CLINICAL ENCOUNTERS
BELLS PALSY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A woman (53 years) was admitted to the ICU with a sudden loss of consciousness when the patient was cooking in the kitchen. The patient has paralysis of the facial muscles, unable to frown and the right corner of the mouth cannot be lifted. The patient’s food always collects between the cheek and gum on the right. The patient was diagnosed with Bell’s palsy for 1 year. Where is the location of the neurological damage experienced in this case?
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The damage is as high as between the chorda tympani and the stapedius nerve
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Damage level between the stapedius nerve and the geniculate ganglion
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Damage to the level of the stylomastoid foramen
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Damage to the level of the geniculate ganglion
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Damage to the internal acoustic porous
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Explanation:
Detailed explanation-1: -The facial nerve is the 7th cranial nerve and carries nerve fibers that control facial movement and expression. The facial nerve also carries nerves that are involved in taste to the anterior 2/3 of the tongue and producing tears (lacrimal gland).
Detailed explanation-2: -Facial numbness and facial pain are indicators of trigeminal nerve lesions, but if these symptoms extend beyond the face, suspect broader causes. Trauma and Herpes Zoster are the most common causes with cerebellopontine angle and neck tumors second and finally idiopathic trigeminal neuropathy will also be discussed.
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