PRESENTATION ON PRESENTATION ON BELL’S PALSYBELL’S PALSY

CASE OF BELL’S PALSYCASE OF BELL’S PALSY

NAMENAME-MOHMMD.YUSUF -MOHMMD.YUSUF

FATHER’SFATHER’S NAMENAME--MOHMMD.IQBAALMOHMMD.IQBAAL

AGE/SEXAGE/SEX--24,MALE24,MALE

MARITALMARITAL STATUSSTATUS-UNMARRIED-UNMARRIED

EDUCATIONEDUCATION -B.TECH -B.TECH

ADDRESSADDRESS-6 J.P. COLONY KUKAS,JAIPUR-6 J.P. COLONY KUKAS,JAIPUR

PRESENT COMPLAINTSPRESENT COMPLAINTS

PARALYSIS OF FACE RIGHT SIDE- PARALYSIS OF FACE RIGHT SIDE- 3 DAYS3 DAYSBURNING PAIN ON AFFECTED SIDEBURNING PAIN ON AFFECTED SIDESTIFFNESS OF MUSCLE OF FACESTIFFNESS OF MUSCLE OF FACETWITCHING OF FACIAL MUSCLE AFTER COLD EXPOSURETWITCHING OF FACIAL MUSCLE AFTER COLD EXPOSURE<COLD AIR,COLD APPLICATION,<COLD AIR,COLD APPLICATION,>WARMTH>WARMTH

DIFFICULTY IN CLOSING EYESDIFFICULTY IN CLOSING EYESREDNESS OF EYESREDNESS OF EYESDIFFICULTY IN SPEECHDIFFICULTY IN SPEECHDIFFICULTY IN CHEWING FOODDIFFICULTY IN CHEWING FOODHISTORY OF COLD EXPOSURE WHEN RIDING BIKE IN PREVIOUS HISTORY OF COLD EXPOSURE WHEN RIDING BIKE IN PREVIOUS COLD NIGHT COLD NIGHT

PATIENT AS A PERSONPATIENT AS A PERSONAPPETITEAPPETITE-- 3 TIMES IN A DAY,2-3 CHAPATIES AT A TIME 3 TIMES IN A DAY,2-3 CHAPATIES AT A TIMETHIRSTTHIRST- - 2-3 LIT./DAY; A GLASS AT A TIME2-3 LIT./DAY; A GLASS AT A TIMEDESIREDESIRE- - N/PN/PAVERSIONAVERSION- - SWEETSSWEETSSTOOLSTOOL-SOFT,SEMI SOLID,REFRESHING ONCE IN A DAY-SOFT,SEMI SOLID,REFRESHING ONCE IN A DAYURINEURINE-CLEAR,WATERY,D(2-3) N(0-1)-CLEAR,WATERY,D(2-3) N(0-1)PERSPIRATIONPERSPIRATION- - NORMAL,NON OFFENSIVENORMAL,NON OFFENSIVEMANSTRUATIONMANSTRUATION- N/A- N/ABATHINGBATHING HABITHABIT-REGULAR-REGULAR/ WARM WATER IN WINTERS/ WARM WATER IN WINTERSTHERMALTHERMAL REACTIONREACTION- CHILLY- CHILLYSLEEP & POSITIONSLEEP & POSITION DURING SLEEP-DURING SLEEP- 6-8 HRS.REFRESHING 6-8 HRS.REFRESHINGADDICTIONADDICTION- N/P- N/PVACCINATIONVACCINATION- ALL DONE- ALL DONE

MINDMIND- - VERY HELPFUL IN NATURE,& ALWAYS VERY HELPFUL IN NATURE,& ALWAYS SYMPATHETICSYMPATHETIC FOR OTHER FOR OTHERSAD WHEN SEEING SOME BODY IN PROBLEMSAD WHEN SEEING SOME BODY IN PROBLEM WANTED TO LIVE IN A GROUPWANTED TO LIVE IN A GROUP

