- published: 14 Jul 2021
- views: 514178
Bell's palsy
Bell's palsy is a form of facial paralysis resulting from a dysfunction of the cranial nerve VII (the facial nerve) causing an inability to control facial muscles on the affected side. Often the eye in the affected side cannot be closed. The eye must be protected from drying up, or the cornea may be permanently damaged, resulting in impaired vision. In some cases denture wearers experience some discomfort. The common presentation of this condition is a rapid onset of partial or complete paralysis that often occurs overnight. In rare cases (<1%), it can occur on both sides resulting in total facial paralysis.
Bell's palsy is defined as a one-sided facial nerve paralysis of unknown cause. Several other conditions can also cause facial paralysis, e.g., brain tumor, stroke, myasthenia gravis, and Lyme disease; however, if no specific cause can be identified, the condition is known as Bell's palsy. It is thought that an inflammatory condition leads to swelling of the facial nerve. The nerve travels through the skull in a narrow bone canal beneath the ear. Nerve swelling and compression in the narrow bone canal are thought to lead to nerve inhibition or damage.
This page contains text from Wikipedia, the Free Encyclopedia - https://wn.com/Bell's_palsy
This page contains text from Wikipedia, the Free Encyclopedia - https://wn.com/Bellús
Bell's whisky
Bell's is a brand of blended Scotch whisky originally produced by Arthur Bell & Sons Ltd and now owned by Diageo. It is the highest selling whisky in the UK.
History
In 1851, Arthur Bell (1825–1900) began to blend various single malts together to create a more consistent blended whisky. Arthur Bell was the first known whisky manufacturer to appoint a London agent, by at least 1863. Bell's two sons joined the business in partnership in 1895.Arthur Kinmond (1868–1942) was appointed to manage the domestic market and Robert was appointed as head of the brand overseas. By the 1880s the company was focused on blended whisky. Arthur Bell died in 1900. In 1921 the partnership became a private company run by Arthur Kinmond after Robert retired to live as a country gentleman. The end of Prohibition in America created a surge in demand, which led Arthur Bell & Sons to acquire two distilleries in 1933: Blair Athol and Dufftown. In 1936 the Inchgower distillery was also acquired.
The Bell brothers died in 1942 and the company accountant, William Govan Farquharson, became chairman of the company. He focused on advertising the brand more heavily. Bell's became a public company in 1949. In 1954, Arthur Bell exported to 130 different countries.
This page contains text from Wikipedia, the Free Encyclopedia - https://wn.com/Bell's_whisky
Antlia Cluster
The Antlia Cluster (or Abell S0636) is a cluster of galaxies located in the Hydra-Centaurus Supercluster. The Antlia Cluster is the third nearest to the Local Group after the Virgo Cluster and Fornax Cluster. Antlia's distance from Earth is 40.5 Mpc (132.1 Mly) to 40.9 Mpc (133.4 Mly) and can be viewed from Earth in the constellation Antlia. The Antlia Cluster should not be confused with the Antlia Dwarf Galaxy.
Antlia is classified as a rare Bautz-Morgan type III cluster, meaning it has no central dominant (cD) brightest cluster galaxy. However, the cluster is dominated by two massive elliptical galaxies, NGC 3268 and NGC 3258, and contains a total of about 234 galaxies. The cluster is very dense compared to other clusters such as Virgo and Fornax, thus containing early-type galaxies and a larger portion of dwarf ellipticals. The Cluster is split into two galaxy groups, The Northern subgroup gravitating around NGC 3268, and the Southern subgroup centered on NGC 3258.
The cluster has an overall redshift of z = 0.0087, implying that the cluster is, like most objects in the Universe, receding from the Local Group. Using the now-obsolete scientific satellite ASCA, X-ray observations show that the cluster is almost isothermal, with a mean temperature of kT ~ 2.0 keV.
This page contains text from Wikipedia, the Free Encyclopedia - https://wn.com/Antlia_Cluster
Podcasts:
-
2-Minute Neuroscience: Bell's Palsy
Bell’s palsy is a disorder characterized by facial weakness or paralysis, typically on one side of the face. It results from the dysfunction of cranial nerve VII, the facial nerve, but the cause of the facial nerve dysfunction is unknown. In this video, I discuss the symptoms, possible causes, and prognosis for Bell’s palsy. TRANSCRIPT: Bell’s palsy is a disorder that results from the dysfunction of cranial nerve VII, the facial nerve. It involves weakness or paralysis, typically on one side of the face. The onset of the condition is rapid, usually progressing to maximum severity within 72 hours. While there can be a number of causes of facial weakness or paralysis, the cause of Bell’s palsy is unknown, and diagnosis is made by ruling out other potential causes like Lyme disease, trauma,...
published: 14 Jul 2021 -
Bell's Palsy, Pathophysiology, Symptoms, Diagnosis and Treatment, Animation
(USMLE topics) Bell’s palsy: pathophysiology, symptoms, causes, risk factors, diagnosis and treatment. How to differentiate Bell’s palsy from stroke. Purchase a license to download a non-watermarked version of this video on AlilaMedicalMedia(dot)com Check out our new Alila Academy - AlilaAcademy(dot)com - complete video courses with quizzes, PDFs, and downloadable images. ©Alila Medical Media. All rights reserved. Voice by : Marty Henne All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Bell’s palsy is a form of facial muscle weakness or paralysis, typicall...
published: 04 Jan 2021 -
Bell's Palsy Exercises - Ask Doctor Jo
Bell’s Palsy is the sudden weakness of your facial muscles on one half of the face. These exercises may seem like you are just making funny faces, but this will help get the weak muscles working again. Read Doctor Jo’s blog post about this video at: http://www.askdoctorjo.com/content/bells-palsy-exercises You want to do these in front of a mirror so you can see the movements you are getting. You can use your fingers to help with the movement if you need to, and move both sides of your face for the exercises. The first exercise is lifting your eyebrows like you are surprised. If you need to use your finger, place it right above your eyebrow and then lift both eyebrows up like you are surprised. Just start off with ten of these because you don’t want to overwork the muscles. The next one ...
published: 28 Mar 2016 -
Bells Palsy and Stroke
Access my FREE Online Membership today → https://www.thenotedanatomist.com ___ Unlock my Premium Tutoring Memberships → https://www.thenotedanatomist.com/premium-memberships Lifetime Access to Online Anatomy Course Foundational Q&A Cards Per Video Notes and Key Takeaways Downloadable Documents Flashcards for Each Course Weekly Group Tutoring Sessions Direct Tutoring Sessions ___ Discover A Simplified Approach to Master the Complexity of Anatomy with me, Dr. David Morton ... The Noted Anatomist! ------------------------------------------------------------------ This video tutorial compares and contrasts facial (Bells) palsy and stroke. 0:00. Introduction 0:21. Course of lower motor neurons (LMN) in facial n.; muscles of facial expression 2:05. Facial (Bells) palsy 4:40. Anatomy of upper mo...
published: 09 Jan 2020 -
Bell’s Palsy (Facial Paralysis) | Causes, Pathophysiology, Signs & Symptoms, Diagnosis, Treatment
Bell’s Palsy (Facial Paralysis) | Causes (Viruses), Pathophysiology, Signs & Symptoms, Diagnosis, Treatment Bell Palsy is a condition involving paralysis of the facial nerve (Cranial nerve VII), which is responsible for facial movements and expressions, taste sensation and lacrimation. In Bell’s Palsy, the facial nerve is affected due to ischemia, edema or another process that may be triggered by a viral infection with particular viruses (herpes simplex virus, herpes zoster virus) or some bacteria (mycoplasma and syphilis). In this lesson, we discuss the facial nerve and pathophysiology of Bell’s palsy, the signs and symptoms, how it’s diagnosed and how it’s treated by clinicians. I hope you find this lesson helpful. If you do, please like and subscribe for more lessons like this one! ...
published: 22 Mar 2022 -
VIDEO: What is Bell's palsy? Symptoms, treatment and recovery
The virus causes inflammation near the ear, which presses on the facial nerve, rendering half of the face completely or partially paralyzed.
published: 15 Nov 2018 -
Bell's palsy: One Loyola patient's story
Audrey Rex talks about how she noticed the onset of Bell's palsy.. At first she was having trouble pronouncing 'b' and 'p,' and soon lost her ability to smile. After six months she had no movement on one side of her face. She met with Dr. John Leonetti, director of Cranial Base Surgery at Loyola and a well-renowned Bell's palsy specialist. Dr. Leonetti explains how Bell's palsy, or idiopathic facial paralysis, causes acute facial paralysis on one side of the face. It is thought to be caused by a virus. The nerve swells within its bony sleeve and paralyzes itself. Audrey had the surgery to remove the bony sleeve, which relieved pressure on the nerve. She soon started to recover movement in her face. She met with a therapist to improve her muscle function. Her motivation has paid off. Audrey...
