one had partial resolution. Conclusion There does not appear to be a standard approach to diagnosis and management of CNP-7 in this pediatric health centre. Lyme disease is not regularly considered in the differential diagnosis, which is surprising given the high incidence of Lyme disease in NS. These findings will be shared with health care providers most likely to see CNP-7 in order to develop a standard algorithm to the initial presentation of 7th cranial nerve palsy in children.

scholarly journals COMPLETE MANAGEMENT OF ARDITA (BELL’S PALSY) AS PER AYURVEDA CHIKITSA SUTRA – A CASE REPORT

2021 ◽  
Vol 09 (3) ◽  
pp. 650-656
Author(s):  
Ram Lakhan Meena ◽  
Santoshkumar Bhatted ◽  
Nilam Meena
Keyword(s):  
Case Report ◽  
Adverse Effects ◽  
Facial Nerve ◽  
Present Report ◽  
Complete Recovery ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Contemporary Science ◽  
The Face ◽  
Grading Scale

Bell’s palsy, also known as acute idiopathic lower motor neuron facial paralysis, is characterized by sud-den onset paralysis or weakness of the muscles to one side of the face controlled by the facial nerve. In contemporary science, administration of steroids is the treatment of choice for complete facial palsy. Cer-tain Panchakarma procedures and internal Ayurvedic medicines have been proved to be beneficial in the management of Ardita vata. The present report deals with a case of 62-year-old male patient diagnosed as Ardita vata was treated with various Panchakarma procedures like Nasya, Shirobasti, Kukkutanda Swedana, Dashmoola Ksheer Dhoom, Gandoosh and oral Ayurveda medicines. Criteria of assessment was based on the scoring of House-Brackmann Facial Nerve Grading scale. After completion of Ayurveda treatment, the patient Shown almost complete recovery without any adverse effects. This case is an evi-dence to demonstrate the effectiveness of Ayurveda treatment in case of Ardita vata (Bell’s palsy).

scholarly journals Association of Patients’ Characteristics with Acupuncture Treatment Outcomes in Treating Bell’s Palsy: Results from a Randomised Controlled Trial

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Xianjun Xiao ◽  
Qianhua Zheng ◽  
Yunzhou Shi ◽  
Leixiao Zhang ◽  
Ling Zhao ◽  
...  
Keyword(s):  
Acupuncture Treatment ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Complete Recovery ◽  
Bell’S Palsy ◽  
Acute Stage ◽  
Chorda Tympani ◽  
Bell's Palsy ◽  
Significant Difference ◽  
Multicenter Randomized Controlled Trial

Background. Acupuncture has been found to be effective for treating Bell’s palsy (BP). However, which class of BP patients will have a better response to acupuncture remains uncertain and requires investigation. Methods. We performed a secondary analysis of a multicenter, randomized, controlled trial. BP patients were randomly divided into five acupuncture treatment groups. The degree of facial nerve recovery was assessed according to the House–Brackmann grading system (HB grade). Grade I was defined as complete recovery (CR), and grades II–VI were defined as incomplete recovery (IR). The relevant patient characteristics were collected and compared between CR and IR groups by univariate and logistic regression analyses. Results. Eight-hundred twenty-six subjects were analyzed. Among these, 698 (85%) subjects had a good prognosis. No significant difference in the effectiveness of the five treatments was observed (all P>0.05). The likelihood of IR increased by 2.2% with each one-year increase in age (odds ratio (OR) 1.022, 95% confidence interval (CI) 1.005–1.038; P=0.009). The likelihood of IR increased by 9% with each kg/m2 increase in BMI (OR 1.090, 95% CI 1.019–1.165; P=0.012). The likelihood of IR at the recovery stage was higher than that at the acute stage (OR 7.996, 95% CI 4.570–13.991; P<0.001), and the likelihood of IR of patients with lesions at or above the chorda tympani was higher than that of patients with lesions below the chorda tympani (OR 1.989, 95% CI 1.256–3.150; P=0.003). The likelihood of IR increased by 281.7% with each unit increase in the HB grade (OR 2.817, 95% CI 2.113–3.756; P<0.001). Conclusions. Younger patients at the acute stage of the disease with low BMIs, low initial HB grades, and lesions below the chorda tympani were more likely to respond to acupuncture.

