Brief guide to the causes, identification, and treatment of Bellpalsy: MedTwitter
Contributor InformationAs noted earlier, the precise cause of idiopathic Bell palsy is not known. One theory proposes that nonspecific inflammation of the nerve leads to focal edema, demyelination, and ischemia.[1,3,4,6]
The photographs show a patient who was diagnosed with probable leptospirosis and concurrent myocarditis and severe Bell palsy. Involvement of the left frontalis muscle and mouth deviation to the right side are present is the same patient after 6 months; total improvement of the left-sided facial nerve palsy can be seen.
The annual incidence of Ramsay-Hunt syndrome in the United States is 5 per 100,000 persons, primarily in those older than 60 years.It is the second most common cause of atraumatic peripheral facial paralysis, and both sexes are equally affected.Images of a patient with bilateral Ramsay-Hunt syndrome and diabetes at presentation and at 8 weeks of follow-up from Syal R, Tyagi I, Goyal A. BMC Ear Nose Throat Disord. 2004;4:3. PMID: 15575957, PMCID: PMC535933. .
. A pontine lesion would cause a crossed syndrome , a triad with CN VI palsy with peripheral facial weakness ipsilateral to the lesion and hemiparesis on the contralateral side .
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