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Bell's palsy (facial palsy) is characterised by facial drooping on the affected half, due to malfunction of the facial nerve (VII cranial nerve), which controls the muscles of the face. Named after Scottish anatomist Charles Bell, who first described it, Bell's palsy is the most common acute mononeuropathy (disease involving only one nerve), and is the most common cause of acute facial nerve paralysis. The paralysis is of the infranuclear/lower motor neuron type. Bell’s palsy affects about 40,000 people in the United States every year. It affects approximately 1 person in 65 during a lifetime. Until recently, its cause was unknown in most cases, but it has now been related to both Lyme disease and Herpes simplex.

Symptoms


Additional symptoms that may accompany the condition are pain around the ear and loss of taste. In the great majority of patients, only one side of the face is affected. Detection of sensory loss, hearing loss, or ataxia during examination militates against the diagnosis of Bell's palsy and suggests the need for further evaluation.

Investigation


Clinicians should determine whether all branches of the facial nerve are involved, or whether the forehead muscles are spared. Since these receive innervation from both sides of the brain, the forehead can still be wrinkled by a patient whose facial palsy is caused by a problem in the brain rather than in the facial nerve itself.

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Charlie Brooker on Piers Morgan: "he looks like a teddy bear with Bell's palsy concentrating hard on accurately shitting in an egg cup".
pabooth (Paul Booth) Sat, 19 Dec 2009 02:12:34 -0000
Charlie Brooker on Piers Morgan: "he looks like a teddy bear with Bell's palsy concentrating hard on accurately shitting in an egg cup".
because he looks like a teddy bear with Bell's palsy concentrating hard on accurately shitting in an egg cup. http://bit.ly/81DBAG
robeam (Adam Robertson) Sat, 19 Dec 2009 00:47:06 -0000
because he looks like a teddy bear with Bell's palsy concentrating hard on accurately shitting in an egg cup. http://bit.ly/81DBAG
@ThatKevinSmith can you make this app available for Blackberry's? Refuse to own an iPhone. Love the Bell's Palsy girl from the Philly show
IamDraven (Tracey) Fri, 18 Dec 2009 22:10:15 -0000
@ThatKevinSmith can you make this app available for Blackberry's? Refuse to own an iPhone. Love the Bell's Palsy girl from the Philly show
Kirk: Damn whats wrong with your face?? Terry: oh I have Bell's Palsy ---- ahkward silence
TommySwitch (Tommy Field) Fri, 18 Dec 2009 14:14:36 -0000
Kirk: Damn whats wrong with your face?? Terry: oh I have Bell's Palsy ---- ahkward silence
@cpranab i googld4d symptms n d nearst hit's Bell's Palsy.doc hs wrttn d same thn on prescrptn.no diabts,bt hs BP has sht up2 90/190.
tataicool (anirban lahiri) Thu, 17 Dec 2009 08:00:03 -0000
@cpranab i googld4d symptms n d nearst hit's Bell's Palsy.doc hs wrttn d same thn on prescrptn.no diabts,bt hs BP has sht up2 90/190.
anyone had Bell's Palsy ever?? or known someone who had it??
tataicool (anirban lahiri) Thu, 17 Dec 2009 07:09:26 -0000
anyone had Bell's Palsy ever?? or known someone who had it??

 
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Acute Idiopathic Facial Palsy - Information about Bell's palsy, including clinical features, differential diagnosis of seventh cranial nerve weakness, prognosis, treatment and further reading.

Associates in Otolaryngology - Head and Neck Surgery: Bell's Palsy - Information about Bell's palsy, including explanatory diagram and aspects of recovery and rehabilitation.

Bell's Palsy - Information sheet on Bell's Palsy (facial paralysis) compiled by NINDS, the National Institute of Neurological Disorders and Stroke.
Meta Description: [ Bell's Palsy (facial paralysis) information sheet compiled by the National Institute of Neurological Disorders and Stroke (NINDS). ]

Bell's Palsy Information Site - Information including diagrams about the causes, symptoms, effects and treatment of Bell's palsy. Also information on Ramsey Hunt Syndrome and other types of facial paralysis.
Meta Description: [ Bells palsy, Ramsey Hunt syndrome and facial paralysis information: Causes, symptoms, residual effects, treatment and exercises. Active Bell's Palsy forum & chatroom for support. ]

Bell's Palsy (BUPA) - Description of Bell's palsy, including symptoms, complications, treatment and recovery. Explanatory diagram. From BUPA (UK).
Meta Description: [ BUPA health factsheet - bell's palsy effects facial nerves resulting in a paralysis or weakness in the face ]

Bell's Palsy - Facial Nerve Disorders - Description of the condition,the nerve, and facial muscles, as well as diagnosis and treatment information.

Bell's Palsy Diary - Bell's palsy diary and a recovery graph, hoping to be value to others, from Rudy de Bruin. Site in English and Dutch language.

