Bell’s Palsy (Facial Paralysis) | Causes, Pathophysiology, Signs & Symptoms, Diagnosis, Treatment

Bell’s Palsy (Facial Paralysis) | Causes (Viruses), Pathophysiology, Signs & Symptoms, Diagnosis, Treatment
Bell Palsy is a condition involving paralysis of the facial nerve (Cranial nerve VII), which is responsible for facial movements and expressions, taste sensation and lacrimation. In Bell’s Palsy, the facial nerve is affected due to ischemia, edema or another process that may be triggered by a viral infection with particular viruses (herpes simplex virus, herpes zoster virus) or some bacteria (mycoplasma and syphilis). In this lesson, we discuss the facial nerve and pathophysiology of Bell’s palsy, the signs and symptoms, how it’s diagnosed and how it’s treated by clinicians.
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JJ
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[@sharonstone7587]

Very informative, thank you.

[@user-og1hu4ew2t]

Regarding covid-19 to cause bells palsy, I got infected by covid 1 week before being diagnosed with bell palsy, its been a year and there is no recovery except my cheek started to move a bit i pray for everyone to recover from this illness

[@sanjishres2230]

You need to try to speak up AEIOU this is one exercise, other thing you can stroke leaves, flowers, soft brushes upward to your paralysed face. Try to blow on the paralysed side. This helps alot.

[@user-og1hu4ew2t]

@@sanjishres2230 thank you, what do you mean by stroking leaves and brushes? Do you mean inside the mouth to the paralyzed cheek?

[@user-og1hu4ew2t]

@Jordi69 Gaming unfortunately no, still the same

[@user-og1hu4ew2t]

@Jordi69 Gaming No bro, go out enjoy your time, I was thinking the same afraid to go outside but I realized that its my face my life so why im wasting my time thinking about how other people see me, When i started to go out as usual I realized that these ideas only exist in my mind, most people I have met didn’t even notice anything even the ones that do will most likely refrain from asking me directly. I got a job this year and my life is back to normal, so go out enjoy yourself and continue living the life you want.

[@dorothyekuase7030]

I pray to get healed INJ

[@Goldengirl48]

My husband woke up one the day before Christmas with Bell's Palsy. It scared him enough to actually go to the emergency room to find out what happened. Up until this morning before Christmas he refused to see or talk with a doctor about the Flu he had and how crappy he was feeling. Come to find out not only did he the Flu and Bell's Palsy, his blood sugar was well over 400. Up until then he would brag about not seeing a doctor in 30 years. He was very lucky that the Bell's Palsy appeared to sent him to a doctor. He could have went into a diabetic coma. At the time we lived at least 50 miles from the nearest hospital.

[@zainabbakilana7243]

q0

[@elizabethkaranja570]

Thank you .. this video has just helped me realize my symptoms May not be dental but BP😮😢 facial muscle Weakness that my 8 year old noticed months ago and been talking about my droopy face and grandma looks😢 oh dear and all this while i dismissed her and went to a dermatologist😮. Pain got bad last week and went to the dentist who put me me on 2 antibiotics . Am still taking them but the jaw and eye pain is still too much i can hardly sleep without strong Nsaids. I will go To the ER 1st thing in the morning.

[@soghrakhatoon2109]

Thank you sir ✨

[@gamaltaher9714]

Thanks

[@kethavathgoutham1596]

Thank u sir❤❤❤🎉🎉🎉creating more and more video s

[@akwuemarychikaodili4572]

I took antibiotics, and had allergic reaction and my face became so swollen, I was advised to quite taking antibiotics and I took prednisolone and loratidine, but the following week I started developing the symptoms ranging from change in taste bud, I can't wait to regain, bell's palsy comes with so many complications

[@user-jr2vd3ch9y]

I have this bells palsy right now. 6 months of fighting 🥺 i’m always praying that theres a miracle happened. I really miss my old face and smile 😢

[@amyl8450]

Did you ever get treated for lyme?

[@amyl8450]

Did you ever get steroids for it?

[@theresarode1511]

I have bells palsy since July 23 2023 very bad don't even talk right its crazy I want surgery so I look normal

[@theresarode1511]

I got tested for lime and was put on steroids

[@ruthmmob1069]

I’ve had BP twice .. first time 5 years ago and recently. The first time was severe and on my left side, this last time was on my right side and healed up faster

[@sarahyang1450]

My sister once got it when she was in her early 20s, and it was due to cold wind. She had lived in a warmer winter before she moved to the more northern and colder city. And we were often told bell's palsy is caused by cold wind.

[@tedmartin5239]

Cold weather, I find that hard to believe, ? Would not many more in cold climes get it if that were true? I always hear, " they do not really know what causes it" ...

