A chronic case of Bell’s palsy and its management through Ayurveda: case study

Abstract BackgroundThe associations between gestational Bell’s palsy (GBP) and preeclampsia (PE) and other pregnancy-related metabolic disorders such as gestational hypertension (GHT) and gestational diabetes mellitus (GDM) remain unclear. We aimed to evaluate these associations and to compare the neonatal outcomes between the newborns of pregnant women with and without GBP.MethodsThis was a retrospective 1:5 comparative case study between pregnant women with and without GBP. GBP cases in Songklanagarind Hospital from 2006 to 2016 were enrolled. The exact maternal age and order of gravidity at the onset of GBP were matched. The associations between GBP and PE, GHT and GDM were evaluated comparatively. Also, the outcomes of newborns from the two pregnant women groups were compared and analyzed by univariable analysis (p<0.05).ResultsEight GBP cases out of 8,756 pregnant women were enrolled. Six of the GBP cases were first or second gravidity pregnancies. Five cases developed GBP during the third trimester. Except for significantly higher median systolic and diastolic blood pressures (SBP and DBP) in the GBP cases, we found no significant associations between GBP and PE, GHT or GDM. Additionally, the neonates of the GBP women had significantly lower mean birth weight.ConclusionsWe found that GBP had no associations with PE, GHT or GDM. However, significantly lower birth weight was found in the newborns of the GBP women. The higher median SBP and DBP found in the GBP women may imply that a common pathogenesis of microvasculopathy between GBP and late pregnancy-related complications exists.

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

Nepal Journal of Neuroscience ◽

10.3126/njn.v16i3.27362 ◽

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.

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Case study of Bell's palsy applying complementary treatment within an occupational therapy model

Occupational Therapy International ◽

10.1002/oti.269 ◽

2009 ◽

Vol 16 (2) ◽

pp. 169-169

Keyword(s):

Occupational Therapy ◽

Bell’S Palsy ◽

Bell's Palsy ◽

Complementary Treatment ◽

Therapy Model

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A Single Case study to evaluate the efficacy of Ksheerbala Taila Nasya in the management of Ardita w.s.r. to Bell’s Palsy

National Journal of Research in Ayurved Science ◽

10.52482/ayurlog.v8i03.594 ◽

2020 ◽

Vol 8 (03) ◽

Author(s):

Bharat Govardhan Ubale Ubale

Keyword(s):

Cranial Nerve ◽

Single Case ◽

Modern Science ◽

Bell’S Palsy ◽

Sensory Function ◽

Single Case Study ◽

Bell's Palsy ◽

The Face ◽

Ayurvedic Treatment

Ardita is a disease-causing Vakrata (deviation) of Mukha Ardha (half of the face). In Modern science, it can be compared to Bell ’s palsy caused by the involvement of the 7th cranial nerve. It is characterized by the deviation of half of the face & associated with the sudden impairment of motor and sensory function of the affected side of the face. In modern science administration of steroids is the treatment of choice for Bell’s palsy. A 22 yr. an old male patient diagnosed as Ardit Vata treated with Ayurvedic shaman Aushadh along with Ksheerbala taila Nasya,Shirodhara, Abhangya & Nadi Sweda. This Ayurvedic treatment gives a significant improvement in this case. No conventional drugs used during treatment. This is evidence to demonstrate the effectiveness of Ayurveda treatment in the case of Ardita Vata.

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Relationship between Bell’s Palsy and Previous Statin Use: A Case/Non-Case Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17228408 ◽

2020 ◽

Vol 17 (22) ◽

pp. 8408

Author(s):

So Young Kim ◽

Jee Hye Wee ◽

Chanyang Min ◽

Dae-Myoung Yoo ◽

Hyo Geun Choi

Keyword(s):

Conditional Logistic Regression ◽

Bell’S Palsy ◽

Bell's Palsy ◽

The Past ◽

Crude Model ◽

Study Population ◽

Korean National Health Insurance ◽

The Relationship ◽

Statin Use

We intended to determine the relationship between previous statin use and Bell’s palsy in a large study population receiving statins for the past 2 years. The Korean National Health Insurance Service—Health Screening Cohort data from 2002 to 2015 were collected. Participants with Bell’s palsy (n = 3203) were matched with participants without Bell’s palsy (n = 12,812). The number of days of previous statin use for 2 years before the onset of Bell’s palsy was analyzed using conditional logistic regression. Subgroups of age, sex, obesity, smoking, alcohol consumption, total cholesterol, and blood pressure were analyzed for any association between Bell’s palsy and prior statin use. The Bell’s palsy group reported greater statin use than the non-Bell’s palsy group (84.6 (standard deviation, SD = 201.7) vs. 74.4(SD = 189.4), p = 0.009). Previous statin use was associated with Bell’s palsy in the crude model (95% confidence intervals = 1.03–1.19, p = 0.006). However, this relationship disappeared when the possible covariates were adjusted for in model 2. All subgroups showed no increased odds for Bell’s palsy in previous statin users. We did not find an association between Bell’s palsy and previous statin use in this Korean population aged ≥40 years.

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