Pathogenesis of Bell's Palsy

1977 ◽  
Vol 86 (4) ◽  
pp. 549-558 ◽  
Author(s):  
Ruth Gussen
Keyword(s):  
Facial Nerve ◽  
Complete Recovery ◽  
Bell’S Palsy ◽  
Facial Canal ◽  
Chorda Tympani ◽  
Bell's Palsy ◽  
Nerve Branch ◽  
Collagen Formation ◽  
Myelin Sheaths ◽  
Metabolic Exchange

The pathogenesis of Bell's palsy is presented as retrograde epineurial compression edema with ischemia of the facial nerve. Although the etiology is unknown, an attractive theory is vasospasm, from any cause, along any facial nerve branch, with the chorda tympani, perhaps, the usual primary involvement. Retrograde vascular distension and edema, within the epineurium of the bony facial canal, compresses the nerve from outside its perineurial sheath. The compression force may be mild or severe, resulting in varying degrees of reversible or irreversible ischemic degeneration of myelin sheaths and axons, with varying degrees of cellular reaction to myelin breakdown. The edema may be resorbed, leaving reversible or irreversible nerve damage, or may stimulate collagen formation within the epineurium, with persisting fibrous compression (entrapment) neuropathy of the facial nerve. This concept is consistent with the varying results of Bell's palsy, and depends on the severity and duration of edema, and whether fibrosis occurs within the epineurium of the facial canal. Epineurial fibrosis also results in disturbance of metabolic exchange through the epineurial-permeurial-endoneurial tissues, and may ultimately result in obliteration of vascular drainage. Two temporal bone cases of Bell's palsy, one occurring ten years before death, with residual paralysis. and one two years before death, with clinical recovery, are added to the previously described four cases in the literature, three of early Bell's palsy, and one of remote palsy with almost complete recovery.

Outcome of Treatment with Valacyclovir and Prednisone in Patients with Bell's Palsy

2003 ◽  
Vol 112 (3) ◽  
pp. 197-201 ◽  
Author(s):  
Sara Axelsson ◽  
Sven Lindberg ◽  
Anna Stjernquist-Desatnik
Keyword(s):  
Treatment Group ◽  
Medical Treatment ◽  
Antiviral Drug ◽  
Complete Recovery ◽  
Bell’S Palsy ◽  
Adult Patients ◽  
University Hospital ◽  
Control Group ◽  
Type I ◽  
Bell's Palsy

Idiopathic facial paralysis, or Bell's palsy, shows a nonepidemic pattern that might indicate reactivation of a latent microorganism such as herpes simplex type I as a causative agent. Thirty percent of patients with Bell's palsy given no treatment will not recover completely, and 5% will have severe sequelae. The aim of this study was to find out whether treatment with an antiviral drug in combination with corticosteroids is more effective than no medical treatment at all in patients with Bell's palsy. Fifty-six consecutive adult patients attending the otorhinolaryngology department of the University Hospital of Lund from 1997 to 1999 were treated with 1 g of valacyclovir hydrochloride 3 times per day for 7 days and 50 mg of prednisone daily for 5 days, with the dose being reduced by 10 mg daily for the next 5 days. Fifty-six adult patients with Bell's palsy attending the same department between 1995 and 1996 who were given no medical treatment were studied retrospectively and used as the control group. Forty-nine patients (87.5%) in the treatment group recovered completely, as compared with 38 patients (68%) in the control group (p <.05). One patient (1.8%) in the treatment group displayed severe sequelae, defined as a House-Brackmann score of IV or worse, as compared with 10 of 56 patients (18%) in the control group (p <.01). Among patients over 60 years old, 10 of 10 in the treatment group had complete recovery, as compared with 5 of 12 patients in the control group (p <.01). The present study showed a significantly better outcome in patients with Bell's palsy treated with valacyclovir and prednisone as compared with patients given no medical treatment. This difference in outcome was especially pronounced among elderly patients.

scholarly journals Role of Neuromuscular Electrical Stimulation in Bell’s Palsy: A Case Study of Three Patients

2021 ◽  
Vol 6 (4) ◽  
pp. 235-241
Author(s):  
Nasrin Bharti
Keyword(s):  
Electrical Stimulation ◽  
Neuromuscular Electrical Stimulation ◽  
Complete Recovery ◽  
Daily Basis ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Early Management ◽  
The Face ◽  
Conventional Physiotherapy

