Bell's Palsy Flashcards

1
Q

What are the min Dx criteria for Bell’s Palsy?

A

Paralysis of all muscles of one side of face
Sudden onset
Absence of signs of CNS path
Absence of Ear or CPA dis

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2
Q

Where is the narrowest point of the path of the Facial nerve?

A

Internal Genu of the Facial nerve

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3
Q

What is the Dx/Tx of Bell’s Palsy?

A

MRI w/ gandolinium and Audiometric Testing
High dose Steroids and Antivirals
Take care of eye
No surgery

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4
Q

What are Complications to Bell’s Palsy?

A

Corneal Abrasion

Loss of taste, chronic facial spasm, facial pain

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5
Q

What are the traits of Ramsay Hunt syndrome?

A

Herpes Zoster
More severe Sx: Red, swollen, inflamed
Worse Prognosis

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6
Q

What are the traits of Acoustic Neromas?

A

Vestibular Schwannoma

Slow growing benign tumor of myelin cells of Vest Cochlear n

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7
Q

What are the Sx of Acoustic Neuroma?

A

Sudden hearing loss
New onset tinnitus
Vertigo/imbalance
Facial Palsy, pain, numbness

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8
Q

How is Acoustic Neuroma Dx?

A

MRI with Gadolinium if Sx present

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9
Q

What is the Tx of Acoustic Neuroma?

A

Surgery vs Gamma knife radiation vs watchful waiting

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10
Q

What are the traits of Glomus Tumors?

A

Paraganglioma
Can occur in the middle ear and posterior fossa
Pulsitile Tinnitus

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