关键词: bells palsy corticosteroid treatment diagnosis and management of facial pain facial asymmetry facial nerve paralysis

来  源:   DOI:10.7759/cureus.63071   PDF(Pubmed)

Abstract:
Unknown in origin, Bell\'s palsy is a common acute facial nerve paralysis that is usually characterized by unilateral facial weakening or paralysis. People of all ages are affected by this illness, which peaks in the fourth decade of life. Although the precise etiology is yet unknown, viral infections - particularly type 1 herpes simplex virus - are frequently linked to the problem. Based on the evidence of abrupt onset facial weakness and the elimination of other neurological diseases, the diagnosis is essentially clinical. The goals of management techniques are to lessen related symptoms, encourage nerve regeneration, and lessen inflammation. Corticosteroids, antiviral drugs, physical therapy, and supportive measures are available as treatment alternatives. The majority of patients experience spontaneous recovery within weeks to months, and the prognosis is generally excellent. Nonetheless, a portion may experience long-term consequences, highlighting the significance of individualized follow-up care. Bell\'s palsy is succinctly summarized in this abstract to aid in better comprehension and well-informed clinical practice decision-making.
摘要:
来历不明,贝尔氏麻痹是一种常见的急性面神经麻痹,通常以单侧面部弱化或麻痹为特征。所有年龄的人都受到这种疾病的影响,在生命的第四个十年达到顶峰。尽管确切的病因尚不清楚,病毒感染-特别是1型单纯疱疹病毒-经常与该问题有关。根据突然发作的面部无力和消除其他神经系统疾病的证据,诊断基本上是临床的。管理技术的目标是减轻相关症状,促进神经再生,减轻炎症。皮质类固醇,抗病毒药物,物理治疗,和支持性措施可作为治疗替代方案。大多数患者在数周至数月内经历自发恢复,预后一般良好。尽管如此,一部分可能会经历长期后果,强调个性化随访护理的意义。本摘要对贝尔麻痹进行了简洁的总结,以帮助更好地理解和明智的临床实践决策。
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