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Bell’ s Palsy and Homoeopathy

 

© Dr. Rajneesh Kumar Sharma M.D. (Homoeopathy)

Dr. Swati Vishnoi B.H.M.S.

For well formatted and illustrated article, please see attached file below-

Bells palsy and Homoeopaathy.pdf

Contents

Definition. 1

Etymology. 1

Epidemiology. 2

Anatomy. 2

Pathophysiology. 2

Central facial weakness 2

Peripheral facial weakness 2

Causes 3

Symptoms 3

SELECTED ETIOLOGIES ASSOCIATED WITH DISORDERS OF CRANIAL NERVE Vll 4

Differential diagnosis 5

Temporal presentation. 5

Extent of involvement 5

Treatment 5

Homoeopathic Treatment 5

Bibliography. 7

Definition   

Bell's palsy is a condition of paralysis or weakness (Psora) of facial muscles of one side due to swelling (Psora/ Sycosis), inflammation or damage (Psora/ Syphilis) to the seventh cranial nerve called facial nerve, causing that side of the face to droop, and affect the sense of taste, lachrymation and salivation (Psora/ Sycosis).

Etymology

In mid 19th cent-  Sir Charles Bell (1774–1842), the Scottish anatomist first described it.

Epidemiology

  • the condition can affect people of any age, commonly between the ages of 16 and 60.
  • Bell’s palsy is named after the Scottish anatomist Charles Bell, who was the first to describe the condition.

Anatomy

Seventh cranial nerve or facial nerve passes through the stylomastoid foramen and facial canal of temporal bