• Title/Summary/Keyword: Facial Paralysis

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Bilateral Alternating Bell's Palsy Treated with Stellate Ganglion Block -A case report- (양측 교대형 안면신경 마비의 치험 -증례 보고-)

  • Woo, Young-Cheol;Koo, Gill-Hoi
    • The Korean Journal of Pain
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    • v.11 no.2
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    • pp.326-331
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    • 1998
  • Facial nerve paralysis is a common pain clinical diagnosis. But ipsilateral or contralateral recurrent facial paralysis is found in about 2.6~19.5% of facial paralysis and especially bilateral facial paralysis is rare. While idiopathic facial paralysis is the most common diagnosis, a comprehensive evaluation must be completed prior to this diagnosis in patients with bilateral facial paralysis. A representative case of bilateral alternating facial paralysis treated with stellate ganglion block (SGB) is presented. A 57 years old male patient who had the onset of a right facial paralysis 7 months ago visited pain clinic. Five months after the onset of right facial paralysis, as it was improving, he developed a left facial paralysis. He had history of hypertension, diabetus mellitus and pain episode on mastoid process before facial paralysis developed. Electrical test showed incomplete neuropathy on both side and computed tomography (CT) scan was normal. He was treated with SGB, physical theraphy and aspirin medication. After 25 times SGB, he was recovered almost completely.

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The Clinical Study on Measurement of Foot Reflex Zone Acupoint Detection of Facial Paralysis Patients by Acupoints Detector (경혈탐측기를 이용한 말초성 안면신경마비환자의 족부반사구 변화에 대한 임상적 고찰)

  • Wang, Kai-Hsia;Lee, Eun-Sol;Hwang, Ji-Hoo;Kim, Yu-Jong;Kim, Kyung-Ho;Kim, Seung-Hyeon;Youn, In-Yae;Cho, Hyun-Seok
    • Journal of Acupuncture Research
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    • v.29 no.1
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    • pp.1-8
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    • 2012
  • Objectives : We investigate the characteristics of foot reflex zone acupoint of facial paralysis patients. Methods : In order to make a comparison between facial nerve paralysis patient group and non-facial paralysis group, we measured foot reflex zone acupoint detection in both group of 18 patients who were diagnosticated to facial nerve paralysis and 18 persons who were not. Results : 1. In comparing the means of the foot reflex zone, the measurements of facial nerve paralysis group is different significantly from non-facial paralysis group(p<0.05). 2. The measurement of detection of foot reflex zone acupoints, such as hypophysis(垂體), nose(鼻), cerebrum(大腦), neck(頸項), Trapezius muscle(僧帽筋), eye(眼) and ear(耳) of the facial nerve paralysis group is different significantly in comparison with non-facial paralysis group(p<0.05). But the measurement of detection of foot reflex zone acupoints, such as trigeminal nerve(三叉神經), cerebellum (小腦), kidney(腎), ureter(輸尿管) and urinary bladder(膀胱) of the facial nerve paralysis group is not defferent significantly in comparison with non-facial paralysis group(p>0.05). Conclusions : The results suggest that foot reflex zone can be used in the diagnosis and treatment of facial nerve paralysis.

Case Report of Facial Nerve Paralysis (안면신경마비의 치험례)

  • Cho, Sang-Hun;Park, June-Sang;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.26 no.2
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    • pp.157-160
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    • 2001
  • Facial nerve paralysis(or Bell's palsy) which commonly occurs unilaterally, gives rise to paralysis of facial expression muscle. This condition is classified into symptomatic facial nerve paralysis due to intracranial tumor, post operative trauma, etc. and idiopathic facial nerve paralysis. To explain the etiology of idiopathic facial nerve paralysis, many hypothesis including ischemic theory, viral infection, exposure to cold, immune theory etc. were suggested, but there is no agreement at this point. The method to evaluate the facial nerve paralysis, when it occurs, consists of three stage scale method, image thechnics like CT and MRI, laboratory test to examine the antibody titers of viral infection, neurophysiologic test to evaluate the degree and prognosis of paralysis. Treatment includes medication, stellate ganglion block(SGB), surgery, physical therapy and other home care therapy. In medication, systemic steroids, vitamins, vasodilating-drug and ATP drugs were used. SGB was also used repeatedly to attempt the improvement of circulation and to stimulate the recovery of nerve function. Physical therapy including electric acupuncture stimulation therapy(EAST) and hot pack was used to prevent the muscle atrophy. When No response was showed to this conservative therapies, surgery was considered. After treating two patients complaining of Bell's palsy with medication(systemic steroids) and EAST, favorable result was obtained. so author report the case of facial nerve paralysis.

