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Forum Name: Neurology Topics

Question: Facial Asysmetry on my baby


 indika - Fri Oct 16, 2009 2:48 am

Hi Experts,

Our baby (13 month old) having problem on her left side of the face.
    01. Her left eye not close as her right eye
    02. when she smile/cry she can not move her left part of the mouth.
    03. When she is sleeping left eye keep open (not fully) some time. Some time it was fully closed as right.
    04.When she exposed to the sun/light from the dark area, left eye not getting closed as right.
    05. We can see clear differences on her left part of the face when she cry/smile.

We identified those when she was 10 month old and our doctor ask to go for the physiotherapy treatment for 1 month. They have given a therapy using a small machine by attaching a two electrode connected to that machine.

after 1 month we could not identified significant results of the treatment. So, our doctor ask us to do it again for another three month and come back. We are doing it right now and still her face asymmetry is same.

Here are my problems:
    01. Is this common problem?
    02. How long will it take to recover?
    03. Can this be permanent?
    04. Is there any other way to treat this expect physio therapy?
    05. What is the best way to do the therapy? (Because 1 physiotherapist doing the therapy by putting one electrode at her back side of the neck and other one near her mouth, eye and chin. another guy put one electrode near eye and other one near mouth.)
    06. Can we do it at home by using machine and if so, what is the recommended machine for it?

Thanks
 Dr.M.jagesh kamath - Sat Nov 28, 2009 11:18 am

User avatar Hello,From the description the child may be suffering from bell's palsy which can affect from infancy to adolescene in children.Infection,allergy are implicated and is the commonent cause of unilateral facial weakness.It may take weeks to months for complete recovery in most.About 10% may have residual weakness.I think it should settle down in a couple of months and therapy is best done with interacting with your pediatrician and physiotherapist.Best wishes.

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