贝氏面瘫(Bells palsy)—神经病学双语课件.ppt

Bell’s Palsy The Department Of Neurology Cong Lin Concept Facial weakness of the peripheral type idiopathic outside the central nervous system without any other cranial nerve palsies [Etiology and pathology]  the cause is unclear exposure to chill a viral infection edema degeneration. [Clinical features] Occurs at any age and any time. unilateral The onset is acute. attain maximum paralysis in 48h --5 days. pain behind the ear. Peripheral facial palsy [Diagnosis] based on the acute onset and the peripheral facial palsy. distinguished from facial paralysis due to other causes distinguished from the supranuclear one (such as in a stroke) Prognosis usually good. recover within a few weeks or in a month or two. But if there is evidence of denervation after 10 days, one may expect a long delay in the onset of recovery. Treatment surgical decompression may be harmful. take some corticosteroids, such as prednisone (40 to 60mg/day). Vitamin B antiviral agents may be useful. physiatrics and acupuncture therapy a shield to protect the eye. summary The major features of Bell’s palsy is: Any age, any time. Unilateral Acute Peripheral facial palsy idiopathic Bell’s phenomenon Thanks * * George Herbert Bush Bell’s Palsy: Etiology  pathology  Anatomicophysiology