SEXUAL HISTORYSEXUAL HISTORY- - N/PN/P

OOBSTETRICBSTETRIC HISTORYHISTORY--N/AN/AFAMILY HISTORYFAMILY HISTORY: : FATHER-HEALTHY,MOTHER-HEALTHYFATHER-HEALTHY,MOTHER-HEALTHY PATERNAL G.F & G.M- DIEDPATERNAL G.F & G.M- DIED MATERNAL G.F. & G.M.- DIEDMATERNAL G.F. & G.M.- DIED

PHYSICAL EXAMINATIONPHYSICAL EXAMINATION-- B.P.- 126/76 mm of Hg. B.P.- 126/76 mm of Hg. PULSE-78/ minPULSE-78/ min

GENERALGENERALPALLORPALLOR-- ABSENT ABSENTICTERUSICTERUS- ABSENT- ABSENTCYANOSISCYANOSIS ABSENTABSENTOEDEMA-OEDEMA- ABSENTABSENTCLUBBINGCLUBBING- - ABSENTABSENTLYMPHADENOPATHYLYMPHADENOPATHY- - ABSENTABSENTTONGUETONGUE- - MOIST,CLEANMOIST,CLEANSKINSKIN- - DRYDRY

ANALYSIS OF THE CASEANALYSIS OF THE CASEMENTALS GENERALS-MENTALS GENERALS-VERY HELPFUL IN NATURE & ALWAYS SYMPATHETIC FOR VERY HELPFUL IN NATURE & ALWAYS SYMPATHETIC FOR OTHERS.OTHERS.SAD WHEN SEEING SOMEBODY IN PROBLEM.SAD WHEN SEEING SOMEBODY IN PROBLEM.WANTED TO LIVE IN A GROUPWANTED TO LIVE IN A GROUP..

PHYSICAL GENERALS-PHYSICAL GENERALS-AVERSION – SWEETSAVERSION – SWEETS

PERTICULARSPERTICULARS--PARALYSIS OF FACE ON RIGHT SIDE.PARALYSIS OF FACE ON RIGHT SIDE.BURNING PAIN ON AFFECTED SIDE.BURNING PAIN ON AFFECTED SIDE.TWITCHING OF MUSCLES.TWITCHING OF MUSCLES.DIFFICULTY IN CHEWING FOOD.DIFFICULTY IN CHEWING FOOD.DIFFICULTY IN SPEECHDIFFICULTY IN SPEECHDIFFICULTY IN CLOSING EYESDIFFICULTY IN CLOSING EYESHISTORY OF RIDING BIKE ON PREVIOUS COLD NIGHT.HISTORY OF RIDING BIKE ON PREVIOUS COLD NIGHT.STIFFNESS OF FACIAL MUSCLES.STIFFNESS OF FACIAL MUSCLES.REDNESS OF EYESREDNESS OF EYES

EVALUATION & RUBRICS OF EVALUATION & RUBRICS OF SYMPTOMSSYMPTOMS

VERY HELPFULL IN NATURE & ALWAYS SYMPATHETIC FOR VERY HELPFULL IN NATURE & ALWAYS SYMPATHETIC FOR OTHER- OTHER- MIND - SYMPATHETICMIND - SYMPATHETICAVERSION- SWEETSAVERSION- SWEETS- - GENRELS FOOD AND DRINKS-GENRELS FOOD AND DRINKS-SWEETS-AVERSIONSWEETS-AVERSIONPARALYSIS ON RIGHT SIDE- PARALYSIS ON RIGHT SIDE- FACE PARALYSIS-RIGHTFACE PARALYSIS-RIGHTBURNING PAIN ON RIGHT SIDE- BURNING PAIN ON RIGHT SIDE- FACE-PAIN-BURNINGFACE-PAIN-BURNINGHISTORY OF RIDING BIKE PREVIOUS COLD NIGHTHISTORY OF RIDING BIKE PREVIOUS COLD NIGHT- - FACE-FACE- PARALYSIS-RIDING IN THE WINDPARALYSIS-RIDING IN THE WINDDIFFICULTY IN SPEECH DIFFICULTY IN SPEECH MOUTH-SPEECH-DIFFICULT-MOUTH-SPEECH-DIFFICULT-PARALYSIS FROMPARALYSIS FROMTWITCHING OF FACIAL MUSCLES ON RIGHT SIDETWITCHING OF FACIAL MUSCLES ON RIGHT SIDE- - FACE-FACE-TWITCHING-RIGHTTWITCHING-RIGHT

