Latest news with #BellPalsy
Medscape
8 hours ago
- Health
- Medscape
Fast Five Quiz: How Much Do You Know About Bell Palsy?
Bell palsy, or idiopathic facial paralysis, is the most common peripheral paralysis of the facial nerve (cranial nerve VII). Many cases of facial nerve paralysis have identifiable etiologies, such as stroke, Lyme disease, or Ramsay Hunt syndrome, but Bell palsy is, by definition, idiopathic in nature. How much do you know about Bell palsy and its management? Check your knowledge with this quick quiz. Type 2 diabetes is associated with several types of peripheral neuropathy, including Bell palsy. The prevalence of peripheral neuropathy among patients with type 2 diabetes has been calculated to be as high as 53.6%. In one retrospective cohort study, 33% of participants with Bell palsy had coexisting type 2 diabetes. Additionally, obesity might increase the risk for Bell palsy. Some studies have concluded that there is a slight female preponderance among patients with Bell palsy, whereas others have found no sex predilection. Even if female sex is not a risk factor, evidence suggests that Bell palsy is associated with pregnancy. The median age of onset is 40 years, and patient age < 15 years is not a risk factor. However, Bell palsy has been identified in children and even infants. Facial nerve trauma can certainly cause symptoms resembling Bell palsy, but Bell palsy is idiopathic and does not have a traumatic etiology. If these symptoms resulted from trauma, the diagnosis would be traumatic facial nerve palsy rather than Bell palsy. Learn more about Bell palsy epidemiology. Lagophthalmos, but not true eyelid ptosis, is a characteristic feature of Bell palsy. Symptoms of Bell palsy typically have a rapid onset, manifesting from 24 to 72 hours and often resolving or partially resolving within a few weeks to 3 months. In Bell palsy, facial paralysis is usually unilateral, and bilateral facial paralysis should lead to consideration and evaluation for other etiologies. Hearing loss is not a typical symptom of Bell palsy. The presence of hearing loss indicates an association with an upper motor neuron lesion or a lesion involving more than the facial nerve. Learn more about Bell palsy presentation. A rapid evidence review on Bell palsy points out that, as the condition is idiopathic, laboratory diagnostics are not required for a diagnosis. Clinical practice guidelines from the American Academy of Otolaryngology-Head and Neck Surgery concur that diagnostic testing is not needed to identify Bell palsy. The guidelines recommend that clinicians should not obtain routine laboratory testing in patients with new-onset Bell palsy, pointing out that this approach is not cost-effective. However, both the rapid evidence review and guidelines state that laboratory testing can help identify systemic causes of facial palsy symptoms, such as Lyme disease or diabetes, when reasonable clinical suspicion exists. Learn more about workup for Bell palsy. Oral corticosteroids are recommended in a rapid evidence review as the first-line treatment for Bell palsy. Guidelines from the American Academy of Otolaryngology-Head and Neck Surgery also recommend this approach in patients age = 16 years with Bell palsy. Antiviral monotherapy has not been demonstrated to influence recovery and should be avoided. However, combination therapy with oral corticosteroids and antivirals should be considered, as this approach consistently results in lower rates of synkinesis and might reduce rates of incomplete recovery. Local injectable anesthetic would not be an appropriate therapy because it would not address the underlying cause, lower motor neuron palsy. There is no evidence-based role for local anesthetic in the treatment of Bell palsy. Electroconvulsive therapy is mostly used in the treatment of severe mood disorders. The mechanism of action would not be expected to be useful in the treatment of facial nerve palsy. Learn more about management of Bell palsy. Along with the Sunnybrook facial grading system, the House-Brackmann scale is widely used to qualify symptom severity of Bell palsy. A patient with obvious facial weakness, inability to move the forehead, incomplete closure of the eyelids, and mouth asymmetry with maximal effort would be grade IV, moderately severe symptoms. Grade I is classified as a normal presentation with full facial function in all areas. Grade II is characterized by slight facial weakness on close inspection, slight synkinesis, and no lagophthalmos. Grade III would exhibit moderate symptoms with noticeable, but not severe, synkinesis; obvious facial asymmetry but not disfiguring; complete eyelid closure with effort; and slightly weak mouth even with maximal effort. Learn more about Bell palsy prognosis.
