Face Flashcards
Facial Palsy definition
isolated dysfunction of the facial nerve presenting with unilateral facial weakness
Difference between upper / lower neurone lesion
Upper => Move forehead
Lower => Cant
What are 2 causes of upper lesion
Stroke + Tumour
What are 6 causes of LMN
Bell’s palsy
Ramsay Hunt Synbdrome
Otitis Media
Ms
Acoustic Neuroma
Trauma
Bell’s Palsy =>
idiopathic LMN that leads to px recovering weeks/year
Tx for Bell’s Palsy?
Self resolving + prednisolone
Ramsay Hunt syndrome =>
VCZ causing LMN
What is thee general presentation in Ramsay Hunt syndrome leading to facial palsy?
Vesicular rash in ear canal / pinna / tongue + Facial Palsy
Tx for Ramsay Hunt Syndrome (2)
Aciclovir + Prednisolone
Facial nerve leaves the brainstem where?
Which 2 structures does it travel between
Cerebellopontine angle
Temporal bone + parotid gland
What are the 5 branches of the facial nerve
Two Zebras Bit My Coccyx
Temporal Zygomatc Buccal Marginal Mandibular Cervical
What are motor functions of the facial nerve (5)
Facial expression
Stapedius
Post digastric
Stylohyoid
Platysma
What is the sensory function of the facial nerve
Ant 2/3 tongue taste
What is the PNS function of the facial nerve
Submandibular
Sublingual
Lacrimal glands
trigeminal neuralgia is defined as what
Disruption of 1+ branches of trigeminal nerve leading to paroxysmal attacks of pain with simple triggers