MIASMMIASMVERY HELPFULL IN NATURE & ALWAYS VERY HELPFULL IN NATURE & ALWAYS SYMPATHETIC FOR OTHER-SYMPATHETIC FOR OTHER-PSORAPSORA

AVERSION- SWEETS-AVERSION- SWEETS-PSORAPSORA

PARALYSIS ON RIGHT SIDE-PARALYSIS ON RIGHT SIDE-PSORAPSORA

BURNING PAIN ON RIGHT SIDE-BURNING PAIN ON RIGHT SIDE-PSORAPSORA

HISTORY OF RIDING BIKE PREVIOUS COLD HISTORY OF RIDING BIKE PREVIOUS COLD NIGHT-NIGHT-PSORAPSORA

TWITCHING OF FACIAL MUSCLES ON RIGHT TWITCHING OF FACIAL MUSCLES ON RIGHT SIDE-SIDE-PSORAPSORA

DIFFICULTY IN SPEECH-DIFFICULTY IN SPEECH-PSORAPSORA MIASM--PSORAMIASM--PSORA

REPERTORISATION

CAUSTICUM-16/7CAUSTICUM-16/7

PHOSPHORUS-8/4PHOSPHORUS-8/4

BELLADONA-7/5BELLADONA-7/5

GRAPHITIS-6/4GRAPHITIS-6/4

AGARICUS-5/2AGARICUS-5/2

MANAGEMENTMANAGEMENT

PSYCHOTHEREPY WAS GIVENPSYCHOTHEREPY WAS GIVEN

PHYSIOTHERAPY-ACTIVE & PASSIVE PHYSIOTHERAPY-ACTIVE & PASSIVE EXERCISES FOR 15 MIN. THRICE IN A DAYEXERCISES FOR 15 MIN. THRICE IN A DAY

HOT APPLICATION ON AFFECTED SIDEHOT APPLICATION ON AFFECTED SIDE

EUPHRASIA EYE DROP (WITHOUT EUPHRASIA EYE DROP (WITHOUT ALCOHOL) WAS PRESCRIBED FOR ALCOHOL) WAS PRESCRIBED FOR LUBRICATION OF EYESLUBRICATION OF EYES

ADVICED WEARING SUN GLASS WHEN ADVICED WEARING SUN GLASS WHEN OUTINGOUTING

PRESCRIPTIONPRESCRIPTION

DATE-26 DEC.2011- DATE-26 DEC.2011- CAUSTICUM 30CAUSTICUM 30 TDS FOR 7 TDS FOR 7 DAYSDAYS

DATE 3 JAN.2012- 60-70% DATE 3 JAN.2012- 60-70% RELIEF-RELIEF-CAUSTICUM 30CAUSTICUM 30 TDS TDS FOR 14 DAYSFOR 14 DAYS

DEFINATIONDEFINATIONBELL’S PALSY IS A BELL’S PALSY IS A FORM OF FACIAL FORM OF FACIAL PARALYSIS PARALYSIS RESULTING FROM A RESULTING FROM A DISFUNCTION OF DISFUNCTION OF THE 7THE 7ththCRANIAL CRANIAL NERVENERVE(FACIAL(FACIAL NERVE)NERVE) THAT THAT RESULT IN THE RESULT IN THE INABILITY TO INABILITY TO CONTROL FACIAL CONTROL FACIAL MUSCLE ON MUSCLE ON AFFECTD SIDEAFFECTD SIDE

