Palsies

Question 1

define Bell’s Palsy

Answer 1

an idiopathic syndrome affecting the facial nerve (CN VII)

Question 2

risk factors of Bell’s Palsy

Answer 2

pregnancy
diabetes
PMH of stroke

Question 3

clinical features of Bell’s Palsy

Answer 3

rapid onset of unilateral lower motor neuron facial weakness
sparing of extraocular and mastication muscles
altered taste and dry mouth due to drooling

Question 4

features of Ramsay-Hunt syndrome

Answer 4

facial weakness
prominent otalgia
vesciular rash
hearing loss

Question 5

medical management of Bell’s Palsy

Answer 5

oral prednisolone (50mg for 10 days)

Question 6

supportive management of Bell’s Palsy

Answer 6

artificial tears + ocular lubricants

eye patch/tape

Question 7

management of Ramsay-Hunt syndrome

Answer 7

aciclovir

Question 8

define Horner’s syndrome

Answer 8

a disorder caused by interruption of sympathetic innervation of the eye

Question 9

causes of Horner’s syndrome

Answer 9

pancoast tumour
stroke
carotid artery dissection

Question 10

clinical features of Horner’s syndrome

Answer 10

miosis
partial ptosis
anhidrosis

Question 11

investigations of Horner’s syndrome

Answer 11

bloods
CXR
CT head

Question 12

management of Horners syndrome

Answer 12

based on underlying cause of interruption of sympathetic innvervation