BELLS PALSY Aetiology herpes simplex virus and herpes zoster PATHOLOGICALLY odema and swelling of the nerve accur witho facial canal ,often at stylmastoid foramen CLINICAL FEATURES FEATURES OF LMN PALSY 1 PARALSIS OF ALL THE MUSCLES OF ONE SIDE OF THE FACE 2.Drooping of the palsy ,effacement of creases and skin dole on affected side . 3.weakness of frowning and eyes closures the upper facial muscles are weak . 4. Drooling of saliva from angle of mouth . 5. On asking the patient to show his teeth ,the angle of the mouth deviates away from the side of lesion 6.upon attempted closure of the eyelid . the eye on the paralysed side rolls upwards . 7. Corneal ulceration due to inability to close the eye during sleep. , INVESTIGATION 1. ELECTROPHYSIOLOGICAL test 2. To rule out alternate diagnosis , appropriate diagnostic procedures may be necessary. ,, TREATMENT PREDNISOLONE AND ACYCLOVIR -Prednisolon 1mg/kg /day for 1st wits the dosage tapering off over the 2nd week. - Aciclovir at a dosage of 800mg five times a day for 5days. ,
Posted on: Sat, 21 Sep 2013 19:10:43 +0000
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