scholarly journals MANAGEMENT OF ARDITA THROUGH PANCHAKARMA AND PALLATIVE CARE - A CASE STUDY

2020 ◽  
Vol 8 (9) ◽  
pp. 4565-4568
Author(s):  
Aabha Sharma ◽  
Zenica D’ Souza
Keyword(s):  
Facial Nerve ◽  
Male Patient ◽  
Palliative Treatment ◽  
Bell’S Palsy ◽  
Complete Relief ◽  
Bell's Palsy ◽  
Comprehensive Management ◽  
Married Male

Ardita is a condition that develops due to excessive aggravation of Vata and causes distortion of face, con-sidered as one among the eighty Vata Nanatmaja Vyadhi in Ayurveda. Bell’s palsy, the paralysis of facial nerve also affects the movement of facial muscles and shows similar symptoms, hence, can be correlated with the disease. A 39 years old Hindu male patient approached to Kayachikitsa OPD (Out Patient Depart-ment) who was suffering from complaints of deviation of lips towards right side, difficulty in closure of eyes and speech x 20 days. He was clinically diagnosed as Ardita (Bell’s palsy) and managed through Pan-chakarama & Palliative treatment. The patient got complete relief in all symptoms with appreciable chang-es. Aim: to manage the Ardita through Panchakarma and Palliative treatment. Methodology: In the present study both Panchakarma and Palliative management were selected for the management of Ardita in 39 years old married male patient for 7 days and follow up treatment was also recommended. Results: The patient improved on 8th day as the symptoms were almost recovered. Conclusion: Ardita can be managed by giving comprehensive management of Panchakarma and palliative treatment which reflects that it is good remedy for this Vata Vyadhi.

The Utility of Facial Nerve Ultrasonography in Bell’s Palsy

2019 ◽  
Vol 162 (2) ◽  
pp. 186-192 ◽  
Author(s):  
Seol-Hee Baek ◽  
Yoo Hwan Kim ◽  
Ye-Ji Kwon ◽  
Joo Hye Sung ◽  
Myeong Hun Son ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Prognostic Value ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Affected Side ◽  
Facial Nerves ◽  
Nerve Ultrasonography ◽  
Prospective Longitudinal ◽  
Electrophysiologic Studies

Objective This study aimed to investigate the utility of facial nerve ultrasonography in the functional and structural assessment of early-stage Bell’s palsy and the prognostic value of facial nerve ultrasonography in Bell’s palsy. Study Design Prospective longitudinal study. Setting Single center, a university-affiliated neurology clinic. Subjects and Methods Patients with unilateral Bell’s palsy who had visited our clinic within 3 days of symptom onset were enrolled in this study. Demographic information and House-Brackmann grade were collected. Electrophysiologic studies and facial nerve ultrasonography were then performed. The facial nerves on each side were scanned longitudinally with a 5- to 12-MHz probe. The diameter of the facial nerves with and without the sheath was measured at the proximal and distal portions. Follow-up examinations, including House-Brackmann grade analysis, electrophysiologic studies, and facial nerve ultrasonography, were performed after 2 months. Results Fifty-four patients with unilateral Bell’s palsy were enrolled, and 22 underwent the follow-up examinations. The diameters of the facial nerves were larger on the affected side than on the unaffected side at the proximal and distal portions ( P < .01). On the affected side, the enlarged facial nerve at the proximal portion had decreased in size after 2 months ( P < .05). The initial ultrasonography findings were positively correlated with the initial severity of Bell’s palsy, but they did not predict prognosis. Conclusion Ultrasonography could be a useful tool for evaluating the facial nerve in Bell’s palsy. Nevertheless, further studies are needed to demonstrate its prognostic value.

scholarly journals Management of Urdhvaga Amlapitta with Vamana: A Case Study

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Rajkor Thakur ◽  
Vishakha Wetal
Keyword(s):  
Male Patient ◽  
Burning Sensation ◽  
Sesame Oil ◽  
Complete Relief ◽  
To Come