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Reference research for the cause of facial nerve paralysis (구안괘사의 원인(原因)에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Yu, Han Chol;Kim, Han Sung
    • Journal of Haehwa Medicine
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    • v.9 no.1
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    • pp.243-258
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    • 2000
  • From the reference research, the results obtained were as follows. 1. Until the "Song" dynasty, the predominant cause of facial nerve paralysis was the attack of Pathogenic Wind to "the Stomach Channel of Foot Yangming, (St.C.); and "the Small Intestine Channel of Hand Taiyang, (S.I.C.). They recognized the facial paralysis as an aspect of palsy. 2. In the period of Jin-Yuan(金元), the predominant cause was described as "Xuexu"(the deficiency of blood) and phlegm. They recognized that the facial palsy was a palsy. However, they also acceded to the possibility that there could be other explanations. 3. In the period of "Ming & Qing", there were numerous kinds of causes. For example, the following were identified as attacking the Meridian: the Pathogenic Cold; Pathogenic Heat; "Xinxu"(the deficiency in the heart); Fire and Heat combined as a pathogenic factor; "Pixu"(the deficiency in the spleen); and, "Xinxu"(the deficiency of blood). 4. In the past, Koreans have explained the facial paralysis according to the Chinese theories mentioned. However, recently there has been an emergence of another Chinese theory; whereby, facial paralysis is classified into causes and symptoms, and then medical treatment is applied accordingly. 5. From the occident medical perspective, the facial paralysis is categorized into two causes. The first is called central facial nerve paralysis and the second is called peripheral facial nerve paralysis. The latter is mainly caused by Bell's palsy, Herpez zoster oticus, and trauma.

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The Effect of Meridian Points Massage Nursing Intervention on the Recovery of Facial Paralysis (안면경락마사지 간호중재가 뇌졸중 환자의 안면마비 회복에 미치는 영향)

  • 이향련;김병은
    • Journal of Korean Academy of Nursing
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    • v.31 no.6
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    • pp.1044-1054
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    • 2001
  • The purpose of this study was to develop on east-west nursing intervention program. This study was conducted to identify the effectiveness of using facial meridian points for massage nursing intervention on the recovery of facial paralysis for 46 patients (22 for experimental group). All had suffered from strokes, and were also admitted to the division of oriental medicine in K University Hospital. Method: Data was collected from February 1st to December 31st of 2000. This study used a quasi experimental, non-equivalent control group pre-test and post-test design. The recovery of facial paralysis was measured by the difference between left and right facial length, observation and self report on a seven point scale, and facial discomfort by a facial scale after 6-7 facial massages in a two week period. Data was analyzed using the SPSS package program with x2 and t test. Result: The result of this study are as follows; The experimental group who received the facial meridian massage showed higher scores in recovery of facial paralysis (t=2.72, p=.009), and a smaller difference between left and right facial strength than those in control group (t=2.26, p= .29). The discomfort of the facial area in the experimental and control group showed no significant differences. Conclusion: These findings indicate that a facial meridian points massage could be an effective nursing intervention to the recovery of facial paralysis. This study contributes in developing an east-west nursing intervention with the oriental meridian theory and western massage therapy.

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The Clinical Study on Yangdorak Change with Idiopathic Facial Paralysis Patients (특발성안면신경마비환자의 양도락 변화에 대한 임상적 고찰)

  • Kim, Kyung-Ok;Yang, Jae-Chul;Mun, Kyung-Suk;Lee, Kyung-Yun;Jang, Jo-Ung
    • Journal of Acupuncture Research
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    • v.22 no.6
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    • pp.201-209
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    • 2005
  • Objectives : We investicated correlation between Yangdorak and Meridian at Idiopathic facial nerve paralysis patients. Methods : For Yangdorak examination, We made a comparison between 21 patients who were diagnosticated to Idiopathic facial nerve paralysis and 22 persons who were not. Results : 1. The stress showed the highest frequency in premonitory cause at onset. 2. In comparing results on the Yangdorak general mean, they were not statistically significant between two group(p<0.05). 3. In comparing results on the Stomach(ST)-meridian Yangdorak mean, Idiopathic facial nerve paralysis group is stastically significant in comparison with non-facial paralysis group(p<0.05). 4. In comparing results on the Small Intestine(SI)-meridian Yangdorak mean, Idiopathic facial nerve paralysis group is not stastically significant in comparison with non-facial paralysis group(p<0.05). Conclusion : Yangdorak may be used for a method to objective clinical examination. But further studies are required for a use of practical indicator.

