Bell's palsy history and symptoms: Difference between revisions
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===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Less common symptoms of Bell's palsy include | Less common symptoms of Bell's palsy include | ||
* | * Altered[[taste]]<ref name="pmid21375786">{{cite journal| author=Holland J, Bernstein J| title=Bell's palsy. | journal=BMJ Clin Evid | year= 2011 | volume= 2011 | issue= | pages= | pmid=21375786 | doi= | pmc=3275144 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21375786 }} </ref> | ||
* Changes in the amount of [[tears]] and [[saliva]]<ref name="pmid19561942">{{cite journal| author=McFarlin A, Peckler B| title=An unusual presentation of Bell's palsy: A case report and review of literature. | journal=J Emerg Trauma Shock | year= 2008 | volume= 1 | issue= 1 | pages= 50-2 | pmid=19561942 | doi=10.4103/0974-2700.40574 | pmc=2700557 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19561942 }} </ref> | |||
* Changes in the amount of [[tears]] and [[saliva]] | |||
==References== | ==References== | ||
Revision as of 18:09, 7 May 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
The majority of patients with [disease name] are asymptomatic.
OR
The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History and Symptoms
- The hallmark of Bell's palsy is unilateral, acute paresis or paralysis of facial movement. A positive history of viral infections, Ischemic mononeuropathy,Diabetes mellitus and Thyroid disorders is suggestive of Bell's palsy. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
- Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History
Patients with Bell's palsy may have a positive history of:
- Viral infections:
- Herpes simplex virus reactivation[1]
- Herpes Zoster[2]
- Cytomegalovirus[3]
- Epstein Barr virus[4]
- Rubella virus[5]
- Mumps[6]
- Influenza B[7]
- Coxsackievirus[8]
- Rickettsial infection [9]
- Borrelia burgdorferi[10]
- Acute HIV infection[11]
- Ischemic mononeuropathy[12]
- Diabetes mellitus[13]
- Thyroid disorders[14]
Common Symptoms
Common symptoms of Bell's palsy include:
- Rapid onset of mild weakness to total paralysis on one side of the face within hours to days[15]
- Difficulty making facial expressions in one side, such as closing eye, smiling, whistling and frowning[16][17]
- Salivation[18]
- Facial droop[19]
- Pain around the jaw or ear[20]
- Numbness and paof skin in affected side[21][22]
- Ear problems such as:
- Increased sensitivity to sound on the affected side[21]
- Dizziness[23]
Less Common Symptoms
Less common symptoms of Bell's palsy include
References
- ↑ Furuta Y, Fukuda S, Chida E, Takasu T, Ohtani F, Inuyama Y; et al. (1998). "Reactivation of herpes simplex virus type 1 in patients with Bell's palsy". J Med Virol. 54 (3): 162–6. PMID 9515763.
- ↑ Morrow MJ (2000). "Bell's Palsy and Herpes Zoster Oticus". Curr Treat Options Neurol. 2 (5): 407–416. PMID 11096766.
- ↑ Walters BN, Redman CW (1984). "Bell's palsy and cytomegalovirus mononucleosis in pregnancy". J R Soc Med. 77 (5): 429–30. PMC 1439928. PMID 6327983.
- ↑ Maeda S, Tsuda H, Haruki S, Mitsuto I (1999). "Atypical Epstein-Barr virus infection associated with Gianotti-Crosti syndrome and Bell's palsy". Pediatr Int. 41 (3): 315–7. PMID 10365586.
- ↑ Jamal GA, Al-Husaini A (1983). "Bell's palsy and infection with rubella virus". J Neurol Neurosurg Psychiatry. 46 (7): 678–80. PMC 1027493. PMID 6886708.
- ↑ Kondo K, Kanaya K, Baba S, Yamasoba T (2014). "Mumps, cervical zoster, and facial paralysis: coincidence or association?". Case Rep Otolaryngol. 2014: 289687. doi:10.1155/2014/289687. PMC 3933221. PMID 24653846.
- ↑ Wijnans L, Dodd CN, Weibel D, Sturkenboom M (2017). "Bell's palsy and influenza(H1N1)pdm09 containing vaccines: A self-controlled case series". PLoS One. 12 (5): e0175539. doi:10.1371/journal.pone.0175539. PMC 5414992. PMID 28467420.