published: 11 Jun 2013 -
Bell’s Palsy at UVA: From Facial Paralysis to Recovery
#uvahealth #facialparalysis #facialpalsy Although Bell’s palsy is the most common cause of facial paralysis on one side of the face, its causes are still unclear. Any facial paralysis should be treated as an emergency. Treatment for Bell’s palsy is most effective in the first three days of its onset. Facial plastic and reconstructive surgeon Sam Oyer, MD, explains Bell’s palsy, including the treatment options and recovery. Find out more at: https://uvahealth.com/services/eye-care/bells-palsy Bell's palsy is the most common cause of facial paralysis that we see in adults. The cause of Bell's palsy is still a little bit unclear, but we think it's a reactivation of the herpes virus that causes cold sores. And it tends to cause complete paralysis on one side of the face, which, for most peo...
published: 26 Jul 2021 -
Treating Bell's Palsy at Loyola Medicine
When Michael Ponzio experienced sudden paralysis on the left side of his face, he was diagnosed with Bell’s palsy. Michael went to see John Leonetti, MD, a Loyola Medicine otolaryngologist who specializes in the treatment of this condition. After Dr. Leonetti performed a facial nerve stimulation procedure on Michael, he started to get movement back. With the help of Lisa Burkman, PT, a Loyola Medicine physical therapist who specializes in facial paralysis, most of Michael's facial function has returned. For more information or to schedule an appointment, please visit https://www.loyolamedicine.org/find-a-condition-or-service/otolaryngology-ent/otolaryngology-conditions/bells-palsy or call 888-584-7888.
published: 08 Sep 2021 -
The facts about Bell's Palsy
The facts about Bell's Palsy
published: 27 Jul 2017
developed with YouTube
2:00
2-Minute Neuroscience: Bell's Palsy
- Order: Reorder
- Duration: 2:00
- Uploaded Date: 14 Jul 2021
- views: 514178
Bell’s palsy is a disorder characterized by facial weakness or paralysis, typically on one side of the face. It results from the dysfunction of cranial nerve VI...
Bell’s palsy is a disorder characterized by facial weakness or paralysis, typically on one side of the face. It results from the dysfunction of cranial nerve VII, the facial nerve, but the cause of the facial nerve dysfunction is unknown. In this video, I discuss the symptoms, possible causes, and prognosis for Bell’s palsy.
TRANSCRIPT:
Bell’s palsy is a disorder that results from the dysfunction of cranial nerve VII, the facial nerve. It involves weakness or paralysis, typically on one side of the face. The onset of the condition is rapid, usually progressing to maximum severity within 72 hours. While there can be a number of causes of facial weakness or paralysis, the cause of Bell’s palsy is unknown, and diagnosis is made by ruling out other potential causes like Lyme disease, trauma, tumors, etc. In other words, Bell’s palsy is only diagnosed when there is not another identifiable cause of the facial paralysis.
The symptoms of Bell’s palsy can vary from case to case in both form and severity, but the most common symptom is rapidly developing weakness on one side of the face. There can be a number of other symptoms that emerge from facial nerve dysfunction, including drooping of the eyelid, drooping of one side of the mouth, drooling, an inability to completely close the eye, excessive tearing and pain in the eye, facial pain, loss of taste, hypersensitivity to sound on the affected side, and other symptoms depending on the case.
Although the cause of Bell’s palsy is unclear, there is evidence that many cases may have a viral origin. Reactivation of latent viruses such as the herpes simplex virus has been hypothesized to be an important factor in many cases of Bell’s palsy, but how exactly viruses might damage the facial nerve is still uncertain. Other factors potentially involved in the development of Bell’s palsy include reduced blood supply to the facial nerve and damage to the facial nerve caused by inflammation. Most cases of Bell’s palsy start to improve without any medical intervention within a few weeks, and recover completely within 3 to 4 months. Less commonly, symptoms may last longer, never completely disappear, or fade away and then reoccur.
REFERENCES:
Baugh RF, Basura GJ, Ishii LE, Schwartz SR, Drumheller CM, Burkholder R, Deckard NA, Dawson C, Driscoll C, Gillespie MB, Gurgel RK, Halperin J, Khalid AN, Kumar KA, Micco A, Munsell D, Rosenbaum S, Vaughan W. Clinical practice guideline: Bell's palsy. Otolaryngol Head Neck Surg. 2013 Nov;149(3 Suppl):S1-27. doi: 10.1177/0194599813505967. PMID: 24189771.
The National Institute of Mental Health. Bell’s Palsy Fact Sheet. NIH Publication No. 18-NS-5114. 2018. Retrieved from: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Bells-Palsy-Fact-Sheet
Reich SG. Bell's Palsy. Continuum (Minneap Minn). 2017 Apr;23(2, Selected Topics in Outpatient Neurology):447-466. doi: 10.1212/CON.0000000000000447. PMID: 28375913.
Zhang W, Xu L, Luo T, Wu F, Zhao B, Li X. The etiology of Bell's palsy: a review. J Neurol. 2020 Jul;267(7):1896-1905. doi: 10.1007/s00415-019-09282-4. Epub 2019 Mar 28. PMID: 30923934; PMCID: PMC7320932.
https://wn.com/2_Minute_Neuroscience_Bell's_Palsy
Bell’s palsy is a disorder characterized by facial weakness or paralysis, typically on one side of the face. It results from the dysfunction of cranial nerve VII, the facial nerve, but the cause of the facial nerve dysfunction is unknown. In this video, I discuss the symptoms, possible causes, and prognosis for Bell’s palsy.
TRANSCRIPT:
Bell’s palsy is a disorder that results from the dysfunction of cranial nerve VII, the facial nerve. It involves weakness or paralysis, typically on one side of the face. The onset of the condition is rapid, usually progressing to maximum severity within 72 hours. While there can be a number of causes of facial weakness or paralysis, the cause of Bell’s palsy is unknown, and diagnosis is made by ruling out other potential causes like Lyme disease, trauma, tumors, etc. In other words, Bell’s palsy is only diagnosed when there is not another identifiable cause of the facial paralysis.
The symptoms of Bell’s palsy can vary from case to case in both form and severity, but the most common symptom is rapidly developing weakness on one side of the face. There can be a number of other symptoms that emerge from facial nerve dysfunction, including drooping of the eyelid, drooping of one side of the mouth, drooling, an inability to completely close the eye, excessive tearing and pain in the eye, facial pain, loss of taste, hypersensitivity to sound on the affected side, and other symptoms depending on the case.
Although the cause of Bell’s palsy is unclear, there is evidence that many cases may have a viral origin. Reactivation of latent viruses such as the herpes simplex virus has been hypothesized to be an important factor in many cases of Bell’s palsy, but how exactly viruses might damage the facial nerve is still uncertain. Other factors potentially involved in the development of Bell’s palsy include reduced blood supply to the facial nerve and damage to the facial nerve caused by inflammation. Most cases of Bell’s palsy start to improve without any medical intervention within a few weeks, and recover completely within 3 to 4 months. Less commonly, symptoms may last longer, never completely disappear, or fade away and then reoccur.
REFERENCES:
Baugh RF, Basura GJ, Ishii LE, Schwartz SR, Drumheller CM, Burkholder R, Deckard NA, Dawson C, Driscoll C, Gillespie MB, Gurgel RK, Halperin J, Khalid AN, Kumar KA, Micco A, Munsell D, Rosenbaum S, Vaughan W. Clinical practice guideline: Bell's palsy. Otolaryngol Head Neck Surg. 2013 Nov;149(3 Suppl):S1-27. doi: 10.1177/0194599813505967. PMID: 24189771.
The National Institute of Mental Health. Bell’s Palsy Fact Sheet. NIH Publication No. 18-NS-5114. 2018. Retrieved from: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Bells-Palsy-Fact-Sheet
Reich SG. Bell's Palsy. Continuum (Minneap Minn). 2017 Apr;23(2, Selected Topics in Outpatient Neurology):447-466. doi: 10.1212/CON.0000000000000447. PMID: 28375913.
