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bell's palsy
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ptosis, drooping, the eyelid, facial drooping, facial palsy, bell's palsy, damage to cranial nerve vii, involving sudden facial drooping, decreased ability to move the face, bell's palsy, acute form of cranial mononeuropathy vii, the most common form of this type of nerve damage, peripheral neuropathy, statistics indicate that the disorder affects approximately 2 in 10,000 people, actual incidence is likely to be much higher, around 1 in 500 to 1 in 1,000, mononeuropathy, involvement of a single nerve, damages the seventh cranial, facial, nerve, nerve that controls movement, the muscles, the face, not clear, herpes infections involved, disorder is presumed to be associated, inflammation, the facial nerve where it travels, the bones, the skull, cranial mononeuropathy vii, head injury, tumor, excluded, sarcoidosis, diabetes, lyme disease, bell's palsy, pain, behind ear, in front of ear, precede weakness of facial muscles by 1-2 days, loss of sense of taste, sensitivity to sound, hyperacusis, on the affected side, headache, face feels stiff, face feels pulled to one side, eating, drinking, change in facial appearance, facial droop, facial expressions, grimacing, facial paralysis of one side, the face, difficulty closing one eye, fine facial movements, drooling, due to inability to control facial muscles, dry eye secondary to unable to close eye properly, facial weakness, examination shows upper, lower facial weakness, is always isolated to one side, the face, forehead, eyelid, mouth, despite a patient reporting feeling sensory symptoms, loss of sensation on examination, rare, disturbing finding, blood pressure is normal, no other abnormalities on examination, no imaging studies, blood tests, sarcoidosis, lyme disease considered under some circumstances, no improvement, in the facial paralysis after several weeks, an mri, rule out other causes, the dysfunction, an emg, nerve conduction studies, determine the severity of nerve damage, in many cases, no treatment, goal of treatment, relieve the symptoms, corticosteroids, antiviral medications, reduce swelling, relieve pressure on the facial nerve, drugs must be given early to be most effective, preferably, the onset of paralysis, lubricating eye drops, eye ointments recommended to protect the eye, it cannot be closed completely, eye, patched, sleep to protect it, surgical procedures to decompress the facial nerve, shown to routinely benefit people, bell's palsy, 60% to 80% of cases resolve completely, a few weeks to months, cases result in permanent changes, disorder is not a threat to life, disfigurement from loss of facial movement, eye, corneal ulcers, infections, chronic spasm of face muscles, eyelids, chronic taste abnormalities, synkinesis, abnormality in re-innervation of muscles resulting in tears, laughing, inappropriate salivation, facial drooping, symptoms of bell's palsy occur, a trained health care provider, discriminate bell's palsy from other, serious conditions, stroke, develop signs of bell's palsy, call health care provider immediately so that a stroke, quickly, use of safety measures, reduce the incidence of head injury, the other factors associated, not readily preventable.
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