Bell's Palsy: Opthalmology 02/16/98 - An opththalmological viewpoint. Describes some available methods of protecting the cornea.
Meta Description: [ Search the power of About's network of topics ]

Bells Palsy personal page - Personal account of Bell's Palsy by a sufferer of the condition.
Meta Description: [ This site is to help you with your bells palsy problem. I have tried treatments like chiropractor, acupuncture, therapy ]

404 BestDoctors.com Bell's Palsy Information - Brief but informative descriptions of various aspects of the disease by Dr. Bruce J.Gantz.

Drug InfoNet Doctors' Answers to Frequently Asked Questions - Bell's Palsy - Answers to frequently asked questions, for discussion purposes.

eMedicine Health - Bell Palsy - Consumer health resource center providing information on causes, symptoms, and treatment of sudden weakness of one side of the face.
Meta Description: [ Named after Surgeon Sir Charles Bell and also known as facial palsy, Bell palsy is the sudden weakness of one side of the face. It is often temporary and is ... ]

404 Eye MD Links - An article about Bell's palsy, what it is, the prognosis, related conditions, test and who treats it.

500 Eyelid Surgery In Facial Paralysis (Bell's Palsy) - Description of some surgical procedures currently available. Site is accessible for people with low vision.

Facial nerve (VII) paralysis - Neuroanatomy of various syndromes involving paralysis of the seventh cranial nerve.

Facial Nerve Problems: Bell's Palsy - MedicineNet.com's description of the condition including outlines of symptoms and the Herpes virus theory.
Meta Description: [ A complete listing of all health information about hearing loss and communications disorders. All content written by our staff of board certified physicians ]

Fighting Bells Palsy - A personal story, including what the author is doing to fight to regain his face and helpful links.
Meta Description: [ This site is to help you with your bells palsy problem. I have tried treatments like chiropractor, acupuncture, therapy ]

From the Grand Rounds Archive at Baylor College of Medicine - Overview of the condition, including historical shifts in treatment methods. Also grades of paralysis, causes and prognosis.
Meta Description: [

HealthLink MCW - Offers a question and answer entitled, Bell's Palsy symptoms should be evaluated.
Meta Description: [ Abrupt onset of facial paralysis on one side of the face, usually from infection by the herpes simplex virus, is called Bell's palsy. Most people will recover within three weeks, but ongoing symptoms should be evaluated. ]

Is Tegretol used for Bells Palsy? - The Neurology and Neurosurgery Forum - ask the doctor medical forum for patients hosted by Med Help Intl.
Meta Description: [ Patient medical question and doctor answer from The Neurology and Neurosurgery Forum. Health topic area and articles about bell's palsy Topics: bell's diabetes facial . ]

LEF Bell's Palsy Information - Abstracts of journal articles covering various aspects of the disease and treatments, compiled by the Life Extension Foundation.
Meta Description: [ Bell's Palsy - Abstracts : Online Reference for Health Concerns ]

National Centers for Facial Paralysis, Inc. - Bells Palsy treatments: specialists in the rehabilitation of paralyzed facial muscle with over 60 facial palsy centers in the US. A commercial enterprise.
Meta Description: [ Bells Palsy Treastments: The National Centers For Facial Paralysis, Inc. (Specialists in the Rehabilitation of Paralyzed Facial Muscle), are offices dedicated to the rehabilitation of paralyzed residual facial muscle. It is imperative that all new Bell's Palsy patients make the proper decision wi... ]

Parents' Common Sense Encyclopedia - Bell's Palsy - A basic description of pediatric facial palsy.
Meta Description: [ Domain name renewal and affordable web hosting packages from Network Solutions ]

Prednisone for Bell's Palsy - Effect of early treatment of Bell's palsy with prednisolone. Interpretation of one study by Bandolier, a UK health care journal.
Meta Description: [ A monthly newsletter about evidence-based health care; top source for such information on the net ]

Saving Faces: Specialized Surgery helps Patients with Facial Paralysis - Article by Tim Stephens on reconstructive surgery for a patient with facial paralysis. Relevant to the small proportion of people with Bell's palsy who do not regain normal facial movement.

Spring1998 Newsletter from The Facial Paralysis Center - The Pittsburgh center describes relaxation techniques and tips for improving photographs of the paralyzed face. Also biographies of staff members at the time the newsletter was published.

TCM Treatment - Describes in detail how TCM practitioners in China solve Bell's facial paralysis with traditional Chinese strategies and herbs.

The Bell's Palsy Network - FAQs, forum, weekly chat and links.
Meta Description: [ Bell's Palsy Network - Bell's palsy and facial paralysis support portal ]

500 The Bell's Palsy Webforum at Massachusetts General Hospital - Message board with posts and replies by people affected by Bell's Palsy.

Thought Technology's Advances in EMG Monitoring - Applications of EMG biofeedback in patients with injury or impairment of peripheral nerves including Bell's Palsy.

Varied Use of Microsurgery - Cross-facial nerve graft to improve symmetry and smile. By Professor Earl Owen of Sidney, AU.
Meta Description: [ Micro Reversal Inventor with best results in World babies born explains how Mini Microsurgery succeeds ]

What is Facial Retraining? - A program designed to retrain facial muscles for movement and expression after facial paralysis. Relevant to patients with residuals or incomplete recoveries.

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