bells palsy

patient presents with an active case of Bell's palsy and wants to know what type of test he will undergo what type of treatment is most commonly used?

MRI must always be done after empirical drug therapy with no response(Start with antiviral and high dose steroid treatment.). Audiometry testing is an essential part of the evaluation because sudden hearing loss is a medical emergency. Eye exam because this is the biggest complication you can have with facial paralysis may see corneal abrasion.

Patient presents with questions on how he developed the droopy face on one side and one single surgery can correct it?

The facial nerve is infected by the virus causing swelling at the genu in the temporal bone. This is the most narrow part. A mastoid ectomy provides no relief to decompress and therefore major surgery would be needed to decompress the genu

What is treatment mechanism to protect and maintain eyelid function?

goldweight implant allows for passive closure of the eye when opening is done by the facial nerve. This leads to maintain function in eyelids.

Name two antiviral drugs that can be used to decompress inflamed facial nerve?

Acyclovir and valacyclovir

acoustic neuromas are benign tumor of what sets involving what?

A benign tumor the myelin forming cells of the vestibular cochlear nerve.

patient presents with a history of being able to hear the heart beat, we are concerned with an inner ear problem might the diagnosis be and what is this symptom call?

Consider a glomus tumor with pulsatile tinnitus

patient presents with sudden onset of unilateral hearing loss with tendinitis, new onset vertigo with facial palsy and he said he lost hearing with high-frequency sound. He also presents with balance, as with this the physician discusses these obligated to do what test?

Audiometric testing and MRI with Gadolinium. When suspicion of a acoustic neuroma

what is the most common distribution/define distribution of the facial nerve?

Facial nerve has have paralysis on the entire one side of the face without crossing the line

Patient presents with family history and significant likelihood that he has Bell's palsy was the first sign?

First sign is they cannot move the face of the face still looks normal

45-year-old male presents with a history of herpes disease and asked what the mechanism is one likely cause from developing Bell's palsy from one organism? In the mechanism of disease

L is the most common cause for example herpesvirus can lay dormant in the dorsal root ganglia providing hearing loss and balance issues.

patients says the bilateral acoustic neuromas what type of diagnosis should you consider?

Neurofibromatosis type II

speech discrimination and asymmetric hearing loss are concerning for what diagnoses?

Neuroma

what is the minimum diagnostic criteria for Bell's palsy?

Paralysis of all muscles on one side of the face, sudden onset, absence of signs of CNS pathology, absence of the ear or CPA disease.

Patient presents with severe pain in the periauricular and facial areas. Vesicles in the ear, canal and face are found. Has associated hearing change and balance issues and can sometimes be similar presentation to swimmers ear what is the diagnosis and etiology?

Patient has Ramsay Hunt syndrome with you herpes zoster in fact. The blisters are what differentiate this from swimmers ear

treatment for Bell's palsy has what type of prognosis and what is occasionally missed that we must beware of?

Prognosis is good healed with three weeks, but management of I corneal abrasions can sometimes this.

Acoustic neuromas are slow growing with the treatments can we consider?

Surgery or Gamma knife radiation, but if hearing is lost we cannot reverse

patient is said to have air conduction problem, therefore what isn't working?

This means that the nerve or the cochlea is not functioning

an elderly woman complains of not being of her who, with her friend describes what type of hearing loss she is experiencing, luckily for her her friend is a man with a deep voice?

Winfield her women or children, experiencing presbycus using the high-pitched voices

patient presents with diagnosis of mastoiditis/ sinusitis, what imaging should we get done?

You CT scan