Symptoms of facial neuritis

summary

Facial nerve paralysis refers to unilateral peripheral facial nerve paralysis of unknown cause and acute attack. It has not been fully clarified. It is generally believed that the facial n-tube of bone can accommodate facial n. once there is ischemia and edema, there is a vicious cycle of edema and compression ischemia. The inducing factors are: virus infection: cold and autonomic nervous instability in various ways lead to neurotrophic vasoconstriction and telangiectasia, tissue edema and compression. The pathological changes were edema and demyelination in the early stage of facial n, and axonal degeneration in severe cases.

Symptoms of facial neuritis

The main symptom was paralysis of one facial expression muscle. The frontal stria disappeared; When trying to close the eyes, the paralyzed eyeball turns upward and outward to expose the white sclera, which is called bell ` s sign; On the diseased side, the alar sulcus became shallow and the angle of mouth drooped; Air leakage due to orbicularis oris paralysis or whistling; Because of the paralysis of buccal muscles, food is easy to stay between the teeth and cheek of the diseased side.

When the lesion is above the tympanic cord involved in facial nerve, ipsilateral taste loss may occur. Acute onset, a few hours or 1-2 days to the peak, the beginning of the disease can have mandibular angle or ear pain.

Guillain Barre syndrome: peripheral facial paralysis, but mostly bilateral, symmetrical limb paralysis, CSF protein cell separation phenomenon. All kinds of otitis media, labyrinthitis, mastoiditis and other complications of otogenic facial paralysis, most of the special symptoms and history of the primary disease.

matters needing attention

1. Prevent the long-term cold behind the ear, especially in summer, do not sleep in the window, in the train, do not make the long-term exposure behind the ear in the window. 2. Active treatment of inflammation in related parts. Prednisone was used as early as possible. The initial dose was 1 mg / kg / D, bid for 5 consecutive days, and then gradually reduced to 5 mg / D within 10 days.