Bel's palsy

Clinic

• Bell's palsy is a type of facial paralysis that results in a temporary inability to control the facial muscles on the affected side of the face.
• In most cases, the weakness is temporary and significantly improves over weeks.
• Symptoms can vary from mild to severe.

• It results from a dysfunction of cranial nerve VII (the facial nerve). Many believe that this is due to a viral infection that results in swelling. Diagnosis is based on a person's appearance and ruling out other possible causes.
• Bell's palsy is the most common cause of one-sided facial nerve paralysis (70%)

Related disease

• Ramsay Hunt syndrome type 2 (VZV)
• Myasthenia gravis
• Lyme disease.

Signs and symptoms

• Muscle twitching
• Weakness, or total loss of the ability to move one or, in rare cases, both sides of the face.

Other symptoms include

• Drooping of the eyelid
• Change in taste
• Pain around the ear.
• Hyperacusis / Dysacusis

Myriad neurological symptoms including

• Facial tingling
• Moderate or severe headache/neck pain
• Memory problems
• Balance problems
• Ipsilateral limb paresthesias
• Ipsilateral limb weakness
• Sense of clumsiness that are "unexplained by facial nerve dysfunction.

Cause

• Facial nerve: Its nuclei are in the brain-stem
• Cause of Bell's palsy is unknown. Risk factors include diabetes, a recent upper respiratory tract infection, and pregnancy.
• Some viruses:
• VZV
• EBV
• HIV
• Sarcoidosis
• Lyme Disease
• There may also be an association with migraines.
• Other causes of facial paralysis include tumor, meningitis, stroke, diabetes mellitus, head trauma and inflammatory diseases of the cranial nerves (sarcoidosis, brucellosis, etc.). In these conditions, the neurologic findings are rarely restricted to the facial nerve. Babies can be born with facial palsy. In a few cases, bilateral facial palsy has been associated with acute HIV infection.
• In some research HSV-1 has been identified in a majority of cases
• HSV-1 infection is associated with demyelination of nerves

Miasms

VZV

Top Remedies

Caust	First choice	It can be used for paralysis of any side,but more prominently indicated right side. Loose muscle function of the face on the side from forehead to chin. Pain in the jaws may also be present. The pain can be tense or drawing in nature. It is accompanied by difficulty in opening one’s mouth.
Bell	Flushed face Right side	Face muscles fails to function on one side. There may be numbness on the face. Additionally, twitching of facial muscles can be present. Face goes red, flushes, and may as well witness a burning sensation. Increased sensitivity to noises may be present.
Acon	Face Coldness	Numbness or tingling sensation on the face on the affected side. The face also feels cold on the affected side. Drawing pain in jaws can be felt Aacute conditions in the very beginning when facial paralysis follows from sudden cold air exposure.
Hyper	nerve injury	Facial paralysis due to nerve injury Tingling, numbness, or burning sensation on the affected side

Second class Remedies

Ign		Grief: Bell’s Palsy particularly triggered by grief May also complain of frequent tooth bites while talking or swallowing. Mouth filled with excessive saliva. Other symptoms of grief like weeping, brooding and sadness are also present.
Agar		Dropping in the mouth corner due to facial paralysis Drooling of the saliva. Twitching of the facial muscle Tearing pain in the jaw may assist these symptoms.
Cadm-s	Left side	Distorted face. Swallowing of food becomes difficult. Difficulty speaking properly. Inability to close the eye on the affected side.
Kali-p	Right side
Alum	Left side
Sul	Left side