Bell's palsy is an idiopathic, unilateral facial paralysis, caused by a malfunction anywhere along the facial nerve's peripheral portion, from the pons distally. Bell's palsy is treated by removing the cause of nerve injury, strengthening the face muscles, and restoring facial function. Physical therapy in the form of neuromuscular electrical stimulation (NMES), massage and facial exercises is used as adjuvant to hasten recovery. The aim of this study is to access of role of neuromuscular electrical stimulation (NMES) treatment in Bell’s palsy patients. A detailed neurological assessment of three patients was done with emphasis on facial muscles and severity of paralysis was graded according to House Brackmann scale (HBS). Conventional physiotherapy was given in the form of electrical stimulation, facial massage, exercises and functional re-education on a daily basis. Patients were assessed at weekly and 1months after the treatment. They experienced complete recovery within 1month follow-up, no recurrence was observed and all patients have normal facial movement. Physiotherapy in the form of NMES and facial exercises has a effective role in the early management of Bell’s palsy. Keywords: Bell’s palsy; neuromuscular electrical stimulation; House Brackmann scale; physiotherapy.

scholarly journals Effectiveness of Kabat Rehabilitation Combined with Facial Expressive and Functional Exercises in Treatment of Bell’s Palsy: A Case Study

2019 ◽  
Vol 16 (3) ◽  
pp. 65-67
Author(s):  
Shambhu Prasad Adhikari ◽  
Jayana N. Shrestha ◽  
Miraj Subedi
Keyword(s):  
Facial Nerve Palsy ◽  
Bell’S Palsy ◽  
Therapeutic Interventions ◽  
Common Condition ◽  
Good Recovery ◽  
Bell's Palsy ◽  
Grading Scale ◽  
Combined Intervention ◽  
Peripheral Origin

Lower motor facial nerve palsy also called Bell’s palsy is of peripheral origin, which is a common condition globally. Different therapeutic interventions have shown improvement in patients with Bell’s palsy. Here, we administered Kabat rehabilitation combined with facial expressive and functional exercises in a patient with Bell’s palsy who was treated for three weeks. Changes with the intervention were measured using Sunny-Brooke classification scoring system and House Brachmann Facial Grading scale. This case study demonstrated faster and good recovery with the combined intervention in early Bell’s palsy compared to the evidence in literatures. Eyes closure was complete. Facial symmetry and well-defined facial expressions were seen after the treatment. However, clinical trials are recommended for its clinical implication.

Bell's palsy

2021 ◽  
Vol 14 (12) ◽  
pp. 733-741
Author(s):  
Frith Cull ◽  
Holli Coleman
Keyword(s):  
Facial Nerve ◽  
Complete Recovery ◽  
Rapid Onset ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Ocular Complications ◽  
The United Kingdom ◽  
Common Diagnosis ◽  
Nerve Paresis ◽  
And Function

Bell's palsy is the term given to an idiopathic lower motor neurone facial nerve paresis or paralysis. It is of rapid onset, almost always unilateral, and may be associated with facial or retro-auricular pain or otalgia. It is the most common diagnosis associated with facial nerve palsy; a GP will see a case approximately every 2 years in practice in the United Kingdom. Early diagnosis and steroid treatment increase the likelihood of full recovery, whereas ocular complications can be prevented by lubricants and lid taping. Over 70% of patients recover within a year. Options to improve facial appearance and function, in those who do not experience a complete recovery, include surgery.

The Effects of Dietary Vitamin C Levels on Tissue Ascorbic Acid Concentration and Growth in European Sea Bass (Dicentrarchus labrax, L.1758)

2019 ◽  
Author(s):  
Aysun KOP
Keyword(s):  
Ascorbic Acid ◽  
Body Weight ◽  
Vitamin C ◽  
Dicentrarchus Labrax ◽  
Sea Bass ◽  
The Other ◽  
Dietary Vitamin ◽  
European Sea Bass ◽  
Final Body Weight ◽  
Kidney Liver

The effect of different dietary levels of L-ascorbic acid on the growth and vitamin C concentration in the tissue of European Sea bass (Dicentrarchus labrax, L.1753) with an initial body weight of 4.6±1.1 g was studied. Four practical diets were formulated to containing 10 (AA10), 25 (AA25), 42 (AA42) and 65 (AA65) mg ascorbic acid equivalent kg-1 diet. The results of a 20 week feeding trial showed that typical vitamin C-deficiency signs and high mortality in the fish fed with the AA10 diet. The fish fed with AA42 (42 mg kg-1 AA diet) showed a significantly higher final body weight than the other diets (P less than 0.05) and the concentrations of ascorbic acid (AA) in the brain of these fish were higher than in the other experimental group (P less than 0.05). In this study, the amount of storage in the organs occurred in this order: brain, kidney, liver.

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