Bell's Palsy

Question 1

What are the min Dx criteria for Bell’s Palsy?

Answer 1

Paralysis of all muscles of one side of face
Sudden onset
Absence of signs of CNS path
Absence of Ear or CPA dis

Question 2

Where is the narrowest point of the path of the Facial nerve?

Answer 2

Internal Genu of the Facial nerve

Question 3

What is the Dx/Tx of Bell’s Palsy?

Answer 3

MRI w/ gandolinium and Audiometric Testing
High dose Steroids and Antivirals
Take care of eye
No surgery

Question 4

What are Complications to Bell’s Palsy?

Answer 4

Corneal Abrasion

Loss of taste, chronic facial spasm, facial pain

Question 5

What are the traits of Ramsay Hunt syndrome?

Answer 5

Herpes Zoster
More severe Sx: Red, swollen, inflamed
Worse Prognosis

Question 6

What are the traits of Acoustic Neromas?

Answer 6

Vestibular Schwannoma

Slow growing benign tumor of myelin cells of Vest Cochlear n

Question 7

What are the Sx of Acoustic Neuroma?

Answer 7

Sudden hearing loss
New onset tinnitus
Vertigo/imbalance
Facial Palsy, pain, numbness

Question 8

How is Acoustic Neuroma Dx?

Answer 8

MRI with Gadolinium if Sx present

Question 9

What is the Tx of Acoustic Neuroma?

Answer 9

Surgery vs Gamma knife radiation vs watchful waiting

Question 10

What are the traits of Glomus Tumors?

Answer 10

Paraganglioma
Can occur in the middle ear and posterior fossa
Pulsitile Tinnitus