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Bells Palsy > Bells Palsy > Flashcards

Bells Palsy Flashcards

1
Q

Bells palsy also known as

A

Facial nerve palsy
Idiopathic facial paralysis

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2
Q

Most common form

A

Bells palsy

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3
Q

Bells palsy occurs most commonly

A

Pregnant women
Hypertensives
Diabetics

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4
Q

Affectation of gender

A

Equal

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5
Q

Etiology of bells palsy

A

Unknown

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6
Q

Etiology of bells palsy reactivation

A

Herpes simplex virus type 1

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7
Q

What nerve can pass through a viral inflammatory response that induces edema and ischemia

A

Facial nerve passes through bony canal

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8
Q

Cold exposure

A

Vascular ischemic theory

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9
Q

Lesion just outside stylomastoid foramen

A

Lesion 1

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10
Q

Flaccid paralysis of ipsilateral half of face

A

Lesion 1

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11
Q

Eyeball rolls up and outward with incomplete eyelid closure

A

Bells phenomenon
Lesion 1

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12
Q

Blinking absent

A

Lesion 1

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13
Q

Food gathers between cheek and the gums

A

Lesion 1

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14
Q

Tearing

A

Lesion 1

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15
Q

Lesion with facial canal involving chorda tympani nerve

A

Lesion2

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16
Q

Loss of taste on the anterior 2/3 of the tongue

A

Lesion 2

17
Q

Reduce salvation

A

Lesion 2

18
Q

Lesion involving stapedius muscle

A

Lesion 3

19
Q

Increase acuity of hearing

A

Lesion 3

20
Q

Lesion involving geniculate ganglion

A

Lesion4

21
Q

Onset

A

Lesion 4

22
Q

Ramsay hunt syndrome

A

Associated by herpes zoster

23
Q

Herpetic eruptions

A

Ipsilateral eardrum,post auricleext. Auditory canal, earlobe or soft palate

24
Q

Bells palsy associated with

A

Herpetic eruptions
Facial paralysis
Facial numbness
Ipsilateral deafness

25
Q

Lesion in internal auditory meatus (internal acoustic meatus)

A

Lesion5

26
Q

Deafness
Tinnitus

A

Lesion 5

27
Q

Lesion at the emergence of facial nerve from the pons

A

Lesion 6

28
Q

Inverted marcus gunn
Elevation of ptotic eyelid on movement of jaw to the opposite side

A

Marcus gunn phenomenon

29
Q

Closing of the eye’s occurs when patient opens his mouth forcefully and maximally

A

Marin amat syndrome

30
Q

Recovery of taste precedes recovery of motor function

A

Buccinator
Zygomatic
Inferior levator
Orbicularis oculi
Frontalis

31
Q

Complications

A

State of over toning
Associated movement synkinesis
Facial spasm

32
Q

Factors associated with poor prognosis

A

Age 60
Hypertension
Hyperaccusis
Diminished lacrimation
Diabetes
Complete lesion
Evidence of denervated atrophy
Severe initial apin

33
Q

Powerful inflammatory

A

Corticosteroids
Prednisone

34
Q

Anti viral drugs

A

Acyclovir

35
Q

Eye protection
Analgesic

A

Eye patch
Lubricating eye drops

36
Q

Physical therapy management

A

Initiation exercises
Facilitation exercises
Thermotherapy
Electrotherapy

37
Q

Facial nerve

A

Lacrimatory nerve
Superior salivatory n.
Motor nerve
N tractus solitarius
Spinal nerve

38
Q

Emerges from posterior cord
Laterally to axilla
Behind surgical neck
Muscles innervated
Deltoid
Teres Minor

A

Axillary nerve
C5 c6

Bells Palsy (2 decks)

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