Friday, February 1, 2008

Bell's Palsy

Bell's Palsy is caused by trauma to the cranial nerve 7 or the facial nerve. The trauma or damage many scientists think is caused from viral menningitis or herpes simplex virus 1. The facial nerve swells and becomes inflammed. Paralysis of the facial muscules result. Many patients experience symptoms that progress quickly. The symptoms include eye and corner of the mouth drooping, tingling around lips, drooling, and dry eye and/or mouth. The majority of patient's with Bell's Palsy are affected unilaterally, bilateral facial paralisis caused by Bell's Palsy is rare. Some populations are more likely to develop Bell's Palsy. They include diabetics, pregnant women in their third trimester, and individuals with a weakend immune system. The diagonsis is usually found in a clinical examination. However, MRI may be used. In a T1 weighted scan with gadolinium the inflamed nerve can be seen. In the image above, the patient has a right sided inflamed facial nerve. Anti-viral and anti-inflamatory medications can be used to treat Bell's Palsy.

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