Doctor insights on:
How To Prevent Bell's Palsy
...is a corruption of French "paralise" from Latinized Greek "paralysis." In the old days it meant any kind of persistent weakness. To this day Parkinson's disease is also called "paralysis agitans" which is a Latin translation of Dr. Parkinson's original name for it, the "shaking palsy." We've obviously reborrowed the full form "paralysis" into English as well; today ...Read more
Not Bell's palsy: Bell's palsy is facial weakness or paralysis that has no definite cause and may be due to a viral infection. Facial palsy from forceps trauma is usually temporary since the nerve is bruised and not actually cut. This weakness can days days or months to recover depending on how badly the nerve was injured. Permanent weakness is rare. ...Read more
Unknown: In a perfect world we would understand all the contributing factors & know how to stop them. But we don't. Studies of more than 50,000 pregnancies were reported in the late 70's.More than half the kids with some form of CP had a normal pregnancy, labor & delivery. In reality, the best you can do is pursue a healthy lifestyle during pregnancy with good prenatal care. ...Read moreSee 1 more doctor answer
Depends: The recovery time for bell's plasy varies greatly. Some level of recovery is possible in a few weeks. However, only about 1/4 of patients will completly recover. Almost 3/4 of patients will recover to "near normal." the time to recovery varies greatly by individual. ...Read more
Several things: Other than the obvious facial weakness causing cosmetic problems there are other things: 1. Can't close eye - this will dry out the cornea, lead to abrasions and possibly blindness if not treated; 2. Speech difficulty as the lips will be paralyzed and unable to help form sounds; 3. Eating difficulties - along with #2, weak lips will cause food to drip out of the mouth. ...Read moreSee 1 more doctor answer
You cannot: Psp is progressive supranuclear palsy in the group of parkinsonism plus=no response to treatment with Dopamine it is thought to be genetic and cause degeneration and changes in the neurotransmiters in basal ganglia and other locations in brain--less understood compare to parkinson disease. ...Read moreSee 1 more doctor answer
Bell's Palsy: This partial paralysis of the face is believed to be caused by a virus. For some years, an antiviral medication (acyclovir) had been recommended (if started in the first 3 days), but longer term studies have not shown a benefit. The standard treatment now is oral steroid medication (typically prednisone), which also should be started early. Prednisone is not a cure, but suppresses the inflammation. ...Read more
Ramsay Hunt: The diagnosis and treatment of ramsay hunt syndrome is a bit complex. Your neurologist should have a crack at it and if you still are having lots of problems may refer you a subspecialty neurologist or pain specialist. Use of anti-viral medications, treatment of post herpetic neuralgia, and use of steroids have probably already been discussed with you or tried. ...Read more
Why r u asking?: Are you trying to figure this out yourself? I could explain it, but without background knowledge you probably still wouldn't understand it. If this is an academic question, some searching on the web should turn up an adequate explanation. If this is about you or someone you know, you really should let a neurologist diagnose and then explain how he could tell. Much more informative that way. ...Read moreSee 1 more doctor answer
Observation/time: These features are hard to detect early, but they become more apparent with age. Hypotonia describes a looseness within the muscles that make them less capable of sustaining normal posture or movement. These kids often slip through your hands if you pick them up at the armpits.The abnormal stiffness or ratchety movement of CP is detected when the kid is old enough to start moving independently. ...Read more
An archaic Rx: In the 70's & 80"s a pt & ot in philli promoted a patterning method for cp. The method involved rebreathing co2 & moving body thru motions of fish/salimander/man to awaken the nerves. Psychological researchers showed the method was no better that simple visitation & encouragemt. For the pt&ot they were getting $30k in initial fees + followup.Well meaning but worthless rx follow many chronic pbs. ...Read moreSee 1 more doctor answer
Couple of ways: Treatments for bell's palsy include ensuring protection for your eyes [make sure that they are kept moist and protected]. Sometimes physicians will prescribe steroids [to reduce possible swelling] or antivirals [if it is suspected that the bell's palsy was triggered by a virus]. If you suspect that you have bell's palsy, see your doctor to determine the right course of treatment. ...Read moreSee 2 more doctor answers
Interview the parent: The best source of information on this issue is the parent who deals with it daily. Many will provide you with a description of the activities of daily living and the kids usual routine. Any known do's & don'ts, feeding or hygiene needs should be reviewed. As long as you try to keep the kid well within his/her regular routine, things should go well. ...Read more
Multiple: Facial nerve pressure, viruses such as herpes simplex, cold sores, herpes zoster, epstein-barr, rubella, (german measles), mumps virus, tumors and strokes, are all thought to be possible causes. It can occur overnight and it can go away in a short or long period of time. Many people show signs of improvement within the first two weeks. ...Read more
Exam and tests: Bell's palsy is facial weakness or paralysis that is thought to be caused by a viral infection. It is diagnosed by the medical history and on physical exam. Many times additional testing such as a cat or MRI scan will be used to rule out other causes such a a tumor growth. ...Read moreSee 1 more doctor answer
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