[@marcchaffee7751]

@@tedmartin5239 actually , its lyme disease .

[@tedmartin5239]

@@marcchaffee7751 Source?

[@marcchaffee7751]

@@tedmartin5239 I was at Medford Oregon hospital , seeing a real lyme doctor from lyme Conneticate ! After a long illness AND bells palsy , he confirmed it . He also said it is almost always caused from lyme related bacteria . Always left eye , weird .

[@tedmartin5239]

@@marcchaffee7751 I had my Bell's in 1951 0r so; perhaps they did not know back then, or my Dr. did not know...

[@shumanroy491]

A bit of rectification is required here. Chorda Tympani is not involved in hearing. It carries taste sensation from anterior two thirds. Nerve to stapedius is involved in Bell's palsy and leads to hyperacusis.

[@keri-leemuller6179]

I had bells palsy when I was 12 and was told it was due to my bodies reaction of a traumatic or stressful situation. I've always believed that when I'm too stressed then it would come back because I'd been made to believe it wasn't virus related. So odd to discover otherwise. Even more bizarre was that my treatment simply included PT to "wake up" the nerves and then an eye patch and eye drops since my right eye couldn't close at all. Thanfully within a couple of weeks it cleared but I never regained full function and still have a slight distortion by my mouth where that side was affected with paralysis.

[@that_h0e_molly_mathers]

Same I had it when I was ten although I'm suspicious it was a stroke as I couldn't move my right arm or the right side of my face. I use to mix lots of aspirin with coca cola and drink it I think that may of been a factor. I am also still slightly lop sided now. Glad you are ok x

[@believe2879]

i got bell's palsy in my 20

[@57msdeb]

I got it twice in the same year.

[@martinbritton4515]

Had Bell's Palsy for over 3o years , got on both sides, had some horrible comments, it's so frustrating and has ruined my life 🤬🥵

[@PaulineKaburu]

Take heart we are together in this 😭😭

[@naketizainabu7803]

Yes me too 😢😢 so sorry

[@ashleejohnson4945]

Have bells palsy now. The day of my dentist appointment for a simple filling I felt the pain behind my ears in my lymph nodes. Just thought it was due to the dentist work . My symptoms were so light compared to others I've seen with bells palsy. My face didn't melt. I still have some movement. The worst part is my eye barely blinks. So I'm I'm hoping I'll be recovered very soon. Never happened in my life. Mines on my left side.

[@akwuemarychikaodili4572]

Mine has lasted for 1month and 2weeks now, my eye suffer more I use to feel so sensitive to light, non blinking is really a danger insect has enter the eye while watching my eye water irritates my eye

[@ashleejohnson4945]

@@akwuemarychikaodili4572 I’m totally recovered now. Thanks to Jesus. Pray and ask Him for healing having faith He can and will do it. I understand the pain.

[@naketizainabu7803]

​@@ashleejohnson4945amen 🙏

[@johnwtarverjr5774]

I had 20 yrs ago. Start vitamin c and others. My dr put me on antibiotics. Back to normal.

[@noyb470]

if you suspect viral - how long after onset can you initiate treatment - does the 48-72 hr window apply here?

[@sandrine1956]

The good thing about getting bell's palsy was that I got relief from my cluster migraines for a month

[@usa3962]

Curing my fibroid of many years was a dream come true for me and my husband!! Thank you very much Dretiko on KZbin and your your remedy treatment...

[@doc2035]

Hyperacusis is due to weakness of nerve to stapedius that supplies stapedius muscle , if it occurs. Correct

[@user-ew8ko1cw7t]

Thankyou sir...we can also use Anu Tailam as it helps to treat parkinson's disease and facial paralysis

[@hendrynkala1877]

Wow I didn't know this kind of itching diseases and I m suffering from it and moving all over my body

[@DrBasinda8]

36th day and im 95% of recovering .. for the first 3 weeks couldn’t noticed any movement but from day 22 started to noticed movements .. from day 30 the recovering was so rapid and fast .. Didn’t do anything than sleeping 🛌 😂.. i just did brain CT to rule out other conditions like stroke I knew Its just a viral infection usually heal by it self just need a time.. Do not panic you’ll make the situation worse

[@daltonksiyttv]

I know I’m struggling a little bit. I hope it gets better. I’m D3 and not liking it. I’m actually days too but I got medicine eyedrops eyewear I just wanna smile really that’s all I wanna do and eat better.

