Bells Palsy and Homoeopaathy

7/23/2019 Bells Palsy and Homoeopaathy

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Dr. Rajneesh Kumar Sharma MD (Hom)



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Bell’ s Palsy and Homoeopathy

Bell’ s Palsy andHomoeopathy

© Dr. Rajneesh Kumar Sharma M.D. (Homoeopathy)

Dr. Swati Vishnoi B.H.M.S.

Homoeo Cure & Research nstitute

!H "#$ Mora%aa% Roa%$ Kashipur ('ttarancha) !D

*in+ ,##"- *h. /01#"+ ,2/,"$ 131"2-301#

E. mail- drrajneeshhom@hotmail.comwww.treatmenthomoeopathy.comwww.homeopathic treatment.or.inwww.homeopathyworldcommunity.com

ContentsDe!nition..............................................................................................................."

Etymoloy.............................................................................................................."

Epidemioloy......................................................................................................... #

$natomy................................................................................................................ #

%athophysioloy.....................................................................................................#

&entral 'acial weaness......................................................................................#

%eripheral 'acial weaness.................................................................................#

&auses...................................................................................................................

Symptoms..............................................................................................................

SE*E&+ED E+,*,ES $SS&,$+ED /,+H D,SRDERS 0 &R$1,$* 1ER2E 2ll

........................................................................................................................ 3

Di4erential dianosis..........................................................................................5

+emporal presentation.....................................................................................5

E6tent o' in7ol7ement.....................................................................................5

+reatment.............................................................................................................. 5Homoeopathic +reatment...................................................................................... 5

8i9lioraphy...........................................................................................................:

Defnition 8ell;s palsy is a condition o' paralysis or weaness (%sora) o' 'acial muscles o' one side due to swellin (%sora< Sycosis)= in>ammation or damae (%sora<Syphilis) to the se7enth cranial ner7e called 'acial ner7e= causin that side o' the'ace to droop= and a4ect the sense o' taste= lachrymation and sali7ation (%sora<Sycosis).

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Etymology,n mid "?th cent- Sir &harles 8ell ("::3"A3#)= the Scottish anatomist !rst

descri9ed it.

Epidemiology the condition can a4ect people o' any ae= commonly 9etween the aes o'

"B and BC. 8ells palsy is named a'ter the Scottish anatomist &harles 8ell= who was

the !rst to descri9e the condition.

AnatomySe7enth cranial ner7e or 'acial ner7e passes throuh the stylomastoid 'oramen

and 'acial canal o' temporal 9one to enter into the parotid land. ,t controls the

muscles o' the nec= 'orehead and 'acial e6pressions= as well as percei7ed sound

7olume. ,t has a mi6ed 'unction= primarily motor= 9ut also sensory and

parasympathetic.

Pathophysiology,n>ammation o' eniculate anlion= a roup o' !9res and sensory neurons=

leads to compression within this 9ony canal (%sora< Sycosis). +his can in turn

9loc the transmission o' neural sinals= resultin in ischemia and demyelination

(%sora< Syphilis)= causin 'acial paralysis or 8ell;s palsy.

$ lesion may in7ol7e the 'acial ner7e anywhere alon its course= and 9ased upon

speci!c sins and symptoms= the location o' the patholoy can 9e deduced. ,t

may cause two types o' presentations central and peripheral 'acial weaness.

Central acial weaknessDue to 9ilateral supranuclear inner7ation o' the upper 'acial musculature= a

central palsy spares 'orehead and 9row motion. +here may 9e preser7ation o'

emotional or in7oluntary 'acial motion.

Peripheral acial weakness,t in7ol7es 9oth upper and lower 'acial muscles. %reser7ation o' emotional or

in7oluntary 'acial motion is not seen with a peripheral paralysis.



