Ischemia And Edema

Visual fields full to confrontation. Extraocular muscles intact. Pupils are slightly enlarged on the left compared to the right, which she states is old since her eye injury. They do respond directly and consensually. Normal facial symmetry, sensation, and movement. Tongue and uvula are midline. Normal shoulder shrug. Normal auditory acuity.

Based on the progress report dated 03/11/16, the patient presents with neck pain, causing sharp and pinching pain, rated as 2/10. Patient reports that she has been better since the facet nerve blocks. Symptom is alleviated by injections and medications, and exacerbated by

It also allows for the front part of the tongue to sense taste and the eyes to open and close. This nerve is located in the Fallopian canal of the skull, inferior to the ear and bilaterally connected to the muscles of the face. (PEDIACTRICS Vol. 112 No. 2, 2003). It is thought that with the incidence of Lyme disease, the inflammation correlated with the disease is the cause of Bell’s palsy because of the pressure it puts on this nerve.

Bell’s Palsy is defined by a temporary, unilateral paralysis of the face caused by inflammation of the facial nerve (cranial nerve VII). Inflammation of the facial nerve is unknown although theories about a viral infection or disorders of the immune system have been found in research as possible causes. An MRI or CT scan can be used in order to diagnosis Bell’s Palsy by ruling out any other disorders with the same symptoms such as stroke, Lyme disease, or tumors. The disorder occurs suddenly and without any warning making it impossible for prevention. [1] Sir Charles Bell was the founder of this disorder from his studies of the facial nerve and how the interruptions of the nerve pathway caused paralysis. Bell’s Palsy generally

So what is Bell's palsy? Bell's palsy is a form facial paralysis. Most of the times it only affects one side of your face but in some rare cases it affects both. Bell's palsy occurs when 7th cranial nerve (facial nerve) starts acting up because “something” irritates it. I say “something” because it is not exactly sure what causes Bell's palsy. Researchers have come to believe that it is sometime type of Herpes simplex virus. The scary thing is that once you get bell's palsy there is always a chance of reoccurance. So you can get it multiple times.

In the days before an episode begins, some patients experience a tingling or numbing sensation or a somewhat constant and aching pain. There is usually a worsening of pain over time, with fewer and shorter pain-free periods before the attacks occur again. Trigeminal neuralgia generally does not occur when the patient is asleep, and this differentiates from tooth pain or migraines, which often wakes them up at night. Pain is located in areas in the body that are supplied by the trigeminal nerve, including the cheek, jaw, teeth, gums, lips, or less often the eye and forehead. Pain can either focus in one spot or spread in a wider pattern. An acute onset of sharp, stabbing pain usually affects one side of the face. The right side of the face five times more often affected than the left side of the face. Pain generally begins at the angle of the jaw and radiates along the junction lines between each of three branches of cranial nerve V. (CN

Cerebral edema is swelling (edema) in your child’s brain. Cerebral edema is caused by a buildup of fluid in brain tissue in response to a brain injury or condition.

Research is also being done to help with the curing of Bell’s Palsy. The National Institute of Neurological Disorders and Stroke (NINDS) performs extensive research in order to better the understanding of how the nervous system works and what causes dysfunction in the nervous system. Some of this research entails learning more about what causes nerve damage and certain diseases and conditions that cause nerve damage. Information gained from this research can aid neurologists to find the cause of Bell’s Palsy, which would obviously lead to better treatments (NINDS, 2011).

Bell’s Palsy is a condition that results in paralysis of one side of the face. The 7th cranial nerve, also known as the facial nerve is what controls most of the muscles of the face. This facial nerve stems from the brainstem between the pons and the medulla, and controls the muscles of facial expression. The function of the 7th cranial nerve is to express taste sensations from the tongue and oral cavity. It also supplies preganglionic parasympathetic fibers to several head and neck ganglia (citation). In the Bell’s Palsy condition, there is damage to the facial nerve that controls muscles on one side of the face which causes that side of the face to droop. Furthermore, this nerve damage may also 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 also get better spontaneously.

The second genu of the facial nerve canal is a landmark in lowering the facial ridge. Take notice of appearance of the second genu in the later stage in patient 2.

Back pain can be caused by an instant jerk or constant bending. Back pain can last from a few days to a few weeks. It is also caused from damage to the spinal bones and tissue. Some lower back pain can be treated without surgery. The main goal of the treatment is to restore proper function and strength to the back, and prevent recurrence of the injury. Bell’s Palsy is known as a form of temporary facial paralysis resulting from damage or trauma to the 7th cranial nerve, one of the facial nerves. It can affect both sides of your face. Symptoms vary between different people like sudden weakness on one side of the face, drooping eyelid or corner of the mouth, drooling, dry eye or mouth, and altered taste. Bell’s Palsy can cause serious facial

Moreover, the woman in Bhatnagar’s 17-8 case was unable to protrude the tongue. The paralysis of the tongue may have been caused from damage to the hypoglossal nucleus. The hypoglossal nerve is responsible for providing motor input to the muscles of the tongue that protrude, retract and curl the tongue (Brookshire, 2007) necessary for articulatory movements (Bhatnagar, 2013). Thus, Bhatnagar (2013) states that any damage to the CN XII will result in lingual paralysis that may later contribute to dysarthria. In reference to Bhatnagar’s case, the inability to protrude the tongue after medullary stroke occurred because of where the hypoglossal nucleus is located. The hypoglossal nucleus is located in the dorsomedial medulla (Benito-León & Alvarez-Cermeño,

This condition is caused by damage to a nerve in the face called the trigeminal nerve. An attack can be triggered by:

Objective: Facial nerve injury is considered as the most frequent complication of parotid gland surgery due to close relation of the extra-temporal course of facial nerve and the parotid gland. The aim of the current study was to evaluate the role of anatomical location of parotid tumors in the incidence of post-operative facial nerve paresis with antegrade dissection technique. Methods: Patients with parotid tumors required surgical procedures were enrolled in the study. Preoperative evaluation of the tumor location within the parotid gland tumor was done using axial and coronal CT. Transient facial nerve dysfunction was investigated in relation to the following factors: patient age, tumor size, histopathological diagnosis, and the location

Our patient presented with a history much typically suggestive of trigeminal neuralgia. Dental extractions are sometimes considered as the trigger factor for the same. Patient also did not have any neurological deficits including sensory loss over trigeminal nerve distribution making trigeminal neuralgia a strong clinical possibility.