2. CASE OF BELL’S PALSY
NAME-MOHMMD.YUSUF
FATHER’S NAME-MOHMMD.IQBAAL
AGE/SEX-24,MALE
MARITAL STATUS-UNMARRIED
EDUCATION -B.TECH
ADDRESS-6 J.P. COLONY KUKAS,JAIPUR
PRESENT COMPLAINTS
PARALYSIS OF FACE RIGHT SIDE- 3 DAYS
BURNING PAIN ON AFFECTED SIDE
STIFFNESS OF MUSCLE OF FACE
TWITCHING OF FACIAL MUSCLE AFTER COLD EXPOSURE
<COLD AIR,COLD APPLICATION,
>WARMTH
3. DIFFICULTY IN CLOSING EYES
REDNESS OF EYES
DIFFICULTY IN SPEECH
DIFFICULTY IN CHEWING FOOD
HISTORY OF COLD EXPOSURE WHEN RIDING BIKE IN PREVIOUS
COLD NIGHT
PATIENT AS A PERSON
APPETITE- 3 TIMES IN A DAY,2-3 CHAPATIES AT A TIME
THIRST- 2-3 LIT./DAY; A GLASS AT A TIME
DESIRE- N/P
AVERSION- SWEETS
STOOL-SOFT,SEMI SOLID,REFRESHING ONCE IN A DAY
URINE-CLEAR,WATERY,D(2-3) N(0-1)
PERSPIRATION- NORMAL,NON OFFENSIVE
MANSTRUATION- N/A
BATHING HABIT-REGULAR/ WARM WATER IN WINTERS
THERMAL REACTION- CHILLY
SLEEP & POSITION DURING SLEEP- 6-8 HRS.REFRESHING
ADDICTION- N/P
VACCINATION- ALL DONE
4. MIND- VERY HELPFUL IN NATURE,& ALWAYS SYMPATHETIC FOR OTHER
SAD WHEN SEEING SOME BODY IN PROBLEM
WANTED TO LIVE IN A GROUP
SEXUAL HISTORY- N/P
OBSTETRIC HISTORY-N/A
FAMILY HISTORY: FATHER-HEALTHY,MOTHER-HEALTHY
PATERNAL G.F & G.M- DIED
MATERNAL G.F. & G.M.- DIED
PHYSICAL EXAMINATION- B.P.- 126/76 mm of Hg.
PULSE-78/ min
GENERAL
PALLOR- ABSENT
ICTERUS- ABSENT
CYANOSIS ABSENT
OEDEMA- ABSENT
CLUBBING- ABSENT
LYMPHADENOPATHY- ABSENT
TONGUE- MOIST,CLEAN
SKIN- DRY
5. ANALYSIS OF THE CASE
MENTALS GENERALS-
VERY HELPFUL IN NATURE & ALWAYS SYMPATHETIC FOR
OTHERS.
SAD WHEN SEEING SOMEBODY IN PROBLEM.
WANTED TO LIVE IN A GROUP.
PHYSICAL GENERALS-
AVERSION – SWEETS
PERTICULARS-
PARALYSIS OF FACE ON RIGHT SIDE.
BURNING PAIN ON AFFECTED SIDE.
TWITCHING OF MUSCLES.
DIFFICULTY IN CHEWING FOOD.
DIFFICULTY IN SPEECH
DIFFICULTY IN CLOSING EYES
HISTORY OF RIDING BIKE ON PREVIOUS COLD NIGHT.
STIFFNESS OF FACIAL MUSCLES.
REDNESS OF EYES
6. EVALUATION & RUBRICS OF
SYMPTOMS
VERY HELPFULL IN NATURE & ALWAYS SYMPATHETIC FOR
OTHER- MIND - SYMPATHETIC
AVERSION- SWEETS- GENRELS FOOD AND DRINKS-
SWEETS-AVERSION
PARALYSIS ON RIGHT SIDE- FACE PARALYSIS-RIGHT
BURNING PAIN ON RIGHT SIDE- FACE-PAIN-BURNING
HISTORY OF RIDING BIKE PREVIOUS COLD NIGHT- FACE-
PARALYSIS-RIDING IN THE WIND
DIFFICULTY IN SPEECH MOUTH-SPEECH-DIFFICULT-
PARALYSIS FROM
TWITCHING OF FACIAL MUSCLES ON RIGHT SIDE- FACE-
TWITCHING-RIGHT
7. MIASM
VERY HELPFULL IN NATURE & ALWAYS
SYMPATHETIC FOR OTHER-PSORA
AVERSION- SWEETS-PSORA
PARALYSIS ON RIGHT SIDE-PSORA
BURNING PAIN ON RIGHT SIDE-PSORA
HISTORY OF RIDING BIKE PREVIOUS COLD
NIGHT-PSORA
TWITCHING OF FACIAL MUSCLES ON RIGHT
SIDE-PSORA
DIFFICULTY IN SPEECH-PSORA
MIASM--PSORA
9. MANAGEMENT
PSYCHOTHEREPY WAS GIVEN
PHYSIOTHERAPY-ACTIVE & PASSIVE
EXERCISES FOR 15 MIN. THRICE IN A DAY
HOT APPLICATION ON AFFECTED SIDE
EUPHRASIA EYE DROP (WITHOUT
ALCOHOL) WAS PRESCRIBED FOR
LUBRICATION OF EYES
ADVICED WEARING SUN GLASS WHEN
OUTING
11. DEFINATION
BELL’S PALSY IS A
FORM OF FACIAL
PARALYSIS
RESULTING FROM A
DISFUNCTION OF
THE 7thCRANIAL
NERVE(FACIAL
NERVE) THAT
RESULT IN THE
INABILITY TO
CONTROL FACIAL
MUSCLE ON
AFFECTD SIDE
13. PATHOLOGY
IT IS A MONO-
NEUROPATHY
AND THERE IS
INFRANUCLER
LESION OF
FACIAL NERVE
IS PRESENT
14. AS A RESULT OF
INFLAMMATION OF
FACIAL
NERVE,PRESSURE IS
PRODUCE ON THE
NERVE WHERE IT EXITS
THE
SKULL(STYLOMASTOID
FORAMEN) WITHIN IT
BONY CANAL,BLOCKING
THE TRANSMISSION OF
NEURAL SIGNALS OR
DAMAGING THE NERVE
IN FEW CASES
BILATERAL FACIAL
PALSY HAS BEEN
ASSOCIATED WITH HIV
INFECTION
15. CLINICAL FEATURES
The face will feel stiff or
pulled to one side, and
may look different.
Difficulty eating and
drinking; food falls out of
one side of the mouth
Drooling due to lack of
control over the muscles
of the face
Drooping of the face,
such as the eyelid or
corner of the mouth
Hard to close one eye
Problems smiling,
grimacing, or making
facial expressions
16. Twitching or
weakness of the
muscles in the
face
Absence of
wrinkles on
forehead
Dry eye or mouth
Headache
Loss of sense of
taste
Hyperacusis
Absence of
nasolabial fold
19. MEDICAL
MANAGEMENT
ALLOPATHIC-STEROIDS & ANTIVIRAL
DRUGS
HOMOEOPATHIC TREATMENT- BY
TAKING FULL HISTORY OF PATIENT.WE
MAKE TOTALITY OF SYMPTOMS & AFTER
THAT WE PRESCRIBES A SIMILAR
MEDICINE ON THE BASIS OF TOTALITY OF
SYMPTOMS & ANTI MIASMETIC MEDICINE
20. HOMOEOPATHIC MEDICINES
ACONITE-SYMPTOMS COMES
SUDDENLY;FACE BECOME RED AND
HOT BECOME DEATHLY PALE;
TINGLING & NUMBNESS; LEFT SIDE
MOSTLY AFFECTED; MENTALY &
PHYSICALLY RESTLESSNESS;<WARM
ROOM, DRY COLD WIND; >OPEN AIR
ARNICA- BLUNT TRAUMA; SORENESS
& BRUISED FEELING ON AFFECT PART
21. AGARICUS- FACIAL MUSCLE-
STIFF,TWITCHES,NUMBNESS,JERKING;
BURNING PAIN AS COLD NEEDLE
PIERCING;<COLD AIR,>WARMTH
BELLADONA- FACIAL NEURALGIA WITH
TWITCHING OF MUSCLES; FLUSHING OF
FACE, BRUSTED, HOT,CONGESTION IS
MORE MARKED;<TOUCH, WARMTH
DULCAMARA- TEARING PAIN WITH
COLDNESS OF PART;THIRST
INCREASED;PATIENT LIVE IN
DAMP,BASEMENT;<DAMP COLD RAINY
WEATHER;>WARMTH
22. CAUSTICUM-PARALYSIS OF RIGHT
SIDE;BURNING, SORENESS, RAWNESS IS
MARKED;WEAKNESS OF MUSCLE OF
FACE;<DRY COLD WIND,CLEAR FINE
WEATHER; >DAMP, WET WEATHER,HEAT
HYPERICUM-IF ANY NERVE INJURY
AFTER PAIN & PARALYSIS; NEURITIS,
TINGLING,BURNING,NUMBNESS
GELSEMIUM-DULLNESS,DIZINESS,
DROWSINESS, TREMLLING;MUSCULAR
WEAKNESS,LACK OF MUSCULAR
CORDINATION;THIRSTLESSNESS;
PARALYSIS;<DAMP FOGGY WEATHER
23. GRAPHITIS- FATTY, FLABBY, CHILLY,
CONSTIPATED, DELAYED MENSTRUAL;
PARALYSIS OF FACIAL MUSCLES;
HYPOTHYROIDISM
IGNATIA-TWICHING OF MUSCLES OF
FACE & LIPS;HEAVY FEELING IN EYES;
SOUR TASTE & EASILY BITES INSIDE OF
CHEEKS; MOUTH FULL OF SALIVA; GREAT
CONTRADICTION; ACUTE GRIEF.
KALI CHLOR- FACIAL PARALYSIS;
PROFUSE SECRETION OF ACRID SALIVA;
STOMATITIS; TONGUE SWOLLEN.
24. RHUS TOX- FACIAL NEURALGIA;
FEVER BLISTER AROUND MOUTH &
CHIN; TONGUE-TRIANGULAR RED TIP;
<COLD AIR,REST, DAMP ; >MASSAGE,
WARMTH
SENEGA- PARALYSIS OF LEFT SIDE;
HEAT IN THE FACE; BURNING
VESICLES ON MOUTH & LIPS; >
BENDING HEAD BACKWARD