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Facial Nerve Decompression via Middle Fossa Approach : Report of Three Cases (말초성 안면마비에서 중두개와 접근법에 의한 안면신경 감압술 : 3례 보고)

  • Cho, Joon;Park, Sung-Ho;Kim, Jae-Young
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.479-485
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    • 2001
  • Objective : Several conservative treatments have been tried in peripheral facial nerve paralysis, because 80% of patients recover spontaneously. Surgical decompression may be helpful to the residual, medically intractable patients. We present here our experiences of facial nerve decompression via middle fossa approach, which seems to be one of good surgical therapeutic options for medically refractory peripheral facial nerve paralysis. Method : Three cases of medically intractable peripheral type facial paralysis were microscopically operated via middle cranial fossa approach to decompress the labyrinthine segment of the facial nerve and geniculate ganglion by searching landmarks of middle meningeal artery, greater superficial petrosal nerve and facial hiatus. Results : After operation, two cases of Bell's palsy improved substantially and one case of post-traumatic facial paralysis improved partially. Conclusion : This report is presented to describe the surgical facial nerve decompression via middle fossa for early control of peripheral type facial paralysis. Surgical decompression of edematous peripherally paralysed facial nerve could be preferred to conservative treatment in some patients although more surgical experience should be required.

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A Clinical Report on One Case of Nuclear Facial Nerve Paralysis (핵성(核性) 안면신경마비(顔面神經麻痺) 환자 증례 1례(例))

  • Kim Bong-Suk;Lim Hee-Yong;Kim Seong-Mo;Park Jae-Hyun;Lee Tae-Hyun
    • The Journal of Internal Korean Medicine
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    • v.24 no.2
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    • pp.395-401
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    • 2003
  • Facial nerver paralysis is classified as Supranuclear, Peripheral and Nuclear. It is mostly Spontaneous Peripheral Facial Paralysis(Bell's palsy) or Supranuclear Paralysis by C.V.A, but Nuclear Facial Nerve Paralysis is rarely reported. We treated a 64-years-old female patient who had 7-years history of C.V.A with hypertension and heart disease, and complained of these symptoms; left facial palsy, ocular dysmetria, diplopia, and right extremity weakness. We diagnosed as direct attack from the wind pathogen(風邪入中) with deficiency of both Gi(Qi, vital energy) and blood(氣血雨虛), and employed Oriental medical treatments; herb-medication, acupuncture and moxa therapy. The result was relatively acceptable. So We report this case with a brief review of related literatures.

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The Clinical investigation studies in peripheral facial paralysis using Needle-Embedding Therapy (매선침법(埋線鍼法)을 이용한 구안와사 치료에 대한 임상적 고찰)

  • Kang, Eun-Kyo;Kim, Ji-Hyon;Seo, Hyeong-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.2
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    • pp.118-127
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    • 2009
  • Objectives : This study was performed to investigate the effect of Needle -Embedding Therapy in peripheral facial paralysis. Methods : We investigated 12 patients with peripheral facial paralysis. The patients were treated by basic oriental medicine treatment. Especially Needle-Embedding Therapy was added. We evaluated the effect of Needle-Embedding Therapy by using Yanagihara's unweighted grading system from baseline to final. Results : 1. The final Yanagihara's scores were higher than those of baseline. 2. The longer Needle Embedding Therapy period and the higher the number of the therapy repeated, the greater the effectiveness of the therapy. Conclusions : 1. Needle-Embedding Therapy was efficacious in peripheral facial paralysis. 2. Further studies will be required to identify the beneficial effect of Needle- Embedding Therapy in peripheral facial paralysis.

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2 Case Study Reportings Using Hyeongbangjihwang-tang of a Soyangin Patient Diagnosed with Peripheral Facial Paralysis (형방지황탕(荊防地黃湯)으로 호전된 소양인(少陽人) 말초성 안면신경마비 환자 치험 2례)

  • Jeong, Hae-Yeon;Lee, Sung-Jin;Ham, Seong-Hun;Lim, Eun-Chul
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.2
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    • pp.124-133
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    • 2013
  • Objectives We report a series of 2 treatment cases with Hyeongbangjihwang-tang which is based on Sasang Constitutional Medicine for peripheral facial paralysis in Soyangin. Methods We prescribed Hyeongbangjihwang-tang for their physical symptoms. The improvement of their peripheral facial paralysis was evaluated. Results After the Hyeongbangjihwang-tang was given, the patient's peripheral facial paralysis and physical symptoms were improved. Conclusions These case-studies showed an efficient result of using Hyeongbangjihwang-tang in the peripheral facial paralysis of Soyangin.