Bell's palsy history and symptoms: Difference between revisions

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==History and Symptoms==
==History and Symptoms==


*The hallmark of Bee's palsy is unilateral, acute paresis or paralysis of facial movement. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
*The hallmark of Bell's palsy is unilateral, acute paresis or paralysis of facial movement. A positive history of [[viral infections]], Ischemic [[mononeuropathy]],[[Diabetes mellitus]] and [[Thyroid]] disorders is suggestive of Bell's palsy. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
*Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].  
*Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].  
===History===
===History===
Patients with [disease name]] may have a positive history of:
Patients with Bell's palsy may have a positive history of:
* Viral infections:
* [[Viral infections|Viral infections:]]
**[[Herpes simplex virus]] reactivation<ref name="pmid9515763">{{cite journal| author=Furuta Y, Fukuda S, Chida E, Takasu T, Ohtani F, Inuyama Y et al.| title=Reactivation of herpes simplex virus type 1 in patients with Bell's palsy. | journal=J Med Virol | year= 1998 | volume= 54 | issue= 3 | pages= 162-6 | pmid=9515763 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9515763  }} </ref>
**[[Herpes simplex virus]] reactivation<ref name="pmid9515763">{{cite journal| author=Furuta Y, Fukuda S, Chida E, Takasu T, Ohtani F, Inuyama Y et al.| title=Reactivation of herpes simplex virus type 1 in patients with Bell's palsy. | journal=J Med Virol | year= 1998 | volume= 54 | issue= 3 | pages= 162-6 | pmid=9515763 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9515763  }} </ref>
**[[Herpes Zoster]]<ref name="pmid11096766">{{cite journal| author=Morrow MJ| title=Bell's Palsy and Herpes Zoster Oticus. | journal=Curr Treat Options Neurol | year= 2000 | volume= 2 | issue= 5 | pages= 407-416 | pmid=11096766 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11096766  }} </ref>
**[[Herpes Zoster]]<ref name="pmid11096766">{{cite journal| author=Morrow MJ| title=Bell's Palsy and Herpes Zoster Oticus. | journal=Curr Treat Options Neurol | year= 2000 | volume= 2 | issue= 5 | pages= 407-416 | pmid=11096766 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11096766  }} </ref>
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*[[Diabetes mellitus]]<ref name="pmid7119834">{{cite journal| author=Pecket P, Schattner A| title=Concurrent Bell's palsy and diabetes mellitus: a diabetic mononeuropathy? | journal=J Neurol Neurosurg Psychiatry | year= 1982 | volume= 45 | issue= 7 | pages= 652-5 | pmid=7119834 | doi= | pmc=491483 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7119834  }} </ref>
*[[Diabetes mellitus]]<ref name="pmid7119834">{{cite journal| author=Pecket P, Schattner A| title=Concurrent Bell's palsy and diabetes mellitus: a diabetic mononeuropathy? | journal=J Neurol Neurosurg Psychiatry | year= 1982 | volume= 45 | issue= 7 | pages= 652-5 | pmid=7119834 | doi= | pmc=491483 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7119834  }} </ref>
*[[Thyroid]] disorders<ref name="pmid4015946">{{cite journal| author=Cox NH, Chew D, Williams JG, Morris AI| title=Bell's Palsy associated with hypothyroidism. | journal=Br J Clin Pract | year= 1985 | volume= 39 | issue= 4 | pages= 158-9 | pmid=4015946 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4015946  }} </ref>
*[[Thyroid]] disorders<ref name="pmid4015946">{{cite journal| author=Cox NH, Chew D, Williams JG, Morris AI| title=Bell's Palsy associated with hypothyroidism. | journal=Br J Clin Pract | year= 1985 | volume= 39 | issue= 4 | pages= 158-9 | pmid=4015946 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4015946  }} </ref>
*Compression of the [[facial nerve]]<ref name="pmid889228">{{cite journal| author=Gussen R| title=Pathogenesis of Bell's palsy. Retrograde epineurial edema and postedematous fibrous compression neuropathy of the facial nerve. | journal=Ann Otol Rhinol Laryngol | year= 1977 | volume= 86 | issue= 4 Pt 1 | pages= 549-58 | pmid=889228 | doi=10.1177/000348947708600416 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=889228  }} </ref>


===Common Symptoms===
===Common Symptoms===
Common symptoms of [disease] include:
Common symptoms of [disease] include:
*[Symptom 1]
* Rapid onset of mild weakness to total paralysis on one side of the face within hours to days
*[Symptom 2]
* Facial droop
*[Symptom 3]
* Difficulty making facial expressions, such as closing eye or smiling
* Unintentional drooling
* Pain around the jaw or ear
* Ear problems such as:
** Increased sensitivity to sound on the affected side
**
* Headache
* A decrease in your ability to taste
* Changes in the amount of tears and saliva you produce


===Less Common Symptoms===
===Less Common Symptoms===

Revision as of 17:11, 7 May 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]

Overview

The majority of patients with [disease name] are asymptomatic.