Zhang W, Xu L, Luo T, Wu F, Zhao B, Li X. The etiology of Bell's palsy: a review. J Neurol. 2020 Jul;267(7):1896-1905. doi: 10.1007/s00415-019-09282-4. Epub 2019 Mar 28. PMID: 30923934; PMCID: PMC7320932.
3:54
Bell's Palsy, Pathophysiology, Symptoms, Diagnosis and Treatment, Animation
- Order: Reorder
- Duration: 3:54
- Uploaded Date: 04 Jan 2021
- views: 1180139
(USMLE topics) Bell’s palsy: pathophysiology, symptoms, causes, risk factors, diagnosis and treatment. How to differentiate Bell’s palsy from stroke.
Purchase...
(USMLE topics) Bell’s palsy: pathophysiology, symptoms, causes, risk factors, diagnosis and treatment. How to differentiate Bell’s palsy from stroke.
Purchase a license to download a non-watermarked version of this video on AlilaMedicalMedia(dot)com
Check out our new Alila Academy - AlilaAcademy(dot)com - complete video courses with quizzes, PDFs, and downloadable images.
©Alila Medical Media. All rights reserved.
Voice by : Marty Henne
All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.
Bell’s palsy is a form of facial muscle weakness or paralysis, typically on one side of the face. It results from dysfunction of the facial nerve, also known as the seventh cranial nerve. The facial nerve has many branches and diverse functions. It controls the muscles of facial expression, including those involved in eye blinking and closing; it carries nerve impulses to tear glands, salivary glands; and conveys taste sensations from the anterior two-thirds of the tongue. There are two facial nerves, one on each side of the face. Typically, only one nerve, and hence one side of the face, is affected.
The malfunction of the facial nerve is thought to result from its inflammation. The swollen nerve is compressed as it exits the skull within a narrow bony canal.
Symptoms develop suddenly, usually within a couple of days, and can range from mild weakness to total paralysis of face muscles. Other symptoms may include drooping of mouth, drooling, inability to close one eye, facial pain or abnormal sensation, distorted sense of taste, and intolerance to loud noise.
By definition, Bell’s palsy is idiopathic, meaning it has no known cause, but it has been associated with certain viral infections. In particular, reactivation of a dormant virus, triggered by stress, trauma or minor illness, is often thought to be the culprit.
Risk factors include diabetes, hypertension, obesity, pregnancy, and upper respiratory infections.
Diagnosis is based on clinical presentation after other possible causes of facial paralysis are excluded. Patients usually present with rapid development of symptoms, reaching a peak in severity around 72 hours from the time of onset. In most cases, muscle weakness can be observed with both upper and lower facial muscles, including the forehead, eyelid, and mouth. If forehead muscle strength is not affected, a central cause, especially stroke, should be suspected. This is because the upper facial muscles, unlike the lower ones, receive nerve impulses from both hemispheres of the brain, so a lesion in one side will not affect their function.
An electromyography test can be used to confirm nerve damage and determine the extent of severity. Imaging studies can help rule out structural causes, such as a tumor or skull fracture.
Because Bell's palsy impairs the eyelid’s ability to close and blink, the affected eye is exposed to drying and potential injury. Patients must keep the eye moist with lubricating eye drops, and protect it from injury with an eye patch, especially at night.
Without treatment, Bell’s palsy resolves spontaneously in about 2 thirds of patients. Symptoms usually start to improve after a few weeks, and complete recovery is achieved in about six months. Corticosteroids, when started early, can reduce inflammation and improve recovery. Some patients may benefit from physical therapy or facial massage. Decompression surgery to relieve pressure on the nerve is rarely needed and not usually recommended. Severe cases may take longer to resolve. A small number of patients with complete paralysis may continue to have some symptoms for life.
https://wn.com/Bell's_Palsy,_Pathophysiology,_Symptoms,_Diagnosis_And_Treatment,_Animation
(USMLE topics) Bell’s palsy: pathophysiology, symptoms, causes, risk factors, diagnosis and treatment. How to differentiate Bell’s palsy from stroke.
Purchase a license to download a non-watermarked version of this video on AlilaMedicalMedia(dot)com
Check out our new Alila Academy - AlilaAcademy(dot)com - complete video courses with quizzes, PDFs, and downloadable images.
©Alila Medical Media. All rights reserved.
Voice by : Marty Henne
All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.
Bell’s palsy is a form of facial muscle weakness or paralysis, typically on one side of the face. It results from dysfunction of the facial nerve, also known as the seventh cranial nerve. The facial nerve has many branches and diverse functions. It controls the muscles of facial expression, including those involved in eye blinking and closing; it carries nerve impulses to tear glands, salivary glands; and conveys taste sensations from the anterior two-thirds of the tongue. There are two facial nerves, one on each side of the face. Typically, only one nerve, and hence one side of the face, is affected.
The malfunction of the facial nerve is thought to result from its inflammation. The swollen nerve is compressed as it exits the skull within a narrow bony canal.
Symptoms develop suddenly, usually within a couple of days, and can range from mild weakness to total paralysis of face muscles. Other symptoms may include drooping of mouth, drooling, inability to close one eye, facial pain or abnormal sensation, distorted sense of taste, and intolerance to loud noise.
By definition, Bell’s palsy is idiopathic, meaning it has no known cause, but it has been associated with certain viral infections. In particular, reactivation of a dormant virus, triggered by stress, trauma or minor illness, is often thought to be the culprit.
Risk factors include diabetes, hypertension, obesity, pregnancy, and upper respiratory infections.
Diagnosis is based on clinical presentation after other possible causes of facial paralysis are excluded. Patients usually present with rapid development of symptoms, reaching a peak in severity around 72 hours from the time of onset. In most cases, muscle weakness can be observed with both upper and lower facial muscles, including the forehead, eyelid, and mouth. If forehead muscle strength is not affected, a central cause, especially stroke, should be suspected. This is because the upper facial muscles, unlike the lower ones, receive nerve impulses from both hemispheres of the brain, so a lesion in one side will not affect their function.
An electromyography test can be used to confirm nerve damage and determine the extent of severity. Imaging studies can help rule out structural causes, such as a tumor or skull fracture.
Because Bell's palsy impairs the eyelid’s ability to close and blink, the affected eye is exposed to drying and potential injury. Patients must keep the eye moist with lubricating eye drops, and protect it from injury with an eye patch, especially at night.
Without treatment, Bell’s palsy resolves spontaneously in about 2 thirds of patients. Symptoms usually start to improve after a few weeks, and complete recovery is achieved in about six months. Corticosteroids, when started early, can reduce inflammation and improve recovery. Some patients may benefit from physical therapy or facial massage. Decompression surgery to relieve pressure on the nerve is rarely needed and not usually recommended. Severe cases may take longer to resolve. A small number of patients with complete paralysis may continue to have some symptoms for life.
- published: 04 Jan 2021
- views: 1180139
3:09
Bell's Palsy Exercises - Ask Doctor Jo
- Order: Reorder
- Duration: 3:09
- Uploaded Date: 28 Mar 2016
- views: 1522536
Bell’s Palsy is the sudden weakness of your facial muscles on one half of the face. These exercises may seem like you are just making funny faces, but this will...
Bell’s Palsy is the sudden weakness of your facial muscles on one half of the face. These exercises may seem like you are just making funny faces, but this will help get the weak muscles working again. Read Doctor Jo’s blog post about this video at: http://www.askdoctorjo.com/content/bells-palsy-exercises
You want to do these in front of a mirror so you can see the movements you are getting. You can use your fingers to help with the movement if you need to, and move both sides of your face for the exercises.
The first exercise is lifting your eyebrows like you are surprised. If you need to use your finger, place it right above your eyebrow and then lift both eyebrows up like you are surprised. Just start off with ten of these because you don’t want to overwork the muscles. The next one is moving the eyebrows in together, almost like an angry face. Again, you can put your finger on top of your eyebrow and push inward to help the movement.
Now you will move down to the nose area and flare your nose. You can flare them out or down. Put your finger right in the crease of the nose to help the movement. Then you are going to move to your lips. You are going to try to make a smiley face curving your lips upward. Put your finger on the corner of your lip to help it move upward.
Eventually you can try to hold the position for 3 seconds, but just start off with ten of each to get the muscles moving.