- ↑ 8.0 8.1 McFarlin A, Peckler B (2008). "An unusual presentation of Bell's palsy: A case report and review of literature". J Emerg Trauma Shock. 1 (1): 50–2. doi:10.4103/0974-2700.40574. PMC 2700557. PMID 19561942.
- ↑ Bitsori M, Galanakis E, Papadakis CE, Sbyrakis S (2001). "Facial nerve palsy associated with Rickettsia conorii infection". Arch Dis Child. 85 (1): 54–5. PMC 1718833. PMID 11420202.
- ↑ Schmutzhard E, Stanek G (1985). "Borrelia burgdorferi, a possible cause of Bell's palsy?". Clin Neurol Neurosurg. 87 (4): 255–7. PMID 3912092.
- ↑ Brown MM, Thompson A, Goh BT, Forster GE, Swash M (1988). "Bell's palsy and HIV infection". J Neurol Neurosurg Psychiatry. 51 (3): 425–6. PMC 1032872. PMID 3361335.
- ↑ Fahimi J, Navi BB, Kamel H (2014). "Potential misdiagnoses of Bell's palsy in the emergency department". Ann Emerg Med. 63 (4): 428–34. doi:10.1016/j.annemergmed.2013.06.022. PMC 3940662. PMID 23891413.
- ↑ Pecket P, Schattner A (1982). "Concurrent Bell's palsy and diabetes mellitus: a diabetic mononeuropathy?". J Neurol Neurosurg Psychiatry. 45 (7): 652–5. PMC 491483. PMID 7119834.
- ↑ Cox NH, Chew D, Williams JG, Morris AI (1985). "Bell's Palsy associated with hypothyroidism". Br J Clin Pract. 39 (4): 158–9. PMID 4015946.
- ↑ Murthy JM, Saxena AB (2011). "Bell's palsy: Treatment guidelines". Ann Indian Acad Neurol. 14 (Suppl 1): S70–2. doi:10.4103/0972-2327.83092. PMC 3152161. PMID 21847333.
- ↑ Slavkin HC (1999). "The significance of a human smile: observations on Bell's palsy". J Am Dent Assoc. 130 (2): 269–72. PMID 10036851.
- ↑ Ciorba A, Corazzi V, Conz V, Bianchini C, Aimoni C (2015). "Facial nerve paralysis in children". World J Clin Cases. 3 (12): 973–9. doi:10.12998/wjcc.v3.i12.973. PMC 4677084. PMID 26677445.
- ↑ Cirpaciu D, Goanta CM (2014). "Bell's palsy: data from a study of 70 cases". J Med Life. 7 Spec No. 2: 24–8. PMC 4391366. PMID 25870668.
- ↑ Rafii MS (2006). "Case 14: a woman with bilateral Bell's palsy". MedGenMed. 8 (4): 23. PMC 1868343. PMID 17415306.
- ↑ Han DG (2010). "Pain around the ear in Bell's palsy is referred pain of facial nerve origin: the role of nervi nervorum". Med Hypotheses. 74 (2): 235–6. doi:10.1016/j.mehy.2009.06.027. PMID 19932939.
- ↑ 21.0 21.1 Holland NJ, Bernstein JM (2014). "Bell's palsy". BMJ Clin Evid. 2014. PMC 3980711. PMID 24717284.
- ↑ Vanopdenbosch LJ, Verhoeven K, Casselman JW (2005). "Bell's palsy with ipsilateral numbness". J Neurol Neurosurg Psychiatry. 76 (7): 1017–8. doi:10.1136/jnnp.2004.043059. PMC 1739721. PMID 15965217.
- ↑ Song K, Chang S, Lee J, Shin SA, Lee HY (2018). "Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy". J Audiol Otol. doi:10.7874/jao.2017.00374. PMID 29656635.
- ↑ Holland J, Bernstein J (2011). "Bell's palsy". BMJ Clin Evid. 2011. PMC 3275144. PMID 21375786.
History and Symptoms
Sudden onset, usually over hours, of unilateral facial paralysis (maximal symptoms by 48 hours).
- Eyebrow sagging with inability to close the affected eye.
- Nasolabial fold flattening with mouth drawn to the non affected side.
- Inability to wrinkle forehead (peripheral lesion).
- May be associated with ear pain, impaired taste sensation on the anterior two-thirds of the tongue, decreased tearing, and hyperacusis.