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Cases

Main causes are-

&old

Ear in'ection

Eye in'ection

Herpes simple6

H,2

Middle ear in'ection

*yme disease

Sarcoidosis Herpes oster 7irus= which causes chicenpo6 and shinles

Epstein-8arr 7irus

&ytomealo7irus

!ymptoms +he symptoms usually appear rapidly= and notice them upon wain or

when tryin to eat or drin. (%sora) +he symptoms commonly de7elop o7er hours or days. Men and women

are eFually a4ected. (%sora) 8ells palsy is mared 9y a droopy appearance on one side o' the 'ace and

the ina9ility to open or close the eye on the a4ected side. ,n rare cases=

8ells palsy may a4ect 9oth sides o' the 'ace. (%sora< Syphilis)

ther sins and symptoms o' 8ells palsy include-

/eaness or complete paralysis o' an entire side o' the 'ace (%sora<

Syphilis) %tosis o' eye lid (%sora< Syphilis)

Droolin 'rom the a4ected side o' the mouth (%sora< Syphilis)

%ain around the ear (%sora< Sycosis < Syphilis)

0eelin o' 'ullness or swellin to the a4ected side o' the 'ace (%sora<Sycosis)

http://www.emedicinehealth.com/slideshow_surprising_reasons_youre_in_pain/article_em.htm

http://www.emedicinehealth.com/slideshow_surprising_reasons_youre_in_pain/article_em.htm



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,mpaired sensation o' taste or hearin (%sora)

,na9ility to wrinle 'orehead (%sora)

&ontour o' smile a4ected (%sora)

0acial weaness (%sora)

0acial muscle twitchin (%sora< Sycosis)

Dry eye and mouth (%sora) Headache (%sora< Sycosis < Syphilis)

Sensiti7ity to sound (%sora)

8ells palsy= as the symptoms can mimic other conditions such as stroe= *yme

disease= and cranial tumour.

!E"EC#ED E#$%"%&$E! A!!%C$A#ED '$#H D$!%(DE(! %) C(A*$A" *E(+E +ll

Etiological Category !elected !pecifc Etiologies

STRUCTURAL DISORDERS

Developmental

Mo9ius; syndrome= a9sence o' 'acial musculature

Degenerative and compressive steopetrosis= sclerosteosis= hyperostosis corticalis

eneralisata= 9enin intracranial hypertension

HEREDITARY AND DEGENERATIE

DISORDERS

Amino!organic acidopat"ies#

mitoc"ondrial en$%me de&ects

and ot"er meta'olic errors

$cute porphyria

(ovement disorders Hemi'acial spasm= %arinson;s disease= illes de la

+ourette;s syndrome= 'acial dystonia

Meie;s disease or 8ruehel;s syndrome= 'acial

contortion= 9ilateralDegenerative motor# sensor%#

and a)tonomic disorders

$myotrophic lateral sclerosis

In"erited m)scle#

ne)rom)sc)lar# and ne)ronal

disorders

Dystrophia myotonica

AC*UIRED (ETA+OLIC AND

NUTRITIONAL

DISORDERS

Endogeno)s meta'olic disorders

Dia9etes mellitus= hyperthyroidism

E,ogeno)s ac-)ired meta'olic

disorders o& t"e nervo)s s%stem

To,ins and illicit dr)gs

+halidomide= car9on mono6ide= ethylene lycol= arsenic

N)tritional de.ciencies and s%ndromes associated /it"

alco"olism

IN0ECTIOUS DISORDERS

/ernice-Korsao4 syndrome

iral in&ections Herpes oster= herpes simple6= in>uena= co6sacie=

entero7irus= polio= mumps= mononucleosis

Nonviral in&ections titis e6terna= otitis media= mastoiditis= syphilis=

tu9erculosis= leprosy= *yme disease= cat scratch disease=

mucormycosis= 9otulism= malariaNEUROASCULAR DISORDERS Stroe= internal carotid artery aneurysm

