CC: EXAMINE THIS PATIENT CRANIAL NERVE
DIAGNOSIS:
FACIAL NERVE PALSY
CAUSES OF VII NERVE PALSY:
BELL’S PALSY (IDIOPATHIC ALTHOUGH HSV-1
IMPLICATED)
HERPES ZOSTER , REMEMBER TO EXAMINE EARS FOR RAMSAY-HUNT SYNDROME
STROKE
MULTIPLE SCLEROSIS
DIABETES
LYME DISEASE
SARCOIDOSIS
TUMOR
TRAUMA
GULALLAIN-BARRÉ SYNDROME
MYASTHENIA GRAVIS
MANAGEMENT:
EYE PROTECTION ( ARTIFICIAL TEATRS, TAPE THE EYES AT NIGHT)
PO PREDNISOLONE
ACYCLOVIR PO
IF PREGNANT:
BOTH STEROID & ACYCLOVIR ARE SAFE DURING PREGNANCY
REMEMBER :
GOOD HYDRATION WITH ACYCLOVIR
