- The facial nerve when a person loses symmetry
Primary and secondary lesions of the facial nerve
Lesions of the facial nerve can be caused by various reasons and usually are called neurites. There are primary and secondary (or symptomatic) neuritis of the facial nerve.
Primary neuritis most often catarrhal disease (Bell). When subcooled in nerve head abrupt vascular disorders (spasm of the vessel or tissue swelling) violating power nerve trunk as a result of ischemic occurs (due to spasm of blood vessels) nerve palsy.
Symptomatic neuritis occur in various infections, exposure to toxins, inflammatory and neoplastic processes, encephalitis, vascular lesions, trauma, in patients with lesions of the parotid gland, otitis, during hypertensive crises, and so on.
Signs of destruction
Violation of motor function of the nerve can be seen even with a slight defeat it - on facial asymmetry. A full picture of the affected nerve paralysis develops: mask-like face (the face of the Sphinx), corner of the mouth is omitted, the slit eye wide open, brows lowered and motionless, his forehead without wrinkles, nasolabial fold smoothed. The patient can not frown, raise his eyebrows when zazhmurivanii eyelids do not close completely, eye gap yawns.
When you try to close an eye eyeball rises up and deflected outwards, while the sclera is not completely covered. With smiles, laughter, half of his face is motionless, with his mouth deviates Showing teeth in a healthy way. During the meal, the food gets stuck between the cheek and the teeth, saliva and liquid food poorly retained in the mouth, the patient can not spit, whistle. In the acute phase the patient says it is not clear labial sounds (b, m). Due to the easy displacement of the mouth protruding tongue may slightly deviate in a healthy way.
Often at the same time with movement disorders appear (and sometimes precede them) unsharp and brief pain in the ear, one-sided loss of taste on the front surface of the tongue, a strong unpleasant perception of the ordinary sounds. Sometimes, pain in the ear can be strong, and be accompanied by painful herpes (in the form of small bubbles merging) precipitations in the art. May appear as signs of nerve fibers responsible for secretory function: violation of tearing (dry eyes), sweating (dry skin side of the face) and so on.
Diagnosis of neuritis of the facial nerve
Diagnosis is based on typical clinical picture. To clarify the diagnosis carried out research electroexcitability nerve, in which you can identify the partial or complete regeneration of nerve. In order to identify the underlying disease that caused the changes in the facial nerve, conducted more research - the state of hearing, X-ray examinations of the brain, and so on in accordance with the identified data.
Treatment of colds neuritis of the facial nerve should be complex: drug combined physical therapy and rehabilitation.
In the acute period prescribed drugs, reduce inflammation and swelling of the tissue. For this purpose, most commonly prescribed non-hormonal anti-inflammatories, diuretics, funds widens the blood vessels (nicotinic acid). In some cases, the rapid withdrawal of inflammation and edema
Prevention and treatment of edema - it is important to understand the root cause
appointed corticosteroids (such as prednisone).
Two weeks later, usually attached drugs, the recovery of the nervous tissue (Neostigmine), a stimulant that activates the body's defenses (aloe torfot) absorbable preparations (lidazu), B vitamins
B vitamins: the body useful helpers
(they improve the function of the nervous tissue).
Physiotherapy administered on the first day of the disease, first as a decongestant, anti-inflammatory and vasodilatory treatment (UHF solux) and then (two weeks) - ultrasound, phonons and electrophoresis with drugs, massage. Simultaneously, passive (by pressure and smooth movement of the finger on the motor point of the muscle) exercises the facial muscles in the mirror.
The earlier treatment is started, the greater the chance that the patient will not have any consequences after suffering neuritis
Neuritis - nerve damage