Amlapitta is a disease of Annahava Srotas and is more common in the present scenario of unhealthy diets and regimens. The case of Amlapitta, was managed with Vamana, one of the Panchakarma therapy, as indicated in ‘Kashyap Samhita.’ Case: A 29 year old male patient presented with complaints of pitta udiran, sour belching (amlodgara), burning sensation in throat and chest (hritkanthadaha), indigestion (avipaka) and ajeerna since 2 years. Management: Pachan was done with Hingvashtak churna. Internal oleation with Kantakari ghrita in increasing dose. External oleation and sudation was done with Sesame oil. For Vamana Akantha pan godugdha was used. Vamana dravya was madanphala churna (2gm), yashtimadhu churna (2gm), vacha churna (1gm), saindhav (2gm) (chatan with madh). Yashtimadhu kwath was used as Vamanaopag dravya. Result and conclusion: The patient was asked for follow-up after 7 days. Then the patient was asked to come for follow-up after every six months. It was seen that patient got complete relief from pitta udiran, sour belching (amlodgara), burning sensation in throat and chest (hritkanthadaha), indigestion (avipaka) and indigestion (ajeerna) on day 7. And it also seen that there was no recurrence of Amlapitta even after one and half year. Thus Vamana therapy in patient of Amlapitta is effective and shows long term relief from the symptoms.

scholarly journals Clinical Features of Bell’s Palsy in Children and Outcomes of Physical Therapy: A Retrospective Study

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Duygu Cubukcu ◽  
Unsal Yilmaz ◽  
Hakan Alkan ◽  
Ferda Metinkisi ◽  
Muazzez Ozcan
Keyword(s):  
Physical Therapy ◽  
Facial Nerve ◽  
Clinical Features ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Significant Difference ◽  
Grading Scale ◽  
Therapy Interventions ◽  
Therapy Programme

The aim of this study was to describe clinical features of Bell’s palsy (BP) in children and outcomes of physical therapy interventions. Medical records of 186 patients with diagnosis of BP were reviewed. The severity of facial nerve dysfunction was graded according to House Brackmann Facial Nerve Grading Scale (HB FGS). After one month, patients who had HB FGS grade three or more were included in a physical therapy programme consisting of superficial heat, massage, exercises, and electrical stimulation. Among 186 children with BP, 167 children had a severity of HB FGS grade three or more and 19 had the incomplete type at the time of the diagnosis. After one month follow-up, 144 patients fully recovered, 35 patients recovered partially, while 7 patients had no recovery. Patients who had not fully recovered one month after onset of paralysis were included in the physical therapy programme. There was statistically significant difference between pretreatment and posttreatment HB FGS scores in patients who had not fully recovered one month after onset of paralysis. We concluded that the prognosis of BP in children seems to be good with higher recovery rate and physical therapy programme might be an effective method to facilitate recovery in patients with poor prognosis.

Late Surgical Decompression of Facial Nerve in Bell's Palsy: A Case Report

2012 ◽  
Vol 73 (S 02) ◽  
Author(s):  
L. M. Marques ◽  
J. Pimentel ◽  
P. Escada ◽  
G. Neto D'Almeida
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Bell’S Palsy ◽  
Surgical Decompression ◽  
Bell's Palsy

scholarly journals Intratympanic steroid therapy for Bell’s palsy with poor prognostic results

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Akira Inagaki ◽  
Sachiyo Katsumi ◽  
Shinji Sekiya ◽  
Shingo Murakami
Keyword(s):  
Facial Nerve ◽  
Steroid Therapy ◽  
Standard Dose ◽  
Neuroprotective Effect ◽  
Bell’S Palsy ◽  
Control Group ◽  
Average Dose ◽  
Test Results ◽  
Bell's Palsy ◽  
Intratympanic Dexamethasone

AbstractIn Bell’s palsy, electrodiagnosis by electroneurography (ENoG) is widely used to predict a patient’s prognosis. The therapeutic options for patients with poor prognostic results remain controversial. Here, we investigated whether early intervention with intratympanic steroid therapy (ITST) is an effective treatment for Bell’s palsy patients with poor electrodiagnostic test results (≤ 10% electroneurography value). Patients in the concurrent ITST group (n = 8) received the standard systemic dose of prednisolone (410 mg total) and intratympanic dexamethasone (16.5 mg total) and those in the control group (n = 21) received systemic prednisolone at the standard dose or higher (average dose, 605 ± 27 mg). A year after onset, the recovery rate was higher in the ITST group than in the control group (88% vs 43%, P = 0.044). The average House-Brackmann grade was better in the concurrent ITST group (1.13 ± 0.13 vs 1.71 ± 0.16, P = 0.035). Concurrent ITST improves the facial nerve outcome in patients with poor electroneurography test results, regardless of whether equivalent or lower glucocorticoid doses were administered. This may be ascribed to a neuroprotective effect of ITST due to a higher dose of steroid reaching the lesion due to dexamethasone transfer in the facial nerve.