Other Ask Doctor Jo Videos:
Vertigo Treatment with Simple Exercises (BPPV):
https://www.youtube.com/watch?v=iP-UYhAk6tA
Balance & Coordination Exercises:
https://www.youtube.com/watch?v=HNbjptrn3-A
===========================================
SUBSCRIBE for More Videos:
http://www.youtube.com/subscription_center?add_user=askdoctorjo
=======================================
Doctor Jo is a licensed Physical Therapist and Doctor of Physical Therapy.
http://www.AskDoctorJo.com
http://www.facebook.com/AskDoctorJo
http://www.pinterest.com/AskDoctorJo
https://www.instagram.com/AskDoctorJo
http://www.twitter.com/AskDoctorJo
http://plus.google.com/+AskDoctorJo
=======================================
Bell’s Palsy Exercises:
https://www.youtube.com/watch?v=8PcHtClQWyI
DISCLAIMER: This video and any related comments are not medical advice. Doctor Jo is a licensed Physical Therapist and Doctor of Physical Therapy; however, she is not YOUR Physical Therapist and can't possibly diagnose you through the Internet. So don't use this information to avoid going to your own healthcare professional or to replace the advice they have given you. This information should not be used to self-diagnose or self-treat any medical condition. If you are not properly diagnosed, this information won't help, and it could make things worse. If you experience any pain, stop immediately and see your healthcare professional.
https://wn.com/Bell's_Palsy_Exercises_Ask_Doctor_Jo
Bell’s Palsy is the sudden weakness of your facial muscles on one half of the face. These exercises may seem like you are just making funny faces, but this will help get the weak muscles working again. Read Doctor Jo’s blog post about this video at: http://www.askdoctorjo.com/content/bells-palsy-exercises
You want to do these in front of a mirror so you can see the movements you are getting. You can use your fingers to help with the movement if you need to, and move both sides of your face for the exercises.
The first exercise is lifting your eyebrows like you are surprised. If you need to use your finger, place it right above your eyebrow and then lift both eyebrows up like you are surprised. Just start off with ten of these because you don’t want to overwork the muscles. The next one is moving the eyebrows in together, almost like an angry face. Again, you can put your finger on top of your eyebrow and push inward to help the movement.
Now you will move down to the nose area and flare your nose. You can flare them out or down. Put your finger right in the crease of the nose to help the movement. Then you are going to move to your lips. You are going to try to make a smiley face curving your lips upward. Put your finger on the corner of your lip to help it move upward.
Eventually you can try to hold the position for 3 seconds, but just start off with ten of each to get the muscles moving.
Other Ask Doctor Jo Videos:
Vertigo Treatment with Simple Exercises (BPPV):
https://www.youtube.com/watch?v=iP-UYhAk6tA
Balance & Coordination Exercises:
https://www.youtube.com/watch?v=HNbjptrn3-A
===========================================
SUBSCRIBE for More Videos:
http://www.youtube.com/subscription_center?add_user=askdoctorjo
=======================================
Doctor Jo is a licensed Physical Therapist and Doctor of Physical Therapy.
http://www.AskDoctorJo.com
http://www.facebook.com/AskDoctorJo
http://www.pinterest.com/AskDoctorJo
https://www.instagram.com/AskDoctorJo
http://www.twitter.com/AskDoctorJo
http://plus.google.com/+AskDoctorJo
=======================================
Bell’s Palsy Exercises:
https://www.youtube.com/watch?v=8PcHtClQWyI
DISCLAIMER: This video and any related comments are not medical advice. Doctor Jo is a licensed Physical Therapist and Doctor of Physical Therapy; however, she is not YOUR Physical Therapist and can't possibly diagnose you through the Internet. So don't use this information to avoid going to your own healthcare professional or to replace the advice they have given you. This information should not be used to self-diagnose or self-treat any medical condition. If you are not properly diagnosed, this information won't help, and it could make things worse. If you experience any pain, stop immediately and see your healthcare professional.
- published: 28 Mar 2016
- views: 1522536
15:32
Bells Palsy and Stroke
- Order: Reorder
- Duration: 15:32
- Uploaded Date: 09 Jan 2020
- views: 168842
Access my FREE Online Membership today → https://www.thenotedanatomist.com
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Unlock my Premium Tutoring Memberships → https://www.thenotedanatomist.com/premiu...
Access my FREE Online Membership today → https://www.thenotedanatomist.com
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Unlock my Premium Tutoring Memberships → https://www.thenotedanatomist.com/premium-memberships
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Discover A Simplified Approach to Master the Complexity of Anatomy with me, Dr. David Morton ... The Noted Anatomist!
------------------------------------------------------------------
This video tutorial compares and contrasts facial (Bells) palsy and stroke.
0:00. Introduction
0:21. Course of lower motor neurons (LMN) in facial n.; muscles of facial expression
2:05. Facial (Bells) palsy
4:40. Anatomy of upper motor neurons (UMN) for facial n.
5:36. Motor homunculus for facial muscles
6:11. UMN innervation of facial n.
7:55. Stroke
9:50. F.A.S.T. and stroke
11:14. Practice questions
12:41. In a Nutshell
14:55. Acknowledgements
https://wn.com/Bells_Palsy_And_Stroke
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This video tutorial compares and contrasts facial (Bells) palsy and stroke.
0:00. Introduction
0:21. Course of lower motor neurons (LMN) in facial n.; muscles of facial expression
2:05. Facial (Bells) palsy
4:40. Anatomy of upper motor neurons (UMN) for facial n.
5:36. Motor homunculus for facial muscles
6:11. UMN innervation of facial n.
7:55. Stroke
9:50. F.A.S.T. and stroke
11:14. Practice questions
12:41. In a Nutshell
14:55. Acknowledgements
- published: 09 Jan 2020
- views: 168842
20:08
Bell’s Palsy (Facial Paralysis) | Causes, Pathophysiology, Signs & Symptoms, Diagnosis, Treatment
- Order: Reorder
- Duration: 20:08
- Uploaded Date: 22 Mar 2022
- views: 114570
Bell’s Palsy (Facial Paralysis) | Causes (Viruses), Pathophysiology, Signs & Symptoms, Diagnosis, Treatment
Bell Palsy is a condition involving paralysis of th...
Bell’s Palsy (Facial Paralysis) | Causes (Viruses), Pathophysiology, Signs & Symptoms, Diagnosis, Treatment
Bell Palsy is a condition involving paralysis of the facial nerve (Cranial nerve VII), which is responsible for facial movements and expressions, taste sensation and lacrimation. In Bell’s Palsy, the facial nerve is affected due to ischemia, edema or another process that may be triggered by a viral infection with particular viruses (herpes simplex virus, herpes zoster virus) or some bacteria (mycoplasma and syphilis). In this lesson, we discuss the facial nerve and pathophysiology of Bell’s palsy, the signs and symptoms, how it’s diagnosed and how it’s treated by clinicians.
I hope you find this lesson helpful. If you do, please like and subscribe for more lessons like this one!
JJ
**MEDICAL LEGAL DISCLAIMER**: JJ Medicine does not provide medical advice, and the information available on this channel does not offer a diagnosis or advice regarding treatment. Information presented in these lessons is for educational purposes ONLY, and information presented here is not to be used as an alternative to a healthcare professional’s diagnosis and treatment of any person/animal. Only a physician or other licensed healthcare professional are able to determine the requirement for medical assistance to be given to a patient. Please seek the advice of your physician or other licensed healthcare provider if you have any questions regarding a medical condition.
*AFFILIATE DISCLAIMER: This YouTube Channel uses affiliate links and may earn a commission from associated sales.
*IMAGE DISCLAIMER: The content (ex. images) used in this lesson are used in accordance with Fair Use laws and are intended for educational/teaching purposes only*
*Subscribe for more free medical lessons* https://www.youtube.com/channel/UCFPvnkCZbHfBvV8ApBBE0vA?sub_confirmation=1
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Medical Terminology - The Basics - Lesson 1:
https://www.youtube.com/watch?v=04Wh2E9oNug
Infectious Disease Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwW0Bkc6c66uDACkzotaK26b
Dermatology Playlist
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Pharmacology Playlist
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Endocrinology Playlist
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Nephrology Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwXRSwrFQK5WwWZLk1Las8v8
Fatty Acid Synthesis Pathway:
https://www.youtube.com/watch?v=WuQS_LpNMzo
Wnt/B Catenin Signaling Pathway:
https://www.youtube.com/watch?v=NGVP4J9jpgs
Upper vs. Lower Motor Neuron Lesions:
https://www.youtube.com/watch?v=itNd74V53ng
Lesson on the Purine Synthesis and Salvage Pathway:
https://www.youtube.com/watch?v=e2KFVvI8Akk
Gastrulation | Formation of Germ Layers:
https://www.youtube.com/watch?v=d6Kkn0SECJ4
Introductory lesson on Autophagy (Macroautophagy):
https://www.youtube.com/watch?v=UmSVKzHc5yA
https://wn.com/Bell’S_Palsy_(Facial_Paralysis)_|_Causes,_Pathophysiology,_Signs_Symptoms,_Diagnosis,_Treatment
Bell’s Palsy (Facial Paralysis) | Causes (Viruses), Pathophysiology, Signs & Symptoms, Diagnosis, Treatment
Bell Palsy is a condition involving paralysis of the facial nerve (Cranial nerve VII), which is responsible for facial movements and expressions, taste sensation and lacrimation. In Bell’s Palsy, the facial nerve is affected due to ischemia, edema or another process that may be triggered by a viral infection with particular viruses (herpes simplex virus, herpes zoster virus) or some bacteria (mycoplasma and syphilis). In this lesson, we discuss the facial nerve and pathophysiology of Bell’s palsy, the signs and symptoms, how it’s diagnosed and how it’s treated by clinicians.
