Published by Jan
Bell’s palsy, or idiopathic facial paralysis, is a form of facial paralysis resulting from dysfunction cranial nerve VII (the facial nerve) that results in the inability to control facial muscles on the affected side. Several conditions can cause facial paralysis, e.g., brain tumor, stroke, and Lyme disease. However, if no specific cause can be identified, the condition is known as Bell’s palsy. Named after Scottish anatomist Charles Bell, who first described it. Bell’s palsy is the most common acutemononeuropathy (disease involving only one nerve) and is the most common cause of acute facial nerve paralysis.
Bell’s palsy is defined as an idiopathic unilateral facial nerve paralysis, usually self-limiting. The hallmark of this condition is a rapid onset of partial or complete palsy that often occurs overnight. In rare cases (1%), it can occur bilaterally resulting in total facial paralysis.
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, damage or death. No readily identifiable cause for Bell’s palsy has been found.
Corticosteroids have been found to improve outcomes while anti-viral drugs have not. Early treatment is necessary for steroids to be effective. Most people recover spontaneously and achieve near-normal to normal functions. Many show signs of improvement as early as 10 days after the onset, even without treatment.
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. Causes, incidence, and risk factors
Bell’s palsy affects about 30,000 – 40,000 people a year in the United States.
Bell’s palsy involves damage to the seventh cranial (facial) nerve. This nerve controls the movement of the muscles of the face.
Bell’s palsy is thought to be due to swelling (inflammation) of this nerve in the area where it travels through the bones of the skull.
The cause is often not clear. A type of herpes infection called herpes zoster might be involved. Other conditions that may cause Bell’s palsy include:
? HIV infection
? Lyme disease
? Middle ear infection
Sometimes you may have a cold shortly before the symptoms of Bell’s palsy begin.
Symptoms most often start suddenly, but may take 2 – 3 days to show up. They do not become more severe after that. Sudden weakness or paralysis on one side of the face that causes it to droop.
Symptoms are almost always on one side only. They may range from mild to severe.
The face will feel stiff or pulled to one side, and may look different. Other symptoms can include:
? Difficulty eating and drinking; food falls out of one side of the mouth
? Drooling due to lack of control over the muscles of the face
? Drooping of the face, such as the eyelid or corner of the mouth
? Hard to close one eye
? Problems smiling, grimacing, or making facial expressions
? Twitching or weakness of the muscles in the face
Other symptoms that may occur:
? Dry eye or mouth
? Loss of sense of taste
? Sound that is louder in one ear (hyperacusis)
? Twitching in face
Often, no treatment is needed. Symptoms often begin to improve right away. However, it may take weeks or even months for the muscles to get stronger, and this may be frustrating.
Your health care provider may give you lubricating eye drops or eye ointments to keep the surface of the eye moist if you cannot close it completely. You may need to wear an eye patch while you sleep.
Sometimes medicines may be used, but it is not clear how much they help. If medicines are used, they should be started right away.
• Corticosteroids may reduce swelling around the facial nerve
• Medications can fight the virus that may be causing Bell’s palsy
Surgery to relieve pressure on the nerve (decompression surgery) is controversial and has not been shown to routinely benefit people with Bell’s palsy.
The goal of the treatment is to eliminate the source of the nerve damage. Patients with less nerve damage have better chances of recovery.
Medications are often used as part of the treatment:
• If infection is the cause, then an antibiotic to fight bacteria (as in middle ear infections) or antiviral agents (to fight syndromes caused by viruses like Ramsay Hunt) may be used.
• If swelling is believed to be responsible for the facial nerve disorder, steroids are often prescribed.
• In certain circumstances, surgical removal of the bone around the nerve (decompression surgery) may be appropriate.
Physiotherapy can be beneficial to some individuals with Bell’s palsy as it helps to maintain muscle tone of the affected facial muscles and stimulate the facial nerve. It is important that muscle re-education exercises and soft tissue techniques be implemented prior to recovery in order to help prevent permanent contractures of the paralyzed facial muscles. Muscle re-education exercises are also useful in restoring normal movement. To reduce pain, heat can be applied to the affected side of the face. In individuals with unresolved facial nerve paralysis, transcutaneous electrical stimulation can be an effective treatment strategy(TENS).
• Exercise the facial muscles in front of a mirror.
• Massage the face.
• Apply gentle heat to reduce pain.
• Using a finger, regularly close the eye to keep it moist.
• Tape the eye closed for sleeping.
• Use protective glasses or clear eye patches to keep the eye moist and to keep foreign materials
from entering the eye.
• Use doctor-recommended artificial tears or an ointment to keep the eye moist.
Medical Marijuana – Cerebral Palsy (Jacqueline Patterson)
Published on Jul 2, 2011
Cerebal Palsy is an umbrella term encompassing a group of non-progressive, non-contagious motor conditions that cause physical disability in human development, chiefly in the various areas of body movement – Wikipedia
At some point very early in life, either while a baby is still growing in the womb, during birth or shortly after, something happens to interfere with the normal development of the brain or to injure the brain tissues. This abnormal development or injury disrupts the nerve signals between the brain and the muscles, leading to problems with movement, posture and coordination as the child grows up. While some people are severely affected, others have only minor disruption, depending on which parts of the brain are not functioning properly. It’s estimated that as many as 1 in every 400 children may have cerebral palsy. – BBC Health
After Jacqueline was reported for cannabis possession, she moved to California after succeeding in a court case that the consumption was strictly for medicinal purposes: http://www.youtube.com/watch?v=Y–pjK…
These clips are taken from the documentary ‘In Pot We Trust’ which displays a range of medical, social and political views and the medical purposes of marijuana in relation to Glaucoma, Leukaemia, Multiple Sclerosis, Multiple Exostoses and Post-Traumatic Stress Disorder: http://www.youtube.com/watch?v=7qTsS6…
Dr Sanjay Gupta Apologizes For ‘Systematically Misleading Americans’ About Marijuana Cannabis
Published on Aug 7, 2013
Aired May ,2013
In Pot We Trust – Marijuana Cannabis