NEO1LASTIC DISORDERS

1rimar% ne)rological t)mors

%ontine lioma= neuroma (acoustic= 'acial)= meninioma=

hemanioma= cholesteatoma= lomus tumor

http://www.emedicinehealth.com/hearing_loss/article_em.htm

http://www.emedicinehealth.com/hearing_loss/article_em.htm



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(etastatic neoplasms and

paraneoplastic s%ndromes

*euemia= lymphoma= myeloma= 'rom sali7ary land

(adenoid cystic)= sin (melanoma)= 9reast= lun= idney=

head<necDE(YELINATING DISORDERS

Dem%elinating disorders o& t"e

central nervo)s s%stem

Multiple sclerosis

Dem%elinating disorders o& t"e

perip"eral nervo)s s%stem

uillain-8arre syndrome

AUTOI((UNE AND

IN0LA((ATORY DISORDERS

8ell;s palsy= sarcoidosis= myasthenia ra7is= Sjoren;s

syndrome= temporal arteritis= systemic lupus

erythematosus= periarteritis nodosaTRAU(ATIC DISORDERS 0acial laceration= 'ace<mandi9le<temporal 9one 'racture=

9irth trauma= 9arotrauma= lihtninE1ILE1SY 0ocal epilepsy= Ramsay Hunt syndrome

HEADACHE AND 0ACIAL 1AIN &ere9ellopontine anle lesion

DRUG2INDUCED AND IATROGENIC

NEUROLOGICAL DISORDERS

%arotid or 'acial cosmetie surery= otoloical or

neurotoloical surery= local anesthesia= arterial

em9oliation

Di,erential diagnosis %hysical e6amination to see the e6tent o' the weaness in 'acial muscles.

+his G-ray to rule out a stroe= tumor= or other serious neuroloical.

MR, or &+ scan to rule out any edema= swellin= injury or tumor.

&linical presentation may 9e as 9elow-

#emporal presentation

Sudden onset suests an in>ammatory or 7ascular etioloy e..= 8ell;spalsy or stroe.

Slowly proressi7e palsy suests a neoplastic process= especially i' there

are episodes o' 'acial twitchin e..= 'acial ner7e neuroma. 8ell;s palsy should impro7e within B months= whereas palsy caused 9y a

tumor does not heal away itsel'. %alsy occurrin immediately a'ter trauma or surery suests transection

o' the ner7e= whereas a delayed onset usually implies edema o' the ner7e

which usually impro7es with time. ,n 8ells palsy= recurrence may 9e contralateral while recurrent episodes o'

palsy on the same side= tumor may 9e the etioloy.

E-tent o in.ol.ement

,t is important to assess the amount o' 'acial palsy present initially= so that

chanes o7er time can 9e nown. +he e6act areas o' weaness should 9e noted= 9ecause sparin o'

'orehead motion or emotional 'acial e6pression suests a central

etioloy= whereas palsy o' 9oth the upper and lower 'ace suests a

peripheral lesion. ,' only one or two distal 9ranches o' the 'acial ner7e are a4ected= possi9le

etioloies include parotid land tumors= 'acial surery= or 'acial trauma.



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8ilateral in7ol7ement= which are called 'acial dipleia= can 9e 'ound in

*yme disease= Mo9ius; syndrome= 8ell;s palsy= and uillain-8arre

syndrome.

#reatment %rotectin the eye on the a4ected side 'rom dryness durin sleep.

Massae o' a4ected muscles to reduce soreness.

