Bells Palsy Flashcards

(38 cards)

1
Q

Bells palsy also known as

A

Facial nerve palsy
Idiopathic facial paralysis

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2
Q

Most common form

A

Bells palsy

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3
Q

Bells palsy occurs most commonly

A

Pregnant women
Hypertensives
Diabetics

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4
Q

Affectation of gender

A

Equal

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5
Q

Etiology of bells palsy

A

Unknown

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6
Q

Etiology of bells palsy reactivation

A

Herpes simplex virus type 1

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7
Q

What nerve can pass through a viral inflammatory response that induces edema and ischemia

A

Facial nerve passes through bony canal

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8
Q

Cold exposure

A

Vascular ischemic theory

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9
Q

Lesion just outside stylomastoid foramen

A

Lesion 1

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10
Q

Flaccid paralysis of ipsilateral half of face

A

Lesion 1

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11
Q

Eyeball rolls up and outward with incomplete eyelid closure

A

Bells phenomenon
Lesion 1

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12
Q

Blinking absent

A

Lesion 1

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13
Q

Food gathers between cheek and the gums

A

Lesion 1

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14
Q

Tearing

A

Lesion 1

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15
Q

Lesion with facial canal involving chorda tympani nerve

A

Lesion2

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16
Q

Loss of taste on the anterior 2/3 of the tongue

17
Q

Reduce salvation

18
Q

Lesion involving stapedius muscle

19
Q

Increase acuity of hearing

20
Q

Lesion involving geniculate ganglion

21
Q

Onset

22
Q

Ramsay hunt syndrome

A

Associated by herpes zoster

23
Q

Herpetic eruptions

A

Ipsilateral eardrum,post auricleext. Auditory canal, earlobe or soft palate

24
Q

Bells palsy associated with

A

Herpetic eruptions
Facial paralysis
Facial numbness
Ipsilateral deafness

25
Lesion in internal auditory meatus (internal acoustic meatus)
Lesion5
26
Deafness Tinnitus
Lesion 5
27
Lesion at the emergence of facial nerve from the pons
Lesion 6
28
Inverted marcus gunn Elevation of ptotic eyelid on movement of jaw to the opposite side
Marcus gunn phenomenon
29
Closing of the eye's occurs when patient opens his mouth forcefully and maximally
Marin amat syndrome
30
Recovery of taste precedes recovery of motor function
Buccinator Zygomatic Inferior levator Orbicularis oculi Frontalis
31
Complications
State of over toning Associated movement synkinesis Facial spasm
32
Factors associated with poor prognosis
Age 60 Hypertension Hyperaccusis Diminished lacrimation Diabetes Complete lesion Evidence of denervated atrophy Severe initial apin
33
Powerful inflammatory
Corticosteroids Prednisone
34
Anti viral drugs
Acyclovir
35
Eye protection Analgesic
Eye patch Lubricating eye drops
36
Physical therapy management
Initiation exercises Facilitation exercises Thermotherapy Electrotherapy
37
Facial nerve
Lacrimatory nerve Superior salivatory n. Motor nerve N tractus solitarius Spinal nerve
38
Emerges from posterior cord Laterally to axilla Behind surgical neck Muscles innervated Deltoid Teres Minor
Axillary nerve C5 c6