What are the symptoms and causes of facial paralysis

2. From the perspective of Western medicine: Western medicine believes that facial paralysis is caused by facial nerve damage, that is, facial neuritis. It is divided into central facial paralysis and peripheral facial paralysis, which is usually referred to as peripheral facial paralysis, which is caused by damage to the facial nerve and the nerves below it.

The symptoms of facial paralysis can be described in four words, namely:"The mouth and eyes are crooked", which actually refers to the patient's oral and eye symptoms. Oral symptoms are manifested as crooked lips, patients often get up in the morning to wash their faces and rinse their mouths, they find that the facial muscles do not obey the call, when the cheeks and mouth are bulging, the mouth is crooked to one side, often to the healthy side, and sometimes there are symptoms such as drooling; Ocular symptoms include the inability to close the eyes, drooping eyebrows, and no wrinkles on the forehead when raising the eyebrows.

Facial paralysis is divided into central facial paralysis and peripheral facial paralysis, central facial paralysis is mainly manifested by the muscles above the face are not paralyzed, the eyes are closed, the eyebrows are raised and the frowns are all normal, the muscles under the face are paralyzed, the nasolabial folds on the affected side become shallow, the corners of the mouth are relaxed, and the corners of the mouth are crooked to the unaffected side during the tooth posture. Peripheral facial paralysis is mainly manifested by the resolution of frontal lines, the inability of the upper eyelid to close completely, the resolution of nasolabial folds, and the tilting of the mouth; When showing teeth or laughing, the corners of the mouth are tilted to the unaffected side, and the air should not be puffed. There are ingredients left on the side of facial paralysis during meals; Sometimes there are symptoms such as dry eyes and decreased taste buds.

The key causes of central facial paralysis are cerebral infarction, cerebral hemorrhage or intracranial tumor. There are many causes of peripheral facial paralysis, such as cold, wind, viral infection, trauma, tumor, surgery and other reasons. Common conditions that cause peripheral facial paralysis include Bell's palsy, ramsay-huntsyndrome caused by herpes zoster in the ear, temporal bone fractures, tumors, otitis media, and surgical damage.

There are many causes of this, some infectious lesions, such as meningitis, herpes zoster in the ear, etc. In addition, local tumors, such as skull base tumors, basilar artery aneurysms, etc., are also common causes. In addition, many diseases can lead to the appearance of peripheral facial paralysis, and even if there is a vitamin deficiency, it can cause facial paralysis.

Therefore, it is necessary to actively go to the hospital to be diagnosed**, so the ways and methods of facial paralysis** caused by different ** are different.

The causes of facial paralysis can be divided into two aspects: external and internal.

1.The external cause is mainly caused by wind, often due to the face feeling wind cold or wind heat, the evil wind invades, obstructs the operation of the meridians, paralyzes the facial nerve of the face, and facial paralysis occurs. Most of the reasons for feeling the wind evil are sleeping in the window or doorway, so it is easy to feel the wind cold and wind heat.

2.Internal causes are also related to wind, which is caused by internal winds. The internal wind can invade the human body by the external wind and form the internal wind after a long time, or it can be formed by the wind in the body.

The common ones are liver wind internal movement, blood deficiency and wind, blood dryness and wind, etc., and most of the facial paralysis is liver wind internal movement. After the symptoms of facial paralysis appear, you must go to the hospital in time to receive **, so as not to delay the condition.

After facial paralysis, it is necessary to go to the hospital in time to distinguish whether it is peripheral facial paralysis or central facial paralysis.

Peripheral facial paralysis is often called facial neuritis, it can be seen in any age group, for such patients, we can carry out drugs, including nutritional nerves can use small doses of hormones to reduce facial nerve canal edema, acupuncture or physiotherapy after the acute stage, most patients can be completely cured after **.

Of course, there are also some patients with central facial paralysis, which is also caused by brain diseases, the most common is an acute cerebrovascular disease, especially the elderly with sudden facial paralysis, for such patients, we should be vigilant, to exclude it is a brain disease caused by it, should go to the hospital in time for magnetic resonance examination, except for acute cerebral infarction.

You also, there are many cases of peripheral facial paralysis, which can be summarized in the following aspects: (1) Infectious lesions of ear shingles, meningitis, mumps, scarlet fever, malaria, polycranial neuritis, and local infection. (2) Otogenous diseases such as otitis media, labyrinthitis, mastoiditis, and purulent inflammation of the temporal bone.

3) Tumors such as basilar artery aneurysm, skull base tumor, acoustic neuroma, jugular bulb tumor. (4) Trauma: basilar skull fracture and facial trauma. (5) Poisoning such as alcoholism.

The main reason is that the virus invades the facial nerve, so it is mainly antiviral, nourishing the nerve, reducing facial nerve edema and other methods, and acupuncture, physiotherapy, oral Chinese medicine, etc. can also be added for comprehensive **.

Clinical manifestations: Patients often find that the mouth and eyes are slanted and the facial movements are inflexible when washing and rinsing the mouth in the early morning. Some patients may have ipsilateral auricular pain, mastoid region, and facial pain before or during onset.

Symptoms reach their peak in 1-2 days, with complete loss of facial expression muscle movements, loss of frontal wrinkles, enlargement of eye fissures, shallow nasolabial folds, drooping corners of the mouth, and the mouth to the unhealthy side. The affected side should not frown its forehead, frown, close its eyes, show its teeth, whistle, or puff out its cheeks. Because the upper and lower eyelids cannot be closed, the so-called "rabbit eye" is formed.

When blowing and whistling, the lips do not close and the air leaks. Frequent tearing and salivation, and food is trapped in the right tooth and cheek space. A small number of patients do not heal for a long time, and some may have sequelae of muscle spasm on the side of the disease, or the philtrum and corners of the mouth are reversed to the affected side in the later stage, and the nasolabial folds on the affected side are deepened and the eyelids are narrowed.

Depending on the location of the facial nerve damage, there may be loss or loss of taste on the affected side of the tongue2 3, hyperacusis, or decreased saliva.

The general course and prognosis depend on whether the facial nerve is physiologic or neurodegenerate. Recovery of physiologic block generally begins after 14 to 20 days and is complete after 1 to 2 months; If the nerve is completely degenerated, recovery is not possible until 6 months later.

The easiest way to get sick: go to bed at night and blow one side of your face directly with a fan, and you may get this disease when you get up tomorrow. Traditional Chinese medicine believes that this disease is caused by wind evil, and it is divided into types: wind-cold syndrome and wind-heat syndrome.

Mild strokes or problems with the facial nerves can be caused!