[@user-ty7tn1xn5h]

Today I woke up and experienced this. I noticed it because I was brushing my teeth and having difficulty rinsing my mouth😭 My smile became crooked😭😭 This strange disease happened to me at the wrong time because it's 2 days until Christmas OMG😭😭😭😭😭

[@jonathanrobles5017]

Did it go away

[@jamesnelson9599]

Thank you for being the dedicated, thoughtful and compassionate Doctor that you are, you are more honest than I ever imagined, thank you so much Dr Ofenmu KZbin channel for curing my genital warts, you are amazing.

[@mackoy9140]

im working on my case study about bellls palsy..can someone tell me where i can find a recent record for how many percentage of population infected with this disease plsssssss

[@notyours1612]

I have it now. It started w an Earache the day before my Face fell. I’m a LongCovid sufferer. I’ve had Covid 4 times with the last time just weeks ago. I also have had EBV. As if I don’t have enough going on. 😭😭😭😭

[@wizwifey10]

That’s what happened to me . My left ear was aching so bad after having Covid . Yesterday woke up with bells palsy’s

[@reneelias25]

Can a chiropractor help with a facial therapy to gain back normal face?

[@simsdas4]

I dealt with this once, it just showed up out of nowere when i woke up one day. What followed was 10 days of cortisone medication and the worst two weeks of my life. Didn't help that the medication seriously interfered with my sleep.

[@tanusreeb.3826]

Are you fine now?

[@simsdas4]

@@tanusreeb.3826 Yeah i'm alright, it wasn't a tick or any outside cause so the meds did their work within two weeks. The lack of sleep was the absolute worst though.

[@tanishasoni2267]

How much time it took to recover?

[@simsdas4]

@@tanishasoni2267 It took a little over 2 weeks with the medication.

[@annking-kt2rv]

I had ear infection had bell's palsy 2 times last year last time both sides of my face

[@sandrine1956]

I had it at 17

[@sandrine1956]

@John Stephen what does HSV stand for

[@yolandapotes70]

I have a facial palsy left face..thyraphist told me to apply warm towel on the right face..it is true?

[@57msdeb]

No

[@MNRSA]

have you do it, any progress?

[@jusded6803]

What a great lesson

[@Ohmuugursh]

Thanks for not being too afraid to mention vaccinations.

[@miguelgomezsanfranciscogom7380]

How long to get normal or get well with bells palsy

[@edwood_9682]

Got it at 25/26 , no long term side effect visable. But, i dont have HIV, Herpes, or got the covid vaccine, & i highly dout cold wind had anything to do with it. It makes more sense if u said. We dont know what causes it. Cuz no one in the emergancy room had any idea what was wrong or what caused it. They told me "We dont see anything wrong, u dont have an ear infection but thats the only meds we can give to see what happens. Basically, what i heard was, we have no idea.

[@zikirullahialimi2487]

Thanks Dr Obulor you are indeed a great doctor and a savior. being recommended to you on KZbin was a blessing to me after years of suffering, I have finally been cured from my Hsv1/Hsv2. am grateful sir🙏

[@MNRSA]

my 5 years journey with belll pasly 😔😔😔 from 2019 untill now..

[@deborahevans3637]

Try and use a massager on your face and it will come back pretty soon if you use it as often as you can .best wishes Deborah UK 😊

[@Mousumi960]

​@Jordi69 Gaming homeopathy is best for it

[@jlu72665]

Onset within days of Shingrix (GSK) vaccine. Course of anti-viral, steroids, PT, accupumcture. Post 4-weeks w no improvement.

[@alleternallovetarottwinfla638]

Thanks Drobulor my Genital hsv1 is permanently gone, thanks for the herbal medication

[@user-tr6qz4id8z]

Causes of bilateral facial palsy?

[@alisonbamford6723]

What about deficiencies? No one ever considers those. Electrolyte imbalances (& as serum blood tests do not show cellular levels, which can be vastly different to serum levels as the body generally keeps blood level homeostasis, what is really going on with the electrolytes may be missed completely - only when cellular levels are critical mat serum levels start to drop), Vitamins B1 &/or B12 deficiencies, Vitamin D deficiency (which often occurs in the Winter & can drive hypocalcemia), etc, may all be potential factors. Plus, the ‘stress management’ nutrients like the B vitamins & Magnesium can get hammered during periods of stress, trauma, illness (inc Virus), etc. B1 deficiency is rarely tested, & again, because serum tests do not show cellular levels, B12 tests can often be exceedingly misleading. They also do not determine how much of the serum B12 is active or inactive. If most is inactive, it’s not getting into the cells & although the serum level may seem fine on paper, it may actually be meaningless in practice.