OR

The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History and Symptoms

  • The hallmark of Bell's palsy is unilateral, acute paresis or paralysis of facial movement. A positive history of viral infections, Ischemic mononeuropathy,Diabetes mellitus and Thyroid disorders is suggestive of Bell's palsy. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
  • Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History

Patients with Bell's palsy may have a positive history of:

Common Symptoms

Common symptoms of [disease] include:

  • Rapid onset of mild weakness to total paralysis on one side of the face within hours to days
  • Facial droop
  • Difficulty making facial expressions, such as closing eye or smiling
  • Unintentional drooling
  • Pain around the jaw or ear
  • Ear problems such as:
    • Increased sensitivity to sound on the affected side
  • Headache
  • A decrease in your ability to taste
  • Changes in the amount of tears and saliva you produce

Less Common Symptoms

Less common symptoms of [disease name] include

  • [Symptom 1]
  • [Symptom 2]
  • [Symptom 3]

References

  1. ↑ Furuta Y, Fukuda S, Chida E, Takasu T, Ohtani F, Inuyama Y; et al. (1998). "Reactivation of herpes simplex virus type 1 in patients with Bell's palsy". J Med Virol. 54 (3): 162–6. PMID 9515763.
  2. ↑ Morrow MJ (2000). "Bell's Palsy and Herpes Zoster Oticus". Curr Treat Options Neurol. 2 (5): 407–416. PMID 11096766.
  3. ↑ Walters BN, Redman CW (1984). "Bell's palsy and cytomegalovirus mononucleosis in pregnancy". J R Soc Med. 77 (5): 429–30. PMC 1439928. PMID 6327983.
  4. ↑ Maeda S, Tsuda H, Haruki S, Mitsuto I (1999). "Atypical Epstein-Barr virus infection associated with Gianotti-Crosti syndrome and Bell's palsy". Pediatr Int. 41 (3): 315–7. PMID 10365586.
  5. ↑ Jamal GA, Al-Husaini A (1983). "Bell's palsy and infection with rubella virus". J Neurol Neurosurg Psychiatry. 46 (7): 678–80. PMC 1027493. PMID 6886708.
  6. ↑ Kondo K, Kanaya K, Baba S, Yamasoba T (2014). "Mumps, cervical zoster, and facial paralysis: coincidence or association?". Case Rep Otolaryngol. 2014: 289687. doi:10.1155/2014/289687. PMC 3933221. PMID 24653846.
  7. ↑ Wijnans L, Dodd CN, Weibel D, Sturkenboom M (2017). "Bell's palsy and influenza(H1N1)pdm09 containing vaccines: A self-controlled case series". PLoS One. 12 (5): e0175539. doi:10.1371/journal.pone.0175539. PMC 5414992. PMID 28467420.
  8. ↑ McFarlin A, Peckler B (2008). "An unusual presentation of Bell's palsy: A case report and review of literature". J Emerg Trauma Shock. 1 (1): 50–2. doi:10.4103/0974-2700.40574. PMC 2700557. PMID 19561942.
  9. ↑ Bitsori M, Galanakis E, Papadakis CE, Sbyrakis S (2001). "Facial nerve palsy associated with Rickettsia conorii infection". Arch Dis Child. 85 (1): 54–5. PMC 1718833. PMID 11420202.
  10. ↑ Schmutzhard E, Stanek G (1985). "Borrelia burgdorferi, a possible cause of Bell's palsy?". Clin Neurol Neurosurg. 87 (4): 255–7. PMID 3912092.
  11. ↑ Brown MM, Thompson A, Goh BT, Forster GE, Swash M (1988). "Bell's palsy and HIV infection". J Neurol Neurosurg Psychiatry. 51 (3): 425–6. PMC 1032872. PMID 3361335.
  12. ↑ Fahimi J, Navi BB, Kamel H (2014). "Potential misdiagnoses of Bell's palsy in the emergency department". Ann Emerg Med. 63 (4): 428–34. doi:10.1016/j.annemergmed.2013.06.022. PMC 3940662. PMID 23891413.
  13. ↑ Pecket P, Schattner A (1982). "Concurrent Bell's palsy and diabetes mellitus: a diabetic mononeuropathy?". J Neurol Neurosurg Psychiatry. 45 (7): 652–5. PMC 491483. PMID 7119834.
  14. ↑ Cox NH, Chew D, Williams JG, Morris AI (1985). "Bell's Palsy associated with hypothyroidism". Br J Clin Pract. 39 (4): 158–9. PMID 4015946.

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History and Symptoms

Sudden onset, usually over hours, of unilateral facial paralysis (maximal symptoms by 48 hours).

  • Eyebrow sagging with inability to close the affected eye.
  • Nasolabial fold flattening with mouth drawn to the non affected side.
  • Inability to wrinkle forehead (peripheral lesion).
  • May be associated with ear pain, impaired taste sensation on the anterior two-thirds of the tongue, decreased tearing, and hyperacusis.

References


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