[bells palsy] Flashcards Preview

NEUROLOGY > [bells palsy] > Flashcards

Flashcards in [bells palsy] Deck (21)
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1
Q
A

70%

2
Q
A

rapid (e.g. overnight/after a nap)

3
Q
A

unilateral weakness

4
Q
A

hyperacusus (stapedius)

5
Q
A
Pain (ear)
sensory loss (ipsilateral)
6
Q
A

VII supplies anterior 2/3s of the tongue

7
Q
A

DM (500%)

Pregnancy (300%)

8
Q
A

buccinator

9
Q
A

normal side pulls lips up, affected side droops. Any 7th nerve palsy

10
Q
A

under bilateral cortical control

11
Q
A

misconnection of healing paraasympathetic fibres

eating stimulates ipsilateral lacrimation but not salivation

12
Q
A

Borrelia causing Lyme disease

13
Q
A

Borrelia antibodies

14
Q
A

prednisolone 60mg/5day

15
Q
A

inability to lacrimate

16
Q

[bells][ramsayhunt]: what is the causative agent

A

varicella zoster virus

17
Q

[bells][ramsayhunt]: which ganglion is affected?

A

geniculate ganglion of VIIth

18
Q

[bells][ramsayhunt]: what is the cardinal symptom

A

painful rash in auditory canal

19
Q

[bells][ramsayhunt]: what other symptoms accompany the cardinal (5)

A
ipsilateral facial palsy
tinnitus
loss of taste
dry mouth/eyes
deafness
20
Q

[bells][ramsayhunt]: 1st line Mx? (2)

A

Aciclovir 800mg PO 5 times daily for 7 days
+
Prednisolone

21
Q

[bells][ramsayhunt]: within what time period should you aim to administer Tx

A

72 hours