scholarly journals Impact of Physical Therapy on a Patient with Bell’s Palsy: A Case Report

2021 ◽  
pp. 97-102
Author(s):  
Nikita S. Deshmukh ◽  
Vaidehi V. Kannao ◽  
Pratik Phansopkar ◽  
Om C. Wadhokar
Keyword(s):  
Cranial Nerve ◽  
Multidisciplinary Approach ◽  
Bell’S Palsy ◽  
Health It ◽  
Bell's Palsy ◽  
Muscle Strengthening ◽  
Seventh Cranial Nerve ◽  
Strengthening Exercise ◽  
The Right ◽  
Opening And Closing

Affecting the seventh cranial nerve, known as Bell's palsy and its neuropathy.  It is a disfiguring disorder with significant impact on patient’s physical mental and social health. It is normally caused by inflammation caused by traumatic, infectious, inflammatory or compressive conditions, and cranial nerve edema may lead to compression and eventual ischemia. In comparison with the central cause peripheral cause leads to more serious form of Bell’s palsy. The symptoms usually include reduced production of tears, altered taste, facial pain, otalgia and aural pressure. the recovery is usually complete while in some cases incomplete recovery is seen. For treating Bell’s palsy a multidisciplinary approach is required to completely return back to normal. A case of female patient whose age 43 year old came to the right hemifacial palsy department has been identified. There was a affected movement of right side eyebrows and affected right forehead movement during clinical evaluation, spontaneously opening and closing of the right eye, difficulty to close the right eye. No conclusive etiology could be traced out after a series of investigations, hence diagnosed as right side Bell’s palsy. We address the clinical characteristics and modalities of care for Bell’s palsy in this article. Education, facial muscle strengthening exercise, eye defense exercises, modalities and acupuncture were included in the physiotherapy intervention.

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.

Isolated Congenital Absence of Cranial Nerves: Report of Two Cases

2018 ◽  
Vol 49 (06) ◽  
pp. 405-407
Author(s):  
Vivek Agarwal ◽  
Sumeet Dhawan ◽  
Naveen Sankhyan ◽  
Sameer Vyas
Keyword(s):  
High Resolution ◽  
Mr Imaging ◽  
Cranial Nerve ◽  
Clinical Presentation ◽  
Cranial Nerves ◽  
Rare Condition ◽  
Congenital Absence ◽  
The Third ◽  
Seventh Cranial Nerve ◽  
The Right

AbstractIsolated cranial nerve absence is a rare condition that can be diagnosed using high-resolution cranial nerve magnetic resonance (MR) imaging. Thorough clinical examination with proper knowledge of the course of cranial nerves may help diagnose this rare condition. We describe two cases, one each of, isolated congenital absence of the third and seventh cranial nerve with their clinical presentation. High-resolution T2-weighted MR imaging was done in both patients which revealed absence of cisternal segment of the right-sided third nerve and cisternal with canalicular segment of the right-sided facial nerve.

Cranial Nerve Lesions in Bell's Palsy

1987 ◽  
Vol 97 (3) ◽  
pp. 326-327 ◽  
Author(s):  
Paul A. Levine ◽  
Paul Mckeever ◽  
Bruce Proctor ◽  
Gunner Proud
Keyword(s):  
Cranial Nerve ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Nerve Lesions

scholarly journals Metaphysical Energy Therapy in the Treatment of Cranial Nerve Palsies with Special Reference to Bell’s Palsy

2016 ◽  
Vol 04 (10) ◽  
pp. 77-84
Author(s):  
C. V. Krishnaswami ◽  
C. Ramesh ◽  
B. Sampoornam ◽  
A. Ganesan ◽  
V. Rajan
Keyword(s):  
Special Reference ◽  
Cranial Nerve ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Cranial Nerve Palsies ◽  
Energy Therapy

scholarly journals Coronavirus disease 2019 complicated with Bell’s palsy: a case report

2020 ◽  
Author(s):  
Yue Wan ◽  
Shugang Cao ◽  
Qi Fang ◽  
Mingfu Wang ◽  
Yi Huang
Keyword(s):  
Facial Paralysis ◽  
Antiviral Treatment ◽  
Brain Mri ◽  
Bell’S Palsy ◽  
Rt Pcr ◽  
Bell's Palsy ◽  
Case Presentation ◽  
Complete Absorption ◽  
Lower Lung ◽  
The Right

Abstract Background: Coronavirus disease 2019 (COVID-19) is a highly infectious disease, mainly causing respiratory symptoms. However, a few patients may also have neurological symptoms. Herein, we report a case of COVID-19 infection complicated with Bell’s palsy.Case presentation: A 65-year-old woman was admitted due to left facial drooping. Physical examination showed left peripheral facial paralysis. Brain MRI showed no abnormality. However, the chest CT revealed the ground-glass shadows in the right lower lung. The real-time reverse transcription-polymerase chain reaction (RT-PCR) results for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA were positive through throat swabs, while the common influenza virus antigens were tested negative. The symptoms of left facial paralysis relieved after antiviral treatment. She patient was discharged in the context of 3 consecutively negative RT-PCR test results for SARS-CoV-2 RNA and complete absorption of the right lung lesions. Conclusion: This case suggests that COVID-19 may be presented with Bell’s palsy and may be a potential cause of facial paralysis.

scholarly journals “At-Home” Photobiomodulation: A New Approach for Bell’s Palsy Treatment