I hope you find this lesson helpful. If you do, please like and subscribe for more lessons like this one!
JJ
**MEDICAL LEGAL DISCLAIMER**: JJ Medicine does not provide medical advice, and the information available on this channel does not offer a diagnosis or advice regarding treatment. Information presented in these lessons is for educational purposes ONLY, and information presented here is not to be used as an alternative to a healthcare professional’s diagnosis and treatment of any person/animal. Only a physician or other licensed healthcare professional are able to determine the requirement for medical assistance to be given to a patient. Please seek the advice of your physician or other licensed healthcare provider if you have any questions regarding a medical condition.
*AFFILIATE DISCLAIMER: This YouTube Channel uses affiliate links and may earn a commission from associated sales.
*IMAGE DISCLAIMER: The content (ex. images) used in this lesson are used in accordance with Fair Use laws and are intended for educational/teaching purposes only*
*Subscribe for more free medical lessons* https://www.youtube.com/channel/UCFPvnkCZbHfBvV8ApBBE0vA?sub_confirmation=1
-------------------------------------------------------------------------------------------------------------
For books and more information on these topics
https://www.amazon.com/shop/jjmedicine
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*Check Out Some of My Other Lessons*
Medical Terminology - The Basics - Lesson 1:
https://www.youtube.com/watch?v=04Wh2E9oNug
Infectious Disease Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwW0Bkc6c66uDACkzotaK26b
Dermatology Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwW3dgORRNmk_MZvnWpZx_lW
Pharmacology Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwWPWcV9lZTh-Qxv0gYakQXR
Hematology Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwW8Ajo1dmxdj4EYEKcbtGju
Rheumatology Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwWDvuhasXsuTFXJp05wwUle
Endocrinology Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwUuRSzhploohnaWVvbVZ7ZP
Nephrology Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwXRSwrFQK5WwWZLk1Las8v8
Fatty Acid Synthesis Pathway:
https://www.youtube.com/watch?v=WuQS_LpNMzo
Wnt/B Catenin Signaling Pathway:
https://www.youtube.com/watch?v=NGVP4J9jpgs
Upper vs. Lower Motor Neuron Lesions:
https://www.youtube.com/watch?v=itNd74V53ng
Lesson on the Purine Synthesis and Salvage Pathway:
https://www.youtube.com/watch?v=e2KFVvI8Akk
Gastrulation | Formation of Germ Layers:
https://www.youtube.com/watch?v=d6Kkn0SECJ4
Introductory lesson on Autophagy (Macroautophagy):
https://www.youtube.com/watch?v=UmSVKzHc5yA
- published: 22 Mar 2022
- views: 114570
3:58
VIDEO: What is Bell's palsy? Symptoms, treatment and recovery
- Order: Reorder
- Duration: 3:58
- Uploaded Date: 15 Nov 2018
- views: 216492
The virus causes inflammation near the ear, which presses on the facial nerve, rendering half of the face completely or partially paralyzed.
The virus causes inflammation near the ear, which presses on the facial nerve, rendering half of the face completely or partially paralyzed.
https://wn.com/Video_What_Is_Bell's_Palsy_Symptoms,_Treatment_And_Recovery
The virus causes inflammation near the ear, which presses on the facial nerve, rendering half of the face completely or partially paralyzed.
- published: 15 Nov 2018
- views: 216492
4:08
Bell's palsy: One Loyola patient's story
- Order: Reorder
- Duration: 4:08
- Uploaded Date: 11 Jun 2013
- views: 295845
Audrey Rex talks about how she noticed the onset of Bell's palsy.. At first she was having trouble pronouncing 'b' and 'p,' and soon lost her ability to smile. ...
Audrey Rex talks about how she noticed the onset of Bell's palsy.. At first she was having trouble pronouncing 'b' and 'p,' and soon lost her ability to smile. After six months she had no movement on one side of her face. She met with Dr. John Leonetti, director of Cranial Base Surgery at Loyola and a well-renowned Bell's palsy specialist. Dr. Leonetti explains how Bell's palsy, or idiopathic facial paralysis, causes acute facial paralysis on one side of the face. It is thought to be caused by a virus. The nerve swells within its bony sleeve and paralyzes itself. Audrey had the surgery to remove the bony sleeve, which relieved pressure on the nerve. She soon started to recover movement in her face. She met with a therapist to improve her muscle function. Her motivation has paid off. Audrey has recovered beautifully. For more information or to make an appointment, please visit https://www.loyolamedicine.org/find-a-condition-or-service/otolaryngology-ent/otolaryngology-conditions/bells-palsy or call 888-584-7888.
https://wn.com/Bell's_Palsy_One_Loyola_Patient's_Story
Audrey Rex talks about how she noticed the onset of Bell's palsy.. At first she was having trouble pronouncing 'b' and 'p,' and soon lost her ability to smile. After six months she had no movement on one side of her face. She met with Dr. John Leonetti, director of Cranial Base Surgery at Loyola and a well-renowned Bell's palsy specialist. Dr. Leonetti explains how Bell's palsy, or idiopathic facial paralysis, causes acute facial paralysis on one side of the face. It is thought to be caused by a virus. The nerve swells within its bony sleeve and paralyzes itself. Audrey had the surgery to remove the bony sleeve, which relieved pressure on the nerve. She soon started to recover movement in her face. She met with a therapist to improve her muscle function. Her motivation has paid off. Audrey has recovered beautifully. For more information or to make an appointment, please visit https://www.loyolamedicine.org/find-a-condition-or-service/otolaryngology-ent/otolaryngology-conditions/bells-palsy or call 888-584-7888.
- published: 11 Jun 2013
- views: 295845
2:37
Bell’s Palsy at UVA: From Facial Paralysis to Recovery
- Order: Reorder
- Duration: 2:37
- Uploaded Date: 26 Jul 2021
- views: 47631
#uvahealth #facialparalysis #facialpalsy
Although Bell’s palsy is the most common cause of facial paralysis on one side of the face, its causes are still unclea...
#uvahealth #facialparalysis #facialpalsy
Although Bell’s palsy is the most common cause of facial paralysis on one side of the face, its causes are still unclear. Any facial paralysis should be treated as an emergency. Treatment for Bell’s palsy is most effective in the first three days of its onset. Facial plastic and reconstructive surgeon Sam Oyer, MD, explains Bell’s palsy, including the treatment options and recovery.
Find out more at: https://uvahealth.com/services/eye-care/bells-palsy
Bell's palsy is the most common cause of facial paralysis that we see in adults. The cause of Bell's palsy is still a little bit unclear, but we think it's a reactivation of the herpes virus that causes cold sores. And it tends to cause complete paralysis on one side of the face, which, for most people, recovers. But a subset of people, maybe 25, even 30%, don't see full recovery after Bell's palsy.
If someone has paralysis on one side of the face, they should immediately seek medical care to rule out other causes. Bell's palsy is really a diagnosis of exclusion once all these other causes have been ruled out.
The treatment, early on, is medical, with antiviral medication and steroid medication to help reduce swelling and inflammation around the nerve. Some people recover very quickly and recover completely, and it's never a problem long term. Others, again, recover much more slowly and have trouble with incomplete eye closure, mouth droop, drooling when they're trying to eat or drink. And when they do recover, some get tightness or spasm in their facial muscles.
Others may get synkinesis during recovery, which means that their muscle movements are linked. So when they close their eyes, their mouth moves. Or when they do a big smile, their eye closes, or their neck tightens. In these cases, we can usually make some improvements.