%hysiotherapy

Homoeopathic #reatment8ells= palsy - $con. aethi-m. $ar. $ll-c. alum. $m-p. $nac. anh. $pis $rn. ars.9ac. 9apt. 8ar-c. 8E**. &adm-s. car9-7. carc. &$S+. &occ. &olch. con. crot-h.&upr. &ur. Dulc. 'orm. E*S. raph. hell. hep. hyos. hyper. ,1. iod. Kali-chl. Kali-i.ali-m. ali-p. lach. lyc. merc-i-'. merc. mur-ac. naja 1$+-M. nu6-m. 1u6-7. ol-an.op. o6yurn-sc. peti. petr. %hos. phys. physal-al. phyt. %lat. pl9. puls. ran-9. Rhus-t.ruta sec. sene. sep. sil. solid. spi. stram. stry. sulph. syph. inc-p. Iinc-pic. inc.&linical - 9ells= palsy - 9athin= 'rom raph.&linical - 9ells= palsy - chewin= diJcult= with syph.&linical - 9ells= palsy - cold= 'rom acon. &adm-s. &aust. Dulc. ruta&linical - 9ells= palsy - distortion= o' muscles= with raph.&linical - 9ells= palsy - eyes= close= cannot - eyes= closed= with apis&linical - 9ells= palsy - eyes= close= cannot cadm-s.&linical - 9ells= palsy - oitre= suppression= 'rom iod.&linical - 9ells= palsy le't $ll-c. cadm-s. &ur. 'orm. raph. 1u6-7. sene. spi.sulph.

&linical - 9ells= palsy - mouth= corners o'= drop and sali7a runs out aar. op. inc.&linical - 9ells= palsy - mouth= openin= a. caust.&linical - 9ells= palsy - one-sided 8ar-c. 9ell. cadm-s. &aust. &occ. raph. Kali-chl.ali-p. puls. sil. syph.&linical - 9ells= palsy - pain= a'ter ali-chl. ali-m.&linical - 9ells= palsy - ridin= in the wind= 'rom acon. 9ell. &adm-s. &aust. in.&linical - 9ells= palsy riht apis $rn. 9ell. &aust. hep. ali-chl. ali-p. %hos. pl9.sil.&linical - 9ells= palsy - swallowin= diJcult cadm-s.&linical - 9ells= palsy - talin= diJcult cadm-s. syph.&linical - 9ells= palsy - twitchin= o' muscles= with - eyelids= o'= with syph.&linical - 9ells= palsy - twitchin= o' muscles= with aar. ali-m. syph.

&linical - 9ells= palsy - urine= pro'use= with all-c.&linical - 9ells= palsy - wet= a'ter ettin &aust.&linical - 9ells= palsy $con. $ar. all-c. alum. $m-p. anac. anh. apis $rn. ars. 9ac.9apt. 8ar-c. 8ell. &adm-s. car9-7. carc. &aust. &occ. colch. con. crot-h. &upr. &ur.Dulc. 'orm. els. raph. hell. hep. hyos. hyper. ,n. iod. Kali-chl. Kali-i. ali-m.ali-p. lach. lyc. merc-i-'. merc. mur-ac. naja nat-m. nu6-m. 1u6-7. ol-an. op.o6yurn-sc. peti. petr. phos. phys. physal-al. phyt. plat. pl9. puls. ran-9. rhus-t.ruta sec. sene. sep. sil. solid. spi. stram. stry. sulph. syph. inc-p. inc-pic. inc.Eyes - %$R$*S,S= eyes - optic ner7e= amaurosis - transient= complicatin motorpalsy pl9.0ace - 8E**;S= palsy - 9athin= 'rom raph.

0ace - 8E**;S= palsy - chewin= diJcult= with syph.0ace - 8E**;S= palsy - cold= 'rom acon. &adm-s. &$S+. Dulc. ruta

http://www.medicinenet.com/sleep/article.htm

http://www.medicinenet.com/sleep/article.htm



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0ace - 8E**;S= palsy - distortion= o' muscles= with raph.0ace - 8E**;S= palsy - eyes= close= cannot - closed= with apis0ace - 8E**;S= palsy - eyes= close= cannot cadm-s.0ace - 8E**;S= palsy - oitre= suppression= 'rom iod.0ace - 8E**;S= palsy le't $ll-c. cadm-s. &ur. 'orm. raph. 1u6-7. sene. spi.

