Doctor insights on:
Infranuclear Facial 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
Eye care: One of the issues with a facial palsy is incomplete eye closing and lack of good lubrication of the eye and cornea from the lacrimal gland (also supplied by the facial nerve). Most facial palsy 's will improve. Care of the eye during the weakness with eye drops and eye lubricants at night helps protect the cornea of the eye from exposure and drying. ...Read more
Facial exercises..: Facial or bell's palsy is unfortunately quite common. Though most reverse entirely in several weeks, a significant number of cases leave some residual weakness (droopy eyelid, side of mouth, drool). I believe facial exercises, physical therapy may help. Cause probably viral inflamation (possibly herpes simplex). Must differentiate from stroke. Don't presume, see doc. ...Read more
34 yr female suffering from facial palsy as a result of an accident. After 6yrs, now can that be corrected? Dr pl advise. Thank you
Unfavorable news: If it has been 6 years since the injury then any recovery by your nervous system has already occurred. Your prognosis for recovery even with nerve surgery at this point would be poor. ...Read more
Bell's /facial palsy: Bell's palsy refers to a weakness of the facial nerve (nerve that controls the movement of the facial muscles) from an unknown cause. Facial palsy refers to a weakness in the facial nerve. Bell's palsy is a type of facial palsy but other types include stroke, chicken pox virus (ramsey-hunt syndrome), tumors on the facial nerve, tumors that compress the facial nerve, and trauma of the facial nerve. ...Read more
While both present with inability to move one side of the face, bell's palsy is a diagnosis of exclusion. Other causes of unilateral facial paralysis (lyme disease, stroke, ear infection, ear or brain tumor, etc) need to be ruled out during the evaluation.
In short, all bell's is facial palsy but not all facial palsy is bell's. ...Read more
Smiling: The most common cause of facial palsy is bell's palsy. This involves the facial nerve. Recovery takes time as the nerve regrows. Use of the facial muscle should be normal and natural. Smiling and laughing use many facial muscles and are very good physiotherapy. Also try singing! ...Read more
Depends on timing: First your doctor needs to determine the cause of the paralysis. If it is from a virus, then just wait. Almost all of these will go away on their own. If there is some other problem such as a tumor, it needs to be taken care of first. If the palsy lasts more than 1 year, see a facial plastic surgeon to discuss options for making the face work properly. There are some very good options. ...Read more
Depends on cause: Many things can cause facial palsy- viral infection, tumors, strokes to name a few. Recovery will be different depending on the cause and the severity. If not already done, you should be evaluated by a facial/ent specialist or a neurologist and they can advise you on your possible recovery. ...Read more
Yes, or...: An otolaryngologist/ ent. Immediately.Get a more detailed answer ›
Can palsy (like facial palsy which can cause the muscles on one side of the face to go limp) be inherited?
Hi, Doctors my wife gets facial palsy before week & we started treatment since 5 days I want to ask you can we do something to recovery fast thanks?
Bell's palsy: Presumably your wife is suffering from Bell's palsy. The facial weakness resolves in 1-2 months. Corticosteroids and anti-viral medication are often prescribed. Facial exercises, massaging the facial muscles and opening and closing the eye lid are helpful. Take extra care with oral hygiene as food can pool on the affected side. Eye drops to lubricate the eye and a patch at night to protect it. ...Read more
Ever? Yes: If you are not under the care of an otolaryngologist or otologist you need to see one right away. A combination of medications including antibiotics and anti-inflammatories are typically useful. You may need to have a ventilating tube placed in the affected ear to clear the infection expediently. Follow your specialists instructions compulsively. Protect your eye. ...Read more
If anastozole (arimiset) possibly caused facial palsy, should it be discontinued or do all aromotase inhibitors contain the same basic ingredients?
Arimidex (anastrozole): On oct, 27, 2012: 12, 989 people reported to have side effects when taking arimidex (anastrozole). Among them, 27 people (0.21%) have facial palsy. The annual incidence in the population is. 02%. Thus there appears to be a slightly greater incidence in those taking arimidex (anastrozole). ...Read more
Got facial palsy after surgery. 14 months out have spasm in orbicularis oris. Is their definitive treatment other than botox to stop this ex. Surgery?
No: Aside from Botox, I know of no other treatment including surgical. Check with facial plastic surgeon to confirm. ...Read more
Is synkinesis after facial palsy permanent? Developed palsy after trauma from surgery. When I smile, corner lip spasms. 5 months post op
First: Discuss this with the surgeon. From a neurological standpoint you can monitor recovery with a Blink Study (facial nerve NCV) the development of aberrant nerve re growth obviates a careful assessment of facial nerve function including taste, ability to tolerate loud noises, production of saliva and tears (not just facial muscle responses) See a neurologist for this. ...Read more
Facial palsy, hearing loss, head trauma from fall down stairs 3 yrs ago. Hearing and left side of face still not 100%. Will it ever come back?
Unlikely at 3 years.: Unlikely. Get a good opinion from an otolgist. ...Read more
Suffered facial palsy post craniotomy. Face appears mostly normal but when I smile or laugh my lip twitches. Is this Synkinesis or nerve irritated?
Probably weakness: There's no way to know without seeing it but usually synkinesis is the yoking of the movements of the eye and mouth: when you smile you blink and vice versa but only on the damaged side. Twitching of a previously damaged area is likely residual weakness from the injury or continued irritation. Would be tough to get isolated lip irritation from a craniotomy injury. I would go with weakness ...Read more
Does facial palsy always present with ramsay hunt syndrome, I have all other symptoms, only pain is to the back of my head and neck. Blisters in ear etc?
RHS: Facial paralys can present few days before or after onset of other symptoms in rhs. Acute facial paralysis is the hallmark of rhs, but the syndrome as described by dr. Hunt can have varying presentation, making the history and physical examination the most important tool. Other nerves in close proximity to the facial nerve can be affected by vzv. Focus is on differential diagnosis and treatment. ...Read more
Had facial palsy from result from surgery 5 months. Got most movement back but when I smile, chew or swallow, my ear flutters. Is this synkinesis?
Unlikely: Most people with true bell's palsy will recover most or all of their facial movement with time. Some will have permanent paralysis or weakness. If your face has not improved at all then you should see an ENT specialist for more evaluation. It is possible that you have another problem that has caused your facial paralysis such as a tumor growth and this should be checked. ...Read more
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