Bell’s Palsy

Bell's Palsy
Bell's Palsy
Rt
  1. Name 2 findings in the picture & what is the diagnosis
  2. What else do you want to examine and what is the site of lesion in this condition?
  3. How you will treat the patient?

Answer Sheet:

  1. Name 2 findings in the picture & what is the diagnosis?

http://en.wikipedia.org/wiki/Bells_palsy

Findings of Bell’s Palsy: (2)

  • Failure of wrinkling of forehead
  • Showing teeth- lips drawn to left
  • Drooping of right corner of mouth.
  • Nasolabial fold: Less pronounced

Diagnosis: Right sided Bell’s Palsy (The nerve of the effected side will be weaken, so lips drawn to opposite side)

  1. What else do you want to examine and what is the site of lesion in bell’s palsy?

  • Other examination:
    • Taste sensation in anterior 2/3rd of the tongue (Chorda tympani)
    • Palate and external auditory meatus to see any vesicle. (Ramsay Hunt syndrome)
    • Evidence of hyperacusis (reduced tolerance to sound).
  • Site of Lesion: within Facial canal in petrous part of temporal bone(in stylomastoid foramen).
  1. How you will treat the patient?

Treatment of Bell’s palsy:

  • Prednisolone 40-60mg daily for 7 days.
  • Aciclovir also recommended.
  • Artificial tear & ointment.
  • Physiotherapy

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