CAUSESCAUSESINFLAMMATORY DISORDRE-INFLAMMATORY DISORDRE- SARCOIDOSIS SARCOIDOSIS VIRAL INFECTION-VIRAL INFECTION- HERPES ZOSTER,HERPES HERPES ZOSTER,HERPES SIMPLEX,EPSTEIN BARR VIRUSSIMPLEX,EPSTEIN BARR VIRUSVASCULAR ISCHEAMIA-VASCULAR ISCHEAMIA- COLD COLD STRESS,EMOTIONAL STRESSSTRESS,EMOTIONAL STRESSLYME DISEASELYME DISEASEBRAIN TUMORBRAIN TUMORTRAUMATRAUMADIABETES MELLITUS DIABETES MELLITUS HIV INFECTION HIV INFECTION HEREDITARYHEREDITARYAUTOIMMUNE DISORDERAUTOIMMUNE DISORDERIDIOPATHICIDIOPATHIC

PATHOLOGYPATHOLOGYIT IS A MONO- IT IS A MONO- NEUROPATHY NEUROPATHY AND THERE IS AND THERE IS INFRANUCLER INFRANUCLER LESION OF LESION OF FACIAL NERVE FACIAL NERVE IS PRESENT IS PRESENT

AS A RESULT OF AS A RESULT OF INFLAMMATION OF INFLAMMATION OF FACIAL FACIAL NERVE,PRESSURE IS NERVE,PRESSURE IS PRODUCE ON THE PRODUCE ON THE NERVE WHERE IT EXITS NERVE WHERE IT EXITS THE THE SKULL(STYLOMASTOID SKULL(STYLOMASTOID FORAMEN) WITHIN IT FORAMEN) WITHIN IT BONY CANAL,BLOCKING BONY CANAL,BLOCKING THE TRANSMISSION OF THE TRANSMISSION OF NEURAL SIGNALS OR NEURAL SIGNALS OR DAMAGING THE NERVE DAMAGING THE NERVE

IN FEW CASES IN FEW CASES BILATERAL FACIAL BILATERAL FACIAL PALSY HAS BEEN PALSY HAS BEEN ASSOCIATED WITH HIV ASSOCIATED WITH HIV INFECTIONINFECTION

CLINICAL FEATURESCLINICAL FEATURESThe face will feel stiff or The face will feel stiff or pulled to one side, and pulled to one side, and may look different.may look different.Difficulty eating and Difficulty eating and drinking; food falls out of drinking; food falls out of one side of the mouthone side of the mouthDroolingDrooling due to lack of due to lack of control over the muscles control over the muscles of the faceof the faceDrooping of the face, Drooping of the face, such as the eyelid or such as the eyelid or corner of the mouthcorner of the mouthHard to close one eyeHard to close one eyeProblems smiling, Problems smiling, grimacing, or making grimacing, or making facial expressionsfacial expressions

Twitching or Twitching or weakness of the weakness of the muscles in the muscles in the facefaceAbsence of Absence of wrinkles on wrinkles on foreheadforeheadDry eye or mouthDry eye or mouthHeadacheHeadacheLoss of sense of Loss of sense of tastetasteHyperacusisHyperacusisAbsence of Absence of nasolabial foldnasolabial fold

INVESTIGATIONINVESTIGATIONBLOOD – CBC,ESR, BLOOD – CBC,ESR, SUGAR(FASTING,PP)SUGAR(FASTING,PP)

ANTIBODIES TEST TO HIV, LYME ANTIBODIES TEST TO HIV, LYME DISEASE ETCDISEASE ETC

X-RAY OF CHESTX-RAY OF CHEST

CT SCAN(FOR TRAUMA)CT SCAN(FOR TRAUMA)

M.R.I. (TRAUMA,ISCHEAMIA ETC)M.R.I. (TRAUMA,ISCHEAMIA ETC)

ELECTROMYOGRAPHYELECTROMYOGRAPHY

NERVE CONDUCTION TESTNERVE CONDUCTION TEST

BLOOD TEST- CBC,ESR,BLOOD BLOOD TEST- CBC,ESR,BLOOD SUGAR(FASTING,PP)SUGAR(FASTING,PP)

MANAGEMENTMANAGEMENTGENERAL MANAGEMENT-GENERAL MANAGEMENT-PSYCHOTHERAPYPSYCHOTHERAPYCARE OF EYE-CARE OF EYE- EYE DROPS,WEAR EYE DROPS,WEAR GLASSES WHEN OUTINGGLASSES WHEN OUTINGMAINTAIN THE MAINTAIN THE SUGAR LAVEL BLOODSUGAR LAVEL BLOODRELIEVE EAR PAIN BY RELIEVE EAR PAIN BY ANALGESICANALGESIC PHYSIOTHERAPY-PHYSIOTHERAPY- ACTIVE & PASSIVE ACTIVE & PASSIVE EXERCISESEXERCISES

MEDICAL MEDICAL MANAGEMENTMANAGEMENT

ALLOPATHICALLOPATHIC-STEROIDS & ANTIVIRAL -STEROIDS & ANTIVIRAL DRUGS DRUGS

HOMOEOPATHIC TREATMENT-HOMOEOPATHIC TREATMENT- BY BY TAKING FULL HISTORY OF PATIENT.WE TAKING FULL HISTORY OF PATIENT.WE MAKE TOTALITY OF SYMPTOMS & AFTER MAKE TOTALITY OF SYMPTOMS & AFTER THAT WE PRESCRIBES A SIMILAR THAT WE PRESCRIBES A SIMILAR MEDICINE ON THE BASIS OF TOTALITY OF MEDICINE ON THE BASIS OF TOTALITY OF SYMPTOMS & ANTI MIASMETIC MEDICINESYMPTOMS & ANTI MIASMETIC MEDICINE

HOMOEOPATHIC MEDICINESHOMOEOPATHIC MEDICINES

ACONITEACONITE-SYMPTOMS COMES -SYMPTOMS COMES SUDDENLY;FACE BECOME RED AND SUDDENLY;FACE BECOME RED AND HOT BECOME DEATHLY PALE; HOT BECOME DEATHLY PALE; TINGLING & NUMBNESS; LEFT SIDE TINGLING & NUMBNESS; LEFT SIDE MOSTLY AFFECTED; MENTALY & MOSTLY AFFECTED; MENTALY & PHYSICALLY RESTLESSNESS;<WARM PHYSICALLY RESTLESSNESS;<WARM ROOM, DRY COLD WIND; >OPEN AIR ROOM, DRY COLD WIND; >OPEN AIR

ARNICAARNICA- BLUNT TRAUMA; SORENESS - BLUNT TRAUMA; SORENESS & BRUISED FEELING ON AFFECT PART& BRUISED FEELING ON AFFECT PART

AGARICUSAGARICUS- FACIAL MUSCLE-- FACIAL MUSCLE-STIFF,TWITCHES,NUMBNESS,JERKING; STIFF,TWITCHES,NUMBNESS,JERKING; BURNING PAIN AS COLD NEEDLE BURNING PAIN AS COLD NEEDLE PIERCING;<COLD AIR,>WARMTHPIERCING;<COLD AIR,>WARMTH

BELLADONABELLADONA- FACIAL NEURALGIA WITH - FACIAL NEURALGIA WITH TWITCHING OF MUSCLES; FLUSHING OF TWITCHING OF MUSCLES; FLUSHING OF FACE, BRUSTED, HOT,CONGESTION IS FACE, BRUSTED, HOT,CONGESTION IS MORE MARKED;<TOUCH, WARMTHMORE MARKED;<TOUCH, WARMTH

DULCAMARADULCAMARA- TEARING PAIN WITH - TEARING PAIN WITH COLDNESS OF PART;THIRST COLDNESS OF PART;THIRST INCREASED;PATIENT LIVE IN INCREASED;PATIENT LIVE IN DAMP,BASEMENT;<DAMP COLD RAINY DAMP,BASEMENT;<DAMP COLD RAINY WEATHER;>WARMTH WEATHER;>WARMTH

CAUSTICUMCAUSTICUM-PARALYSIS OF RIGHT -PARALYSIS OF RIGHT SIDE;BURNING, SORENESS, RAWNESS IS SIDE;BURNING, SORENESS, RAWNESS IS MARKED;WEAKNESS OF MUSCLE OF MARKED;WEAKNESS OF MUSCLE OF FACE;<DRY COLD WIND,CLEAR FINE FACE;<DRY COLD WIND,CLEAR FINE WEATHER; >DAMP, WET WEATHER,HEATWEATHER; >DAMP, WET WEATHER,HEAT

HYPERICUMHYPERICUM-IF ANY NERVE INJURY -IF ANY NERVE INJURY AFTER PAIN & PARALYSIS; NEURITIS, AFTER PAIN & PARALYSIS; NEURITIS, TINGLING,BURNING,NUMBNESSTINGLING,BURNING,NUMBNESS

GELSEMIUM-GELSEMIUM-DULLNESS,DIZINESS, DULLNESS,DIZINESS, DROWSINESS, TREMLLING;MUSCULAR DROWSINESS, TREMLLING;MUSCULAR WEAKNESS,LACK OF MUSCULAR WEAKNESS,LACK OF MUSCULAR CORDINATION;THIRSTLESSNESS; CORDINATION;THIRSTLESSNESS; PARALYSIS;<DAMP FOGGY WEATHERPARALYSIS;<DAMP FOGGY WEATHER

GRAPHITISGRAPHITIS- FATTY, FLABBY, CHILLY, - FATTY, FLABBY, CHILLY, CONSTIPATED, DELAYED MENSTRUAL; CONSTIPATED, DELAYED MENSTRUAL; PARALYSIS OF FACIAL MUSCLES; PARALYSIS OF FACIAL MUSCLES; HYPOTHYROIDISMHYPOTHYROIDISM

IGNATIAIGNATIA-TWICHING OF MUSCLES OF -TWICHING OF MUSCLES OF FACE & LIPS;HEAVY FEELING IN EYES; FACE & LIPS;HEAVY FEELING IN EYES; SOUR TASTE & EASILY BITES INSIDE OF SOUR TASTE & EASILY BITES INSIDE OF CHEEKS; MOUTH FULL OF SALIVA; GREAT CHEEKS; MOUTH FULL OF SALIVA; GREAT CONTRADICTION; ACUTE GRIEF.CONTRADICTION; ACUTE GRIEF.

KALI CHLOR-KALI CHLOR- FACIAL PARALYSIS; FACIAL PARALYSIS; PROFUSE SECRETION OF ACRID SALIVA; PROFUSE SECRETION OF ACRID SALIVA; STOMATITIS; TONGUE SWOLLEN. STOMATITIS; TONGUE SWOLLEN.

RHUS TOX-RHUS TOX- FACIAL NEURALGIA; FACIAL NEURALGIA; FEVER BLISTER AROUND MOUTH & FEVER BLISTER AROUND MOUTH & CHIN; TONGUE-TRIANGULAR RED TIP; CHIN; TONGUE-TRIANGULAR RED TIP; <COLD AIR,REST, DAMP ; >MASSAGE, <COLD AIR,REST, DAMP ; >MASSAGE, WARMTHWARMTH

SENEGASENEGA- PARALYSIS OF LEFT SIDE; - PARALYSIS OF LEFT SIDE; HEAT IN THE FACE; BURNING HEAT IN THE FACE; BURNING VESICLES ON MOUTH & LIPS; > VESICLES ON MOUTH & LIPS; > BENDING HEAD BACKWARD BENDING HEAD BACKWARD

SURGICALTREATMENT-SURGICALTREATMENT-Nerve decompression relieves pressure Nerve decompression relieves pressure on the nerve fibres & thus improves the on the nerve fibres & thus improves the microcirculation of the nerve. Vertical & microcirculation of the nerve. Vertical &

tympanic segments of nerve are tympanic segments of nerve are decompressed.decompressed.