Facial Nerve Paralysis Induced by Herpes Simplex Virus in Mice: An Animal Model of Acute and Transient Facial Paralysis

1995 ◽  
Vol 104 (7) ◽  
pp. 574-581 ◽  
Author(s):  
Toshiaki Sugita ◽  
Yasuo Fujiwara ◽  
Shingo Murakami ◽  
Yoshinari Hirata ◽  
Naoaki Yanagihara ◽  
...  
Keyword(s):  
Herpes Simplex Virus ◽  
Herpes Simplex ◽  
Facial Nerve ◽  
Facial Paralysis ◽  
Bell’S Palsy ◽  
Facial Nerve Paralysis ◽  
Bell's Palsy ◽  
Vacuolar Degeneration ◽  
Nerve Paralysis ◽  
Simplex Virus

We have been the first to succeed in producing an acute and transient facial paralysis simulating Bell's palsy, by inoculating herpes simplex virus into the auricles or tongues of mice. The KOS strain of the virus was injected into the auricle of 104 mice and the anterior two thirds of the tongue in 30 mice. Facial paralysis developed between 6 and 9 days after virus inoculation, continued for 3 to 7 days, and then recovered spontaneously. The animals were painlessly sacrificed between 6 and 20 days after inoculation for histopathologic and immunocytochemical study. Histopathologically, severe nerve swelling, inflammatory cell infiltration, and vacuolar degeneration were manifested in the affected facial nerve and nuclei. Herpes simplex virus antigens were also detected in the facial nerve, geniculate ganglion, and facial nerve nucleus. The pathophysiologic mechanisms of the facial paralysis are discussed in light of the histopathologic findings, in association with the causation of Bell's palsy.

scholarly journals Aetiological Profile of Facial Nerve Palsy Seen in Nigerian Tertiary Hospital

2020 ◽  
Vol 5 (06) ◽  
Author(s):  
Gabriel Toye Olajide ◽  
Waheed Atilade Adegbiji ◽  
Akinwale Olaleye Akinbade ◽  
Anthony Oyebanji Olajuyin ◽  
Paul Olowoyo
Keyword(s):  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Road Traffic ◽  
Neck Region ◽  
Bell’S Palsy ◽  
Facial Nerve Paralysis ◽  
Bell's Palsy ◽  
Female Ratio ◽  
Nerve Paralysis

Background/Aim: Facial nerve palsy may cause facial asymmetry, functional and cosmetic impairment, and therefore imposes great psychological and social problems on the individual with the condition. The aim of this paper was to highlight the aetiological profile of facial nerve palsy (FNP) in two tertiary institutions in Ekiti, southwest, Nigeria. Methods: This was a retrospective review of patients with facial nerve palsy seen and treated at Ear, Nose & Throat (ENT) clinic. All folders and registers of patients diagnosed with facial nerve palsy from January 2010 to December 2019 in the central, ENT and Dental medical records departments were retrieved and reviewed. The information extracted included the socio-demographic characteristics of the patients, clinical presentation, type and aetiology of FNP, side affected, diagnosis/impression, nature of impairment, type of lesion, onset of the disease, treatment and outcome. Results: Of 76 patients analysed, 48(63.2%) were males and 28(36.8%) were females given a male to female ratio of 1:1.7. Their age ranged between 5 to 72 years with a mean of 39.83 ± 17.58 SD. The age range 21-40 years was most commonly affected, representing 31 (40.8%). The commonest cause of facial nerve paralysis was Bell’s palsy in 32(42.1%), followed by trauma 28(36.9%). Of the 28 (36.9%) that was caused by trauma, road traffic injury constituted 15(53.6%). Half (50.0 %) of the lesion affected right side of the face. Seventy (92.1%) was treated medically. Majority (37.0%) presented within one week of their symptoms. All the patients presented with deviation of mouth, followed by inability to close eye in 70 (92.1%). Higher proportion (88.2%) of our patients had lower motor neuron lesion. Conclusion: This study found that majority of our patients was young adults. Bell’s palsy was a major cause of facial nerve paralysis followed by trauma. Most of our patient presented early and did well on conservative treatment. High index of suspicion is essential especially when patients present with injuries involving head and neck region.

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