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The Doctors Lounge - Neurology Answers

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Forum Name: Neurology Topics

Question: Bells Palsy


Melina - Sat Jan 06, 2007 11:19 am

My daughter is 24 and was diagnosed with Bells palsy 7 months ago she was given antivirals and steroids and had blood tests and MRI both negative. WE have been using Bells Palsy Website for support and it has been very helpful. She still has facial spasms and is in quite a lot of pain but when her face is straight which is less than spasming you would not know she has it. the problem is her face is numb on BP side which others on Bells Palsy site say is not normal , she has mostly all movement back . Has anyone any thoughts on this loss of sensation.
Dr. Safaa Mahmoud - Sat Jan 06, 2007 1:09 pm

Hello,

Ipsilateral numbness with a Bell’s palsy is not uncommon, many patients are reported to have sensation of facial numbness or tingling.

The aetiology is not definitive but it was showed in a study that this could be due to viral spread through the anatomical course of the facial nerve to a nerve known as the superficial greater petrosal nerve .

This nerve is the an anatomical connection between the facial nerve and the trigeminal and glossopharyngeal nerves.

Herpes viruses are known to spread along anatomical connections and is the most common cause of facial palsy.

Recovery is complete in most of the cases in 2 weeks.

Neurological examination is essential to exclude other causes.

Follow up with her doctor is essential.
Best regards.

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