sulph.0ace - 8E**;S= palsy - mouth= corners o'= drop and sali7a runs out aar. op. inc.0ace - 8E**;S= palsy - mouth= openin ar. caust.0ace - 8E**;S= palsy - one-sided 8ar-c. cadm-s. &$S+. &occ. raph. Kali-chl. ali-p. puls. sil. syph.0ace - 8E**;S= palsy - pain= a'ter ali-chl. ali-m.0ace - 8E**;S= palsy - ridin= in the wind= 'rom acon. 9ell. &adm-s. &$S+. in.0ace - 8E**;S= palsy riht apis $rn. 9ell. &aust. hep. ali-chl. ali-p. %hos. pl9. sil.0ace - 8E**;S= palsy - swallowin= diJcult cadm-s.0ace - 8E**;S= palsy - talin= diJcult cadm-s. syph.0ace - 8E**;S= palsy - twitchin= o' muscles= with - eyelids= o'= with syph.0ace - 8E**;S= palsy - twitchin= o' muscles= with ali-m.0ace - 8E**;S= palsy - urine= pro'use= with all-c.0ace - 8E**;S= palsy - wet= a'ter ettin &$S+.0$&E - MusclesL 'acial %aralysis $con. aethi-m. alum. $m-p. 9ell. cadm-s. &aust.cocc. cur. Dulc. 'orm. els. raph. hyper. Kali-chl. Kali-i. physal-al. Rhus-t. rutaSene. inc-pic.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - 9athin= 'rom raph.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - chewin= diJcult= with syph.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - cold= 'rom acon. &adm-s. &$S+. Dulc. ruta0ace - %$R$*S,S= 'acial= 8ell;s %alsy - corners o' mouth= drop and sali7a runs outaar. op. inc.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - distortion= o' muscles= with raph.

0ace - %$R$*S,S= 'acial= 8ell;s %alsy - eyes= close= cannot - eyes= closed= with apis0ace - %$R$*S,S= 'acial= 8ell;s %alsy - eyes= close= cannot cadm-s.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - oitre= suppression= 'rom iod.0ace - %$R$*S,S= 'acial= 8ell;s %alsy le't $ll-c. cadm-s. &ur. 'orm. raph. 1u6-7.sene. spi. sulph.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - mouth= openin ar caust.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - one-sided 8ar-c. cadm-s. &$S+. &occ.raph. Kali-chl. ali-p. puls. sil. syph.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - pain= a'ter ali-chl. ali-m.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - ridin= in the wind= 'rom acon. 9ell. &adm-s.&$S+. in.0ace - %$R$*S,S= 'acial= 8ell;s %alsy riht apis $rn. 9ell. &aust. hep. ali-chl.

ali-p. %hos. pl9. sil.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - swallowin= diJcult cadm-s. caust.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - talin= diJcult cadm-s. syph.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - twitchin= o' muscles= with aar. ali-m.syph.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - twitchin= o' muscles= with - eyelids= o'=with syph.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - urine= pro'use= with all-c.0ace - %$R$*S,S= 'acial= 8ell;s %alsy - wet= a'ter ettin &$S+.Hearin - DE$01ESS= hearin loss o' - palsy= complicatin motor pl9.M,1D - RE&1,IE - does not - palsy= in $1$&.

Mind - RE&1,IE= does not - palsy= in $nac.



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1ER2S SS+EM - %aralysis - ,n 'ace acon. $m-p. 9ar-c. 9ell. caust. cur. els.raph. Kali-chl. nat-m. physal-al. rhus-t. Iinc-pic.2ision - 8*,1D1ESS= loss o' 7ision - sudden - complicatin motor palsy pl9.