Medscape
21-05-2025
- Health
- Medscape
Fast Five Quiz: How Much Do You Know About Bell's Palsy?
Bell's palsy, or idiopathic facial paralysis, is the most common peripheral paralysis of the facial nerve (cranial nerve VII). Many cases of facial nerve paralysis have identifiable etiologies, such as stroke, Lyme disease, or Ramsay Hunt syndrome, but Bell's palsy is, by definition, idiopathic in nature. How much do you know about Bell's palsy and its management? Check your knowledge with this quick quiz. Medscape © 2025 WebMD, LLC Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape. Cite this: Helmi L. Lutsep. Fast Five Quiz: How Much Do You Know About Bell's Palsy? - Medscape - May 21, 2025.
Daily Mail
08-05-2025
- Entertainment
- Daily Mail
Tulisa puts on a leggy display in a white mini skirt as she attends Ladies Day at Chester Races
Tulisa put on a leggy display as she attended Ladies Day at Chester Races on Thursday. The N-Dubz singer, 36, looked nothing short of sensational as she stepped out in a white mini skirt which highlighted her toned pins. She teamed the chic ensemble with a black ribbed knit body featuring a scoop neckline. Tulisa added height to her frame with a pair of black court heels and draped a white blazer delicately over her shoulders as she entered the Boodles May Festival. She completed her stunning ensemble with black gloves and an elegant polka dot fascinator as she toted her essentials in a black quilted Yves Saint Laurent handbag, which retails for £1,900. Last month, Tulisa sported a dramatic swipe of makeup in a stunning Instagram snap after performing at The Gaydio Awards in Manchester. The N-Dubz singer, 36, looked nothing short of sensational as she stepped out in the chic ensemble which highlighted her long pins She flaunted her tiny physique in a red figure-hugging playsuit, teamed with thigh-high black boots. Tulisa showed off her bright red lips and dramatic false eyelashes as she displayed the results of her cosmetic treatments. She previously revealed how her face changed as a result of an agonising 12-year health battle. The singer was diagnosed with Bell's palsy in 2020 - a neurological disorder that causes paralysis or weakness on one side of the face when the facial nerve is damaged or stops working properly. Yet she soon became locked in a vicious cycle of having filler to even out her appearance, and her face became inflamed and swollen. Speaking on Olivia Attwood 's podcast So Wrong It's Right this month, Tulisa admitted the problems were particularly bad around the time she reformed with the trio in 2022, ending their 11-year hiatus from the music scene with a new tour and single release. A doctor soon got to the cause after performing an ultrasound on her face, finding 'three chronically infected cysts' in her cheek, one of which popped during an 'explorative operation' due to being so bulbous. Tulisa shared: 'I've no idea what they were caused by, they weren't filler, they were just self-occurring, but I came out of the operation and instantly my face was less swollen. She completed her stunning ensemble with black gloves and an elegant polka dot fascinator as she toted her essentials in a black quilted Yves Saint Laurent handbag, which retails for £1,900 She added that after having her first Bell's palsy attack aged 24, she attempted to use fillers to 'balance out' her face, causing her to be locked in a 'vicious cycle.' Two years passed where the condition was kept at bay, but she started to feel a 'low-level swelling' in the same cheek, which rapidly increased. She explained: 'I would have like tingling sensations like little ants crawling in my face. 'I started seeing doctors all around the UK – "Something's wrong with me, what's wrong with my face?" – it was so scary. 'This went all the way up until this year, it was horrific. 'I constantly felt like my cheek was on fire. I'd have good days and bad days, and on some days, I'd take steroids, which would bring it down. 'When I was doing that N-Dubz run, it was at its worst, so you might see an interview, I look normal. And then you see another interview, it's like, what the hell is going on with my face?' The singer was diagnosed with Bell's palsy in 2020 (pictured) a neurological disorder that causes paralysis or weakness on one side of the face when the facial nerve is damaged Tulisa also shared her belief that the painful cysts had contributed to a long list of medical concerns she has battled with for years, such as sarcoidosis and immune disorders. She shared: 'I've had all these health problems for years – sarcoidosis, immune disorders, and this explains all the symptoms that I was getting and could have been causing Bell's palsy because in total there was, I think, six of them. They could have been growing over the years, actually triggering the Bells.' After years of experimenting, Tulisa said she decided to remove the filler from her face and now only uses it in her lips.
