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Bell's palsy
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Introduction
Bell’s palsy is the name given to a nerve disorder that results in unexpected paralysis of the face due to the facial nerve acting abnormally. Paralysis is commonly found only on one side of the face; however, it can occur on both sides. Bell's palsy is named for Sir Charles Bell, a 19th century Scottish surgeon who first came across the condition. (NINDS Bell's Palsy, sec. 1). In this paper, the pathophysiology, which is a discussion of the mechanism behind Bell’s Palsy will be discussed as well as causes and effects. Also, the clinical manifestations of this condition will be provided in order to pinpoint some key aspects of Bell’s Palsy. Finally, advances in medical management, in terms of prevention, treatment and current research will be discussed.
Pathophysiology
Bell’s Palsy is a condition that results in paralysis of the face. The 7th cranial nerve, also known as the facial nerve is what controls most of the muscles of the face (NINDS Bell's Palsy, sec. 1). The major function of the facial nerve is to express taste sensations from the tongue and oral cavity (The Cranial Nerves, 3). The facial nerve supplies the preganglionic parasympathetic fibers to be distributed through the facial region’s glands. (Gaillard, sec. 3). In this condition, damage to the facial nerve causes that side of the face to droop. Furthermore, this nerve damage may affect the sense of taste and the production of tears and saliva. Bell’s Palsy is a condition that comes on suddenly, and it may get better spontaneously. One of the most distinct features of Bell’s Palsy is its unknown etiology. Previously, Bell's palsy was speculated to be the cause of other diseases, such as stroke or a transient ischemic attack, which are conditions tha...
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...9 May 2013. Web. 14 Apr. 2014. .
Mayo Clinic Staff. "Bell's Palsy." Diagnosis at Mayo Clinic. Mayo Clinic, 27 Mar. 2012. Web. 15 Apr. 2014. .
"NINDS Bell's Palsy Information Page." Bell's Palsy Information Page: National Institute of Neurological Disorders and Stroke (NINDS). Office of Communications and Public Liaison National Institute of Neurological Disorders and Stroke National Institutes of Health, 4 Sept. 2012. Web. 11 Apr. 2014. .
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Purpose- To identify the functions of the cranial nerve of the peripheral nervous system such as the olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, vestibulocochlear, glossopharyngeal, vagus, accessory, and the hypoglossal nerves. I will examine these functions with a series of behavior tests on my partner Jazmine Cooley to see if all nerves are functioning properly and if they are not, then this will be considered an identified dysfunction of a cranial nerve which is a diagnosis. Materials and Methods- Gloves Container full of substance Standardized eye chart Tape line
Bell’s palsy is a paralysis or weakness of the muscles on one side of your face. It results from damage to the nerve that controls movement of the muscles in the face, the damage may also affect your sense of taste and how you make tears and saliva. This condition can come on, often overnight and usually gets better on its own within a few weeks. This is not a result of a stroke or transient ischemic attack. This is referred to as a (TIA). Palsy simply means weakness or paralysis,
Rowland, Lewis P. (ed.): Merritt's Textbook of Neurology, eighth edition. Lea and Febiger. Philadelphia, 1959, pp. 630--631.
Flaccid dysarthria results from damage to the lower motor neurons (LMN) or the peripheral nervous system (Hageman, 1997). The characteristics of flaccid dysarthria generally reflect damage to cranial nerves with motor speech functions (e.g., cranial nerves IX, X, XI and XII) (Seikel, King & Drumright, 2010). Lower motor neurons connect the central nervous system to the muscle fibers; from the brainstem to the cranial nerves with motor function, or from the anterior horns of grey matter to the spinal nerves (Murdoch, 1998). If there are lesions to spinal nerves and the cranial nerves with motor speech functions, it is indicative of a lower motor neuron lesion and flaccid dysarthria. Damage to lower motor neurons that supply the speech muscles is also known as bulbar palsy (Pena-Brooks & Hedge, 2007). Potential etiologies of flaccid dysarthria include spinal cord injury, cerebrovascular accidents, tumors or traumatic brain injury (Pena-Brooks & Hedge, 2007). Possible congenital etiologies of flaccid dysarthria include Moebius syndrome and cerebral palsy. Flaccid dysarthria can also arise from infections such as polio, herpes zoster, and secondary infections to AIDS (Pena-Brooks & Hedge, 2007). Additionally, demyelinating diseases such as Guilian-Barre syndrome and myotonic muscular dystrophy can also lead to flaccid dysarthria (Pena-Brookes & Hedge, 2007). The lower motor neuron lesion results in loss of voluntary muscle control, and an inability to maintain muscle tone. Fasciculations, or twitching movements, may occur if the cell body is involved in the lesion (Seikel et. al., 2010). The primary speech characteristics of flaccid dysarthria include imprecise consonant production, hypernasal resonance, breathiness, and harsh voice (...
WORLD HEALTH ORGANISATION, 1997. Tabular list of neurological and related disorders. In: WORLD HEALTH ORGANISATION, ed. Application of the International Classification of Diseases to Neurology. Canada: World Health Organisation, p. 153.
present in the cell bodies of the facial nerve in persons who do not have
Nonspeech signs associated with hypokinetic dysarthria may include characteristics dealing with the face, eyes, hands, arms, and trunk. The individual may have an expressionless look to their face as well as weakness with gestures in the hands, arms, and face that would normally match the person’s prosody when speaking. Overall, their social interaction with others can be emotionless. Eye blinking occurs less frequently than normal and their head gaze does not match where their eyes are looking. These patients swallow infrequently which leads to drooling. A tremor may be present in the jaw, lips, and tongue as well as limited movement during speech even though strength of these structures is often normal.
described in an essay called “Shaking Palsy” published in 1817 by a London Physician named
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The Web. The Web. 10 Mar 2014. The "Cleft Lip and Cleft Palate." Monroe Carell Jr..