[@zakiluiz4033]

Truth is as soon as you get diagnosed with bells palsy you have to start corticosteroids (prednisolone) . The earlier you start the steroid the faster you will heal even if your at a dose of 10mg twice a day for atleast 3 weeks. The most benefiting drug is a steroid but one week isn't enough

[@hopelazarus6138]

Thanks Drobulor my herpes is permanently gone, thanks for the herbal medication.

[@junnievilladolid]

What herbal u take? My wife now have bellspalsy, almost 3weeks

[@tedmartin5239]

When I was 8 years old, I had Bell's Palsy... This says age 40 is the most common age...

[@VenturiLife]

After age 40.

[@tedmartin5239]

After or 40; my point was I was just 8 years old...

[@azharal-awosi9734]

Maybe you're not within that most common category and happened to develop this issue at an early age. Most common doesn't mean 100%.

[@tedmartin5239]

@@azharal-awosi9734 At least I did not get Polio, my brother and my cousin did...around that same time...

[@ibetheinfamouslouch]

I caught bells palsy for the 1rst time in my bday June 6 2022 it's now March 2023 I'm about 80% cured but my eye is smaller than the other one and I don't smile the same😩😢would I ever get healed??

[@tanishasoni2267]

Are you fully recovered now?

[@ibetheinfamouslouch]

@tanishasoni2267 no I feel like my right eye it's smaller and I can feel the tension from the right side of my face

[@dipensunar6070]

Sir my name is Sumitra I am belse palci present in 7years old but my it's prablem

[@jamilaumarahmed8273]

Great experience doc, you are a God'sent dr odija channel, keep up the good work, I am completely free from HIV

[@dailydoseofmedicinee]

👏👏

[@reajuddin3552]

i am recovery only one month

[@MNRSA]

i from 2019 😔

[@tinavasquez8184]

What did you do to recover in one month

[@ismailbel9751]

drop the hammer by the mother said the mighty templar

[@suegriffiths5365]

Acupuncture

[@aklaasvandalen207]

Really, does that help?

[@VenturiLife]

@@aklaasvandalen207 First up. Not a doctor: No, or unlikely. What can happen in some fairly common cases (not involving a direct injury), is some kind of viral infection like a bad cold / flu and/or an inner ear infection or similar; the nerve involved (the 7th cranial nerve) can then suffer inflammation, swells, and gets pinched and bruised (as it passes through tight passageways in the skull etc). You must try and address it within 48 hours. They will typically administer antivirals / retrovirals (which probably don't do that much), but will give you corticosteroids which reducing the swelling and help the nerve start the healing process, you'll end up taking corticosteroids for about 6 weeks and slowly taper off them. If it's not addressed with treatment in the 48 hours, they say there are cases where Bell's Palsy can end up as a permanent thing with half your face, tongue etc. basically paralysed, which is a horrible outcome. Woke up with it once, and had to seek treatment, started coming good in a day or two after treatment, but you have to stick with the corticosteroids unfortunately for weeks. They will probably also recommend touching, stroking the affected side of the face to stimulate nerve response. I can't see how accupuncture could do anything useful here, but I don't use it as a treatment.

[@aklaasvandalen207]

Venturi Life, thank you for your response. I had it, and not treated at all, because I was too late. Recovered within 3/5 weeks. Still I have the feeling that it is not 100% . Still looking for a treatment.

[@suzilamustaffa4760]

@@aklaasvandalen207 hi… i had when i was 2.. (1963) and mum thought stroke… healed by itself a bit but had synkinesiz.. at age 59 ( 2 years ago) learnt abt in in the internet… read research and practice…tried accupunture.. it helps a lot.. i smile normally.. eyes .. cheeks .. eyesbrows.. forehead got wrinkles…swollen cheeks … and i can blow air in my cheeks which i need a lot more to do acc and self massage… refer to the internet for BP massage.. dont give up.. acc soften the tight nerves… i got back my lost 59 years dimple back😂😂😂😂 acc relieves the weak muscle … massages too.. believe me… cos i did them…but my twitching still exist due to so long untreated case where in 1960s such cases are not known widely and no internet. I did quite a number of Acc… hope this helps….

[@jkbvlogs4u174]

o - I

[@UnrealTournament420]

Causes= vaccines

[@sharifhammaseyoumar415]

Dr Ajhe on KZbin is my savior i thought all| hpoe was lost untill i was recommended to her here on KZbin. I recommend her also.

[@mrrishiraj88]

Thanks

[@zikirullahialimi2487]

Thanks Dr Obulor you are indeed a great doctor and a savior. being recommended to you on KZbin was a blessing to me after years of suffering, I have finally been cured from my Hsv1/Hsv2. am grateful sir🙏

[@eugeneazeke]

Please can I get to talk to Dr Obulor?