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Carlo Fornaini ◽  
Zhao Meng ◽  
Elisabetta Merigo ◽  
Jean-Paul Rocca
Keyword(s):  
Case Report ◽  
Single Case ◽  
Bell’S Palsy ◽  
Pharmacological Therapy ◽  
Bell's Palsy ◽  
Single Case Report ◽  
First Case ◽  
Total Fluence ◽  
The Right ◽  
At Home

Objective. This report is the first one to describe the possibility to use “self‐administered” photobiomodulation (PBM) for Bell’s palsy (BP) treatment. Background. BP is a peripheral disorder of the facial nerve causing sudden paralysis of unilateral facial muscles, and PBM has been successfully suggested for its treatment without any side effect. This is the first case report where a laser device was successfully used at home by the patient herself to treat BP opening new perspectives on the therapy of this disease. Methods. This report describes the “at-home PBM” treatment performed on a 15-year-old girl who presented BP consisting of acute pain on the right side of her face, difficulty in biting and dripping saliva from the right side of her lips. The treatment was performed twice a day by cutaneous applications, each of 15 minutes (total fluence 48 J/cm2) in an area corresponding to the parotid gland by a device emitting at 808 nm at 250 mW output power. Results. Two weeks after PBM treatment, performed at home twice a day by the patient herself without any kind of pharmacological therapy, the complete disappearing of the disease was noticed with no side effects. Conclusion. With the limitations due to a single case report and with the need of further clinical trials to confirm it, “at-home PBM” seems to represent a good and safe approach to the treatment of BP.

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

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.  

Bell's palsy with concomitant idiopathic cranial nerve polyneuropathy in seven dogs

2011 ◽  
Vol 52 (7) ◽  
pp. 397-397 ◽  
Author(s):  
L. Motta ◽  
U. Michal Altay ◽  
G. C. Skerritt
Keyword(s):  
Cranial Nerve ◽  
Bell’S Palsy ◽  
Bell's Palsy

scholarly journals Peripheral nerve involvement in Bell's palsy

1984 ◽  
Vol 42 (4) ◽  
pp. 341-345 ◽  
Author(s):  
J. A. Bueri ◽  
L. G. Cohen ◽  
Marcela E. Panizza ◽  
Olga P. Sanz ◽  
R. E. P. Sica
Keyword(s):  
Peripheral Nerve ◽  
Facial Nerve ◽  
Motor Nerve ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Motor Nerve Conduction ◽  
Nerve Involvement ◽  
Peripheral Nerve Involvement ◽  
Conduction Velocities ◽  
The Right

A group of patients with Bell's palsy were studied in order to disclose the presence of subclinical peripheral nerve involvement. 20 patients, 8 male and 12 female, with recent Bell's palsy as their unique disease were examined, in all cases other causes of polyneuropathy were ruled out. Patients were investigated with CSF examination, facial nerve latencies in the affected and in the sound sides, and maximal motor nerve conduction velocities, as well as motor terminal latencies from the right median and peroneal nerves. CSF laboratory examination was normal in all cases. Facial nerve latencies were abnormal in all patients in the affected side, and they differed significantly from those of control group in the clinically sound side. Half of the patients showed abnormal values in the maximal motor nerve conduction velocities and motor terminal latencies of the right median and peroneal nerves. These results agree with previous reports which have pointed out that other cranial nerves may be affected in Bell's palsy. However, we have found a higher frequency of peripheral nerve involvement in this entity. These findings, support the hypothesis that in some patients Bell's palsy is the component of a more widespread disease, affecting other cranial and peripheral nerves.

scholarly journals Bell’s Palsy—Retroauricular Pain Threshold

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 263
Author(s):  
Aleksandar Kopitović ◽  
Filip Katanić ◽  
Sandro Kalember ◽  
Svetlana Simić ◽  
Nina Vico ◽  
...  
Keyword(s):  
Pain Threshold ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Group Vi ◽  
Unaffected Side ◽  
Pain Thresholds ◽  
Pressure Algometer ◽  
Lower Pain ◽  
Increased Sensitivity ◽  
The Right

Background and objectives: Non-motor symptoms in the form of increased sensitivity are often associated with the onset of idiopathic Bell’s palsy (IBP). The aims were to determine whether the pain threshold in the retroauricular regions (RAR) in IBP patients and the time of its occurrence is related to IBP severity. Materials and Methods: The study was conducted among 220 respondents (142 IBP patients, 78 healthy subjects (HS)). The degree of IBP was graded using the House–Brackmann and Sunnybrook Grading Scales (II—mild dysfunction, VI—total paralysis), whereas the pain thresholds were measured using the digital pressure algometer. Results: We found no difference in the degree of the pain threshold between the right and left RAR in the HS group. IBP patients belonging to groups II, III, IV, and V had lower pain thresholds in both RARs than HS and IBP patients belonging to group VI. There was no difference in the degree of pain threshold in RAR between the affected and unaffected side in IBP patients. The incidence of retroauricular pain that precedes paralysis and ceases after its occurrence in groups II and III of IBP patients is noticeably lower and the incidence of retroauricular pain that occurred only after the onset of paralysis is more frequent. Also, we found that the incidence of retroauricular pain that precedes paralysis and ceases after its occurrence in groups V and VI of IBP patients was more frequent. Conclusions: The degree of pain threshold lowering in RAR (bilaterally) is inversely related to the severity of IBP. We suggest that the occurrence of retroauricular pain before the onset of facial weakness is associated with higher severity of IBP while the occurrence after the onset is associated with lower severity of IBP.

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