Today, spring is warm and flowers are blooming. Looking out of the window, an anxious girl suddenly rushed into the clinic.
[Doctor, I watched the animation all night yesterday, but today my mouth suddenly tilted. Did I have a stroke? Am I going to die? ]
Can you have a stroke at such a young age? I was shocked. I quickly let her frown, close her eyes and grin, then breathed a sigh of relief: “This is not a stroke, it is peripheral facial paralysis, it’s all right.”
[Facial paralysis? Doctor, will I have a poker face for the rest of my life? Should I have my hair cut short, dyed it light blue and put it on two bandages? ]
[Alas, in fact, you are hopelessly ill. However, it is not facial paralysis, it is secondary disease…]
Facial paralysis is what? Is it a stroke?
The nerve that frowns and grins is called facial nerve. It is connected to the control center of the brain like a wire. No matter where there is a problem with this wire, it may cause the muscles on the face to lose control, that is, paralysis.
Our common crooked face is mostly caused by [short circuit of wires] in the surrounding section. Doctors can roughly judge which section is the problem by making people frown, close their eyes and bulge their mouth. In most cases, facial paralysis only occurs on half of the face.
This is called peripheral facial paralysis. The closer the facial nerve [strike] is to the brain, the more complicated the symptoms, such as tasteless eating and tears on the same side of the tongue with crooked face.
Stroke refers to a problem with the control center-the brain. If there is bilateral facial paralysis, or combined with dizziness and inability to hear clearly, for example, it may not be peripheral facial paralysis and needs to be diagnosed by a neurologist. (Facial nerve: I don’t carry this pot back)
Blow cold wind will get facial paralysis?
Folk [expert] said that blowing cold wind or catching a cold will lead to facial paralysis, is that right?
Scientists found the presence of herpes virus in the facial nerves of patients with facial paralysis. Finally found that the virus is the main cause of facial nerve [strike]. Facial paralysis mostly occurs when the temperature is relatively low in autumn and winter. The low temperature is related to the high incidence of herpes virus, which is related to facial neuritis. Low temperature, cold wind and facial paralysis have certain positive correlation, but [blowing cold wind will lead to facial paralysis] is inaccurate.
However, doctors will also ask for some tests to see if there are other more serious causes at work. For example, blood sugar tests are often required, and in rare cases, a head film (CT or MRI) is required.
What if all these tests are okay? Unfortunately, this is called [idiopathic facial paralysis], which means [no specific cause of attack can be found]… but this is the most common cause of [facial paralysis].
With the current level of human science and technology, it is impossible to eliminate the virus hidden in the nerve. Therefore, there is no way to prevent idiopathic facial paralysis.
Got idiopathic facial paralysis, how to do?
Bad news: My face is crooked and my eyes cannot be closed firmly.
The good news: There is a 60% to 70% probability that the facial nerve can be recovered by itself without treatment at all. The virus in the facial nerve will be automatically removed by the human body and the facial nerve can be slowly repaired.
Bad news: This self-recovery process will take about three months.
The good news: There are many traditional medical experiences and folk remedies for facial paralysis. Their common feature is: they are used continuously for at least two months … so it is useless! This is good news for what!
The real good news: facial paralysis still has standard treatment methods.
(1) Hormones, oral glucocorticoid (commonly called [XX pine] drugs are this) can speed up the recovery of facial paralysis, so that its recovery can reach more than 90%.
(2) Antiviral drugs are very helpful for the recovery of the disease and the avoidance of sequelae to those who have obvious signs of virus infection such as bubbling corners of the mouth, or severe facial paralysis with eyes completely unable to close and mouth unable to close.
Can facial paralysis be completely cured?
Although 90% of the people can laugh after standardized treatment, there are also some people who are prone to sequelae:
- Serious in symptoms; Suffering from diabetes; Older.
If a long time has passed since the onset of facial paralysis, one side of the face is still crooked, and what’s more, there will be eyelid or face jumping (facial spasm), you should be careful of sequelae.
Fortunately, plastic surgeons can deal with these sequelae by reconstructing facial muscles or injecting botulinum toxin. Most people have facial paralysis only once, but a few will relapse or appear on the other side.
[So, will it take me three months to get well? How can I meet people in these three months? Asked the girl.
[Relax, relax, in fact, no one cares if your mouth is crooked, just smile at this time.] I comforted.