Bi/liography

+rieminal 1euralia= 8ells %alsy= and ther &ranial 1er7e DisordersHarrison;s %rinciples o' ,nternal Medicine

1euroloic &auses o' /eaness and %aralysis Harrison;s %rinciples o' ,nternal Medicine

+rieminal 1euralia= 8ell;s %alsy= and ther &ranial 1er7e DisordersHarrison;s Manual o' Medicine= "Ae

&hapter #. 8ell;s %alsy +he &olor $tlas o' 0amily Medicine= #e

Eye Emerencies 8E**;S %$*S $1D E1 2,, 8E**;S %$*S +intinallisEmerency MedicineN $ &omprehensi7e Study uide= Ae ... enu 2,, 8ell;s palsyis a stroe= masFueradin as a peripheral se7enth-ner7e 8ell;s palsy...

ral and Dental Emerencies 8ell;s %alsy (,diopathic 0acial 1er7e %alsy) +intinallis Emerency MedicineN $ &omprehensi7e Study uide= Ae ... 8ell;s palsyis a peripheral unilateral weaness o' the 'acial ner7e o' unnown etioloy...

2iral O Ricettsial ,n'ections B. 8ell palsy &urrent Medical Dianosis O +reatment #C"B ... HS2-" is a cause o' 8ell palsy. HS2-" is a cause o' 8ell palsy. ...

+he 1er7ous System Repeated 9ell palsyPMelersson syndromeDeowins Dianostic E6amination= "Ce ... +his is a triad o' scrotal tonue (linuaplicata) with repeated attacs o' 8ell palsy...

&hapter ##3. %ostpartum &onsultation 'or &ommon &omplaints 8ell;s%alsy %rinciples and %ractice o' Hospital Medicine ... 8ell;s palsy= 'acial ner7epalsy= is caused 9y compression or ischemia to the ner7e. 8ell;s palsy...

&hapter #B. Eye Emerencies 8ells %alsy +intinalli;s EmerencyMedicine ... 8ells palsy is a dys'unction o' peripheral cranial ner7e 2,, commonlyo' 7iral oriin...



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&hapter :C. Disorders o' the 0acial 1er7e 8ell;s %alsy &RRE1+ DianosisO +reatment in tolarynoloyPHead O 1ec Surery= e ... 0iure :C". ($)%rototypic case o' 8ell;s palsy . +his #A-year-old woman e6perienced...

$cute %eripheral 1euroloic Disorders 8E**;S %$*S $1D 1,*$+ER$*0$&,$* %$R$*S,S +intinallis Emerency MedicineN $ &omprehensi7e Studyuide= Ae ... 8ell;s palsy or idiopathic 'acial ner7e palsy is the most commoncause o' unilateral 'acial...

&hapter 3:. Diseases o' the &ranial 1er7es 8ell;s %alsy $dams O 2ictor;s%rinciples o' 1euroloy= "Ce ... +he most common disease o' the 'acial ner7e is8ell;s palsy (incidence rate o' # per "CC=CCC...

0ace and Qaw Emerencies 8E**;S %$*S +intinallis Emerency MedicineN$ &omprehensi7e Study uide= Ae ... *a9oratory studies are not needed.Symptoms o' 8ell;s palsy include acute onset o' unilateral upper...

Motor Disorders 8E** %$*S &linical 1euroloy= ?e ... desinated 8ellpalsy. ,ts cause is unclear= 9ut it occurs more commonly in prenant women anddia9etics...

+rieminal 1euralia= 8ell;s %alsy= and ther &ranial 1er7e Disorders 8ell;s%alsy Harrison;s Manual o' Medicine= "Ae ... 8ell;s %alsy %rotect the eye withpaper tape to depress the upper eyelid durin sleep and pre7ent...

1euroloical Disorders 8ell %alsy /illiams 9stetrics= #3e ... 0iure BC-38ell 'acial ner7e palsy de7elopin on the day o' deli7ery a'ter a cesarean...

1er7ous System Disorders 8E** %$*S &urrent Medical Dianosis O +reatment #C"5 ... ESSE1+,$*S 0 D,$1S,S Sudden onset o' lower motorneuron 'acial palsy...

,n'ectionsN 8acterial O Spirochetal &. 8ell %alsy &RRE1+ Dianosis O +reatmentN %ediatrics= ##e

&hapter :. 1euroloic Emerencies 8ell;s %alsy &RRE1+ Dianosis O +reatment Emerency Medicine= :e

1er7ous System Disorders 8E** %$*S &urrent Medical Dianosis O

+reatment #C"B ... ESSE1+,$*S 0 D,$1S,S Sudden onset o' lower motorneuron 'acial palsy...



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&hapter 3:. Diseases o' the &ranial 1er7es 8ilateral 0acial %alsy $dams O2ictor;s %rinciples o' 1euroloy= "Ce ... 8ell;s palsy may 9e 9ilateral= 9ut onlyrarely is the in7ol7ement on the two sides simultaneous...

&hapter :C. Disorders o' the 0acial 1er7e $cute 0acial %alsies &RRE1+Dianosis O +reatment in tolarynoloyPHead O 1ec Surery= e

&hapter :C. Disorders o' the 0acial 1er7e *a9oratory 0indins &RRE1+Dianosis O +reatment in tolarynoloyPHead O 1ec Surery= e ... and arelarely unwarranted 'or most cases o' 8ell;s palsy. 0or atypical cases thouh= oneshould consider *yme...

&hapter :C. Disorders o' the 0acial 1er7e %atient E7aluation &RRE1+Dianosis O +reatment in tolarynoloyPHead O 1ec Surery= e ... +hedianosis o' 8ell;s palsy is one o' e6clusion. 0acial motor distur9ance should...

&hapter #. 8ell;s %alsy %atient Story +he &olor $tlas o' 0amily Medicine=#e ... 0iure #-" 8ell;s palsy with loss o' 9row 'urrowin and dropped anle o' the mouth...

&hapter :C. Disorders o' the 0acial 1er7e ,ncidence O Ris 0actors

&RRE1+ Dianosis O +reatment in tolarynoloyPHead O 1ec Surery= e ...o' the true incidence o' 8ell;s palsy is there'ore complicated 9y this widedistri9ution o' specialists...

&hapter #. 8ell;s %alsy Epidemioloy +he &olor $tlas o' 0amilyMedicine= #e ... ratios o' ".3 and "."= respecti7ely. # /omen who de7elop 8ell;spalsy in prenancy ha7e a 5-'old...

&hapter :C. Disorders o' the 0acial 1er7e ,mmunoloic ,njury &RRE1+Dianosis O +reatment in tolarynoloyPHead O 1ec Surery= e ... Se7eral

in7estiations ha7e implicated immunoloic injury as a potential co'actor in 8ell;spalsy...

&hapter :C. Disorders o' the 0acial 1er7e %athoenesis &RRE1+Dianosis O +reatment in tolarynoloyPHead O 1ec Surery= e ... o' theintratemporal 'acial ner7e suest that 8ell;s palsy and herpes oster oticusmost commonly result 'rom...

&hapter 5. Ear= 1ose= and +hroat &onditions %earls +he $tlas o'

Emerency Medicine= e ... 9e nown 9e'ore a dianosis can 9e made. ,' apro7isional dianosis o' 8ell palsy is made...



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&hapter :C. Disorders o' the 0acial 1er7e %ronosis &RRE1+ DianosisO +reatment in tolarynoloyPHead O 1ec Surery= e ... Most series thatha7e assessed surical decompression o' the 'acial ner7e in 8ell;s palsy ha7e...

&hapter :. 1euroloic Emerencies eneral &onsiderations &RRE1+Dianosis O +reatment Emerency Medicine= :e ... 8ell;s palsy is a commoncondition o' unnown cause (althouh some authorities suest a lin...

1er7ous System Disorders ?. 0acial 1europathy &urrent MedicalDianosis O +reatment #C"5 ... (8ell palsy= see later) 9ut may occur in patientswith H,2 seropositi7ity= sarcoidosis= *yme disease...

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Bells Palsy and Homoeopaathy

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