The first step is usually to work with our specialized physical therapists, who will work to retrain your brain to work the muscles differently. And it's a special process where they really work on training the brain to control the face. That can be augmented sometimes with Botox injections. This helps cut down spasms in the muscles that we don't want to move, but leaves alone the muscles we do want to move.
So those two procedures together really can improve the spasm and synkinesis for a lot of people. For some, it doesn't get enough improvement. And so, there's a surgical procedure that we may consider offering in that case where the facial nerves are mapped out and electrically stimulated during surgery. With that stimulation, we can see what motion is produced and the nerves that are creating motion that we like to see, like eye closure and smile. Those nerves are saved. For the other nerves that are pulling the mouth down, tightening the neck, or creating too much pucker around the mouth, we cut a little segment of those nerves selectively. It’s called selective neurectomy. It is a good option for some people to be able to improve their smile and improve their facial function when the more conservative treatments may not be working well.
https://wn.com/Bell’S_Palsy_At_Uva_From_Facial_Paralysis_To_Recovery
#uvahealth #facialparalysis #facialpalsy
Although Bell’s palsy is the most common cause of facial paralysis on one side of the face, its causes are still unclear. Any facial paralysis should be treated as an emergency. Treatment for Bell’s palsy is most effective in the first three days of its onset. Facial plastic and reconstructive surgeon Sam Oyer, MD, explains Bell’s palsy, including the treatment options and recovery.
Find out more at: https://uvahealth.com/services/eye-care/bells-palsy
Bell's palsy is the most common cause of facial paralysis that we see in adults. The cause of Bell's palsy is still a little bit unclear, but we think it's a reactivation of the herpes virus that causes cold sores. And it tends to cause complete paralysis on one side of the face, which, for most people, recovers. But a subset of people, maybe 25, even 30%, don't see full recovery after Bell's palsy.
If someone has paralysis on one side of the face, they should immediately seek medical care to rule out other causes. Bell's palsy is really a diagnosis of exclusion once all these other causes have been ruled out.
The treatment, early on, is medical, with antiviral medication and steroid medication to help reduce swelling and inflammation around the nerve. Some people recover very quickly and recover completely, and it's never a problem long term. Others, again, recover much more slowly and have trouble with incomplete eye closure, mouth droop, drooling when they're trying to eat or drink. And when they do recover, some get tightness or spasm in their facial muscles.
Others may get synkinesis during recovery, which means that their muscle movements are linked. So when they close their eyes, their mouth moves. Or when they do a big smile, their eye closes, or their neck tightens. In these cases, we can usually make some improvements.
The first step is usually to work with our specialized physical therapists, who will work to retrain your brain to work the muscles differently. And it's a special process where they really work on training the brain to control the face. That can be augmented sometimes with Botox injections. This helps cut down spasms in the muscles that we don't want to move, but leaves alone the muscles we do want to move.
So those two procedures together really can improve the spasm and synkinesis for a lot of people. For some, it doesn't get enough improvement. And so, there's a surgical procedure that we may consider offering in that case where the facial nerves are mapped out and electrically stimulated during surgery. With that stimulation, we can see what motion is produced and the nerves that are creating motion that we like to see, like eye closure and smile. Those nerves are saved. For the other nerves that are pulling the mouth down, tightening the neck, or creating too much pucker around the mouth, we cut a little segment of those nerves selectively. It’s called selective neurectomy. It is a good option for some people to be able to improve their smile and improve their facial function when the more conservative treatments may not be working well.
- published: 26 Jul 2021
- views: 47631
4:08
Treating Bell's Palsy at Loyola Medicine
- Order: Reorder
- Duration: 4:08
- Uploaded Date: 08 Sep 2021
- views: 50621
When Michael Ponzio experienced sudden paralysis on the left side of his face, he was diagnosed with Bell’s palsy. Michael went to see John Leonetti, MD, a Loyo...
When Michael Ponzio experienced sudden paralysis on the left side of his face, he was diagnosed with Bell’s palsy. Michael went to see John Leonetti, MD, a Loyola Medicine otolaryngologist who specializes in the treatment of this condition. After Dr. Leonetti performed a facial nerve stimulation procedure on Michael, he started to get movement back. With the help of Lisa Burkman, PT, a Loyola Medicine physical therapist who specializes in facial paralysis, most of Michael's facial function has returned. For more information or to schedule an appointment, please visit https://www.loyolamedicine.org/find-a-condition-or-service/otolaryngology-ent/otolaryngology-conditions/bells-palsy or call 888-584-7888.
https://wn.com/Treating_Bell's_Palsy_At_Loyola_Medicine
When Michael Ponzio experienced sudden paralysis on the left side of his face, he was diagnosed with Bell’s palsy. Michael went to see John Leonetti, MD, a Loyola Medicine otolaryngologist who specializes in the treatment of this condition. After Dr. Leonetti performed a facial nerve stimulation procedure on Michael, he started to get movement back. With the help of Lisa Burkman, PT, a Loyola Medicine physical therapist who specializes in facial paralysis, most of Michael's facial function has returned. For more information or to schedule an appointment, please visit https://www.loyolamedicine.org/find-a-condition-or-service/otolaryngology-ent/otolaryngology-conditions/bells-palsy or call 888-584-7888.
- published: 08 Sep 2021
- views: 50621
3:30
The facts about Bell's Palsy
- Order: Reorder
- Duration: 3:30
- Uploaded Date: 27 Jul 2017
- views: 15128
The facts about Bell's Palsy
The facts about Bell's Palsy
https://wn.com/The_Facts_About_Bell's_Palsy
The facts about Bell's Palsy
- published: 27 Jul 2017
- views: 15128
2:00
2-Minute Neuroscience: Bell's Palsy
Bell’s palsy is a disorder characterized by facial weakness or paralysis, typically on one...
published: 14 Jul 2021
2-Minute Neuroscience: Bell's Palsy
2-Minute Neuroscience: Bell's Palsy
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- published: 14 Jul 2021
- views: 514178
Bell’s palsy is a disorder characterized by facial weakness or paralysis, typically on one side of the face. It results from the dysfunction of cranial nerve VII, the facial nerve, but the cause of the facial nerve dysfunction is unknown. In this video, I discuss the symptoms, possible causes, and prognosis for Bell’s palsy.
TRANSCRIPT:
Bell’s palsy is a disorder that results from the dysfunction of cranial nerve VII, the facial nerve. It involves weakness or paralysis, typically on one side of the face. The onset of the condition is rapid, usually progressing to maximum severity within 72 hours. While there can be a number of causes of facial weakness or paralysis, the cause of Bell’s palsy is unknown, and diagnosis is made by ruling out other potential causes like Lyme disease, trauma, tumors, etc. In other words, Bell’s palsy is only diagnosed when there is not another identifiable cause of the facial paralysis.
The symptoms of Bell’s palsy can vary from case to case in both form and severity, but the most common symptom is rapidly developing weakness on one side of the face. There can be a number of other symptoms that emerge from facial nerve dysfunction, including drooping of the eyelid, drooping of one side of the mouth, drooling, an inability to completely close the eye, excessive tearing and pain in the eye, facial pain, loss of taste, hypersensitivity to sound on the affected side, and other symptoms depending on the case.
Although the cause of Bell’s palsy is unclear, there is evidence that many cases may have a viral origin. Reactivation of latent viruses such as the herpes simplex virus has been hypothesized to be an important factor in many cases of Bell’s palsy, but how exactly viruses might damage the facial nerve is still uncertain. Other factors potentially involved in the development of Bell’s palsy include reduced blood supply to the facial nerve and damage to the facial nerve caused by inflammation. Most cases of Bell’s palsy start to improve without any medical intervention within a few weeks, and recover completely within 3 to 4 months. Less commonly, symptoms may last longer, never completely disappear, or fade away and then reoccur.
REFERENCES:
Baugh RF, Basura GJ, Ishii LE, Schwartz SR, Drumheller CM, Burkholder R, Deckard NA, Dawson C, Driscoll C, Gillespie MB, Gurgel RK, Halperin J, Khalid AN, Kumar KA, Micco A, Munsell D, Rosenbaum S, Vaughan W. Clinical practice guideline: Bell's palsy. Otolaryngol Head Neck Surg. 2013 Nov;149(3 Suppl):S1-27. doi: 10.1177/0194599813505967. PMID: 24189771.
The National Institute of Mental Health. Bell’s Palsy Fact Sheet. NIH Publication No. 18-NS-5114. 2018. Retrieved from: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Bells-Palsy-Fact-Sheet
Reich SG. Bell's Palsy. Continuum (Minneap Minn). 2017 Apr;23(2, Selected Topics in Outpatient Neurology):447-466. doi: 10.1212/CON.0000000000000447. PMID: 28375913.
Zhang W, Xu L, Luo T, Wu F, Zhao B, Li X. The etiology of Bell's palsy: a review. J Neurol. 2020 Jul;267(7):1896-1905. doi: 10.1007/s00415-019-09282-4. Epub 2019 Mar 28. PMID: 30923934; PMCID: PMC7320932.
3:54
Bell's Palsy, Pathophysiology, Symptoms, Diagnosis and Treatment, Animation
(USMLE topics) Bell’s palsy: pathophysiology, symptoms, causes, risk factors, diagnosis an...
published: 04 Jan 2021
Bell's Palsy, Pathophysiology, Symptoms, Diagnosis and Treatment, Animation
Bell's Palsy, Pathophysiology, Symptoms, Diagnosis and Treatment, Animation
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- published: 04 Jan 2021
- views: 1180139
(USMLE topics) Bell’s palsy: pathophysiology, symptoms, causes, risk factors, diagnosis and treatment. How to differentiate Bell’s palsy from stroke.
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All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.
Bell’s palsy is a form of facial muscle weakness or paralysis, typically on one side of the face. It results from dysfunction of the facial nerve, also known as the seventh cranial nerve. The facial nerve has many branches and diverse functions. It controls the muscles of facial expression, including those involved in eye blinking and closing; it carries nerve impulses to tear glands, salivary glands; and conveys taste sensations from the anterior two-thirds of the tongue. There are two facial nerves, one on each side of the face. Typically, only one nerve, and hence one side of the face, is affected.
The malfunction of the facial nerve is thought to result from its inflammation. The swollen nerve is compressed as it exits the skull within a narrow bony canal.
Symptoms develop suddenly, usually within a couple of days, and can range from mild weakness to total paralysis of face muscles. Other symptoms may include drooping of mouth, drooling, inability to close one eye, facial pain or abnormal sensation, distorted sense of taste, and intolerance to loud noise.
By definition, Bell’s palsy is idiopathic, meaning it has no known cause, but it has been associated with certain viral infections. In particular, reactivation of a dormant virus, triggered by stress, trauma or minor illness, is often thought to be the culprit.
Risk factors include diabetes, hypertension, obesity, pregnancy, and upper respiratory infections.
Diagnosis is based on clinical presentation after other possible causes of facial paralysis are excluded. Patients usually present with rapid development of symptoms, reaching a peak in severity around 72 hours from the time of onset. In most cases, muscle weakness can be observed with both upper and lower facial muscles, including the forehead, eyelid, and mouth. If forehead muscle strength is not affected, a central cause, especially stroke, should be suspected. This is because the upper facial muscles, unlike the lower ones, receive nerve impulses from both hemispheres of the brain, so a lesion in one side will not affect their function.
An electromyography test can be used to confirm nerve damage and determine the extent of severity. Imaging studies can help rule out structural causes, such as a tumor or skull fracture.
Because Bell's palsy impairs the eyelid’s ability to close and blink, the affected eye is exposed to drying and potential injury. Patients must keep the eye moist with lubricating eye drops, and protect it from injury with an eye patch, especially at night.
Without treatment, Bell’s palsy resolves spontaneously in about 2 thirds of patients. Symptoms usually start to improve after a few weeks, and complete recovery is achieved in about six months. Corticosteroids, when started early, can reduce inflammation and improve recovery. Some patients may benefit from physical therapy or facial massage. Decompression surgery to relieve pressure on the nerve is rarely needed and not usually recommended. Severe cases may take longer to resolve. A small number of patients with complete paralysis may continue to have some symptoms for life.
3:09
Bell's Palsy Exercises - Ask Doctor Jo
Bell’s Palsy is the sudden weakness of your facial muscles on one half of the face. These ...
published: 28 Mar 2016
Bell's Palsy Exercises - Ask Doctor Jo
Bell's Palsy Exercises - Ask Doctor Jo
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- published: 28 Mar 2016
- views: 1522536
Bell’s Palsy is the sudden weakness of your facial muscles on one half of the face. These exercises may seem like you are just making funny faces, but this will help get the weak muscles working again. Read Doctor Jo’s blog post about this video at: http://www.askdoctorjo.com/content/bells-palsy-exercises
You want to do these in front of a mirror so you can see the movements you are getting. You can use your fingers to help with the movement if you need to, and move both sides of your face for the exercises.
The first exercise is lifting your eyebrows like you are surprised. If you need to use your finger, place it right above your eyebrow and then lift both eyebrows up like you are surprised. Just start off with ten of these because you don’t want to overwork the muscles. The next one is moving the eyebrows in together, almost like an angry face. Again, you can put your finger on top of your eyebrow and push inward to help the movement.
Now you will move down to the nose area and flare your nose. You can flare them out or down. Put your finger right in the crease of the nose to help the movement. Then you are going to move to your lips. You are going to try to make a smiley face curving your lips upward. Put your finger on the corner of your lip to help it move upward.
Eventually you can try to hold the position for 3 seconds, but just start off with ten of each to get the muscles moving.
Other Ask Doctor Jo Videos:
Vertigo Treatment with Simple Exercises (BPPV):
https://www.youtube.com/watch?v=iP-UYhAk6tA
Balance & Coordination Exercises:
https://www.youtube.com/watch?v=HNbjptrn3-A
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Bell’s Palsy Exercises:
https://www.youtube.com/watch?v=8PcHtClQWyI
DISCLAIMER: This video and any related comments are not medical advice. Doctor Jo is a licensed Physical Therapist and Doctor of Physical Therapy; however, she is not YOUR Physical Therapist and can't possibly diagnose you through the Internet. So don't use this information to avoid going to your own healthcare professional or to replace the advice they have given you. This information should not be used to self-diagnose or self-treat any medical condition. If you are not properly diagnosed, this information won't help, and it could make things worse. If you experience any pain, stop immediately and see your healthcare professional.
15:32
Bells Palsy and Stroke
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published: 09 Jan 2020
Bells Palsy and Stroke
Bells Palsy and Stroke
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- published: 09 Jan 2020
- views: 168842
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This video tutorial compares and contrasts facial (Bells) palsy and stroke.
0:00. Introduction
0:21. Course of lower motor neurons (LMN) in facial n.; muscles of facial expression
2:05. Facial (Bells) palsy
4:40. Anatomy of upper motor neurons (UMN) for facial n.
5:36. Motor homunculus for facial muscles
6:11. UMN innervation of facial n.
7:55. Stroke
9:50. F.A.S.T. and stroke
11:14. Practice questions
12:41. In a Nutshell
14:55. Acknowledgements
20:08
Bell’s Palsy (Facial Paralysis) | Causes, Pathophysiology, Signs & Symptoms, Diagnosis, Treatment
Bell’s Palsy (Facial Paralysis) | Causes (Viruses), Pathophysiology, Signs & Symptoms, Dia...
published: 22 Mar 2022
Bell’s Palsy (Facial Paralysis) | Causes, Pathophysiology, Signs & Symptoms, Diagnosis, Treatment
Bell’s Palsy (Facial Paralysis) | Causes, Pathophysiology, Signs & Symptoms, Diagnosis, Treatment
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- published: 22 Mar 2022
- views: 114570
Bell’s Palsy (Facial Paralysis) | Causes (Viruses), Pathophysiology, Signs & Symptoms, Diagnosis, Treatment
Bell Palsy is a condition involving paralysis of the facial nerve (Cranial nerve VII), which is responsible for facial movements and expressions, taste sensation and lacrimation. In Bell’s Palsy, the facial nerve is affected due to ischemia, edema or another process that may be triggered by a viral infection with particular viruses (herpes simplex virus, herpes zoster virus) or some bacteria (mycoplasma and syphilis). In this lesson, we discuss the facial nerve and pathophysiology of Bell’s palsy, the signs and symptoms, how it’s diagnosed and how it’s treated by clinicians.
I hope you find this lesson helpful. If you do, please like and subscribe for more lessons like this one!
JJ
**MEDICAL LEGAL DISCLAIMER**: JJ Medicine does not provide medical advice, and the information available on this channel does not offer a diagnosis or advice regarding treatment. Information presented in these lessons is for educational purposes ONLY, and information presented here is not to be used as an alternative to a healthcare professional’s diagnosis and treatment of any person/animal. Only a physician or other licensed healthcare professional are able to determine the requirement for medical assistance to be given to a patient. Please seek the advice of your physician or other licensed healthcare provider if you have any questions regarding a medical condition.
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*Check Out Some of My Other Lessons*
Medical Terminology - The Basics - Lesson 1:
https://www.youtube.com/watch?v=04Wh2E9oNug
Infectious Disease Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwW0Bkc6c66uDACkzotaK26b
Dermatology Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwW3dgORRNmk_MZvnWpZx_lW
Pharmacology Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwWPWcV9lZTh-Qxv0gYakQXR
Hematology Playlist
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Rheumatology Playlist
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Endocrinology Playlist
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Nephrology Playlist
https://www.youtube.com/playlist?list=PLRjNoiRtdFwXRSwrFQK5WwWZLk1Las8v8
Fatty Acid Synthesis Pathway:
https://www.youtube.com/watch?v=WuQS_LpNMzo
Wnt/B Catenin Signaling Pathway:
https://www.youtube.com/watch?v=NGVP4J9jpgs
Upper vs. Lower Motor Neuron Lesions:
https://www.youtube.com/watch?v=itNd74V53ng
Lesson on the Purine Synthesis and Salvage Pathway:
https://www.youtube.com/watch?v=e2KFVvI8Akk
Gastrulation | Formation of Germ Layers:
https://www.youtube.com/watch?v=d6Kkn0SECJ4
Introductory lesson on Autophagy (Macroautophagy):
https://www.youtube.com/watch?v=UmSVKzHc5yA
3:58
VIDEO: What is Bell's palsy? Symptoms, treatment and recovery
The virus causes inflammation near the ear, which presses on the facial nerve, rendering h...
published: 15 Nov 2018
VIDEO: What is Bell's palsy? Symptoms, treatment and recovery
VIDEO: What is Bell's palsy? Symptoms, treatment and recovery
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- published: 15 Nov 2018
- views: 216492
The virus causes inflammation near the ear, which presses on the facial nerve, rendering half of the face completely or partially paralyzed.
4:08
Bell's palsy: One Loyola patient's story
Audrey Rex talks about how she noticed the onset of Bell's palsy.. At first she was having...
published: 11 Jun 2013
Bell's palsy: One Loyola patient's story
Bell's palsy: One Loyola patient's story
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- published: 11 Jun 2013
- views: 295845
Audrey Rex talks about how she noticed the onset of Bell's palsy.. At first she was having trouble pronouncing 'b' and 'p,' and soon lost her ability to smile. After six months she had no movement on one side of her face. She met with Dr. John Leonetti, director of Cranial Base Surgery at Loyola and a well-renowned Bell's palsy specialist. Dr. Leonetti explains how Bell's palsy, or idiopathic facial paralysis, causes acute facial paralysis on one side of the face. It is thought to be caused by a virus. The nerve swells within its bony sleeve and paralyzes itself. Audrey had the surgery to remove the bony sleeve, which relieved pressure on the nerve. She soon started to recover movement in her face. She met with a therapist to improve her muscle function. Her motivation has paid off. Audrey has recovered beautifully. For more information or to make an appointment, please visit https://www.loyolamedicine.org/find-a-condition-or-service/otolaryngology-ent/otolaryngology-conditions/bells-palsy or call 888-584-7888.
2:37
Bell’s Palsy at UVA: From Facial Paralysis to Recovery
#uvahealth #facialparalysis #facialpalsy
Although Bell’s palsy is the most common cause of...
published: 26 Jul 2021
Bell’s Palsy at UVA: From Facial Paralysis to Recovery
Bell’s Palsy at UVA: From Facial Paralysis to Recovery
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- published: 26 Jul 2021
- views: 47631
#uvahealth #facialparalysis #facialpalsy
Although Bell’s palsy is the most common cause of facial paralysis on one side of the face, its causes are still unclear. Any facial paralysis should be treated as an emergency. Treatment for Bell’s palsy is most effective in the first three days of its onset. Facial plastic and reconstructive surgeon Sam Oyer, MD, explains Bell’s palsy, including the treatment options and recovery.
Find out more at: https://uvahealth.com/services/eye-care/bells-palsy
Bell's palsy is the most common cause of facial paralysis that we see in adults. The cause of Bell's palsy is still a little bit unclear, but we think it's a reactivation of the herpes virus that causes cold sores. And it tends to cause complete paralysis on one side of the face, which, for most people, recovers. But a subset of people, maybe 25, even 30%, don't see full recovery after Bell's palsy.
If someone has paralysis on one side of the face, they should immediately seek medical care to rule out other causes. Bell's palsy is really a diagnosis of exclusion once all these other causes have been ruled out.
The treatment, early on, is medical, with antiviral medication and steroid medication to help reduce swelling and inflammation around the nerve. Some people recover very quickly and recover completely, and it's never a problem long term. Others, again, recover much more slowly and have trouble with incomplete eye closure, mouth droop, drooling when they're trying to eat or drink. And when they do recover, some get tightness or spasm in their facial muscles.
Others may get synkinesis during recovery, which means that their muscle movements are linked. So when they close their eyes, their mouth moves. Or when they do a big smile, their eye closes, or their neck tightens. In these cases, we can usually make some improvements.
The first step is usually to work with our specialized physical therapists, who will work to retrain your brain to work the muscles differently. And it's a special process where they really work on training the brain to control the face. That can be augmented sometimes with Botox injections. This helps cut down spasms in the muscles that we don't want to move, but leaves alone the muscles we do want to move.
So those two procedures together really can improve the spasm and synkinesis for a lot of people. For some, it doesn't get enough improvement. And so, there's a surgical procedure that we may consider offering in that case where the facial nerves are mapped out and electrically stimulated during surgery. With that stimulation, we can see what motion is produced and the nerves that are creating motion that we like to see, like eye closure and smile. Those nerves are saved. For the other nerves that are pulling the mouth down, tightening the neck, or creating too much pucker around the mouth, we cut a little segment of those nerves selectively. It’s called selective neurectomy. It is a good option for some people to be able to improve their smile and improve their facial function when the more conservative treatments may not be working well.
4:08
Treating Bell's Palsy at Loyola Medicine
When Michael Ponzio experienced sudden paralysis on the left side of his face, he was diag...
published: 08 Sep 2021
Treating Bell's Palsy at Loyola Medicine
Treating Bell's Palsy at Loyola Medicine
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- published: 08 Sep 2021
- views: 50621
When Michael Ponzio experienced sudden paralysis on the left side of his face, he was diagnosed with Bell’s palsy. Michael went to see John Leonetti, MD, a Loyola Medicine otolaryngologist who specializes in the treatment of this condition. After Dr. Leonetti performed a facial nerve stimulation procedure on Michael, he started to get movement back. With the help of Lisa Burkman, PT, a Loyola Medicine physical therapist who specializes in facial paralysis, most of Michael's facial function has returned. For more information or to schedule an appointment, please visit https://www.loyolamedicine.org/find-a-condition-or-service/otolaryngology-ent/otolaryngology-conditions/bells-palsy or call 888-584-7888.
3:30
The facts about Bell's Palsy
The facts about Bell's Palsy
published: 27 Jul 2017
The facts about Bell's Palsy
The facts about Bell's Palsy
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- published: 27 Jul 2017
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The facts about Bell's Palsy
Bell's palsy
Bell's palsy is a form of facial paralysis resulting from a dysfunction of the cranial nerve VII (the facial nerve) causing an inability to control facial muscles on the affected side. Often the eye in the affected side cannot be closed. The eye must be protected from drying up, or the cornea may be permanently damaged, resulting in impaired vision. In some cases denture wearers experience some discomfort. The common presentation of this condition is a rapid onset of partial or complete paralysis that often occurs overnight. In rare cases (<1%), it can occur on both sides resulting in total facial paralysis.
Bell's palsy is defined as a one-sided facial nerve paralysis of unknown cause. Several other conditions can also cause facial paralysis, e.g., brain tumor, stroke, myasthenia gravis, and Lyme disease; however, if no specific cause can be identified, the condition is known as Bell's palsy. It is thought that an inflammatory condition leads to swelling of the facial nerve. The nerve travels through the skull in a narrow bone canal beneath the ear. Nerve swelling and compression in the narrow bone canal are thought to lead to nerve inhibition or damage.
This page contains text from Wikipedia, the Free Encyclopedia - https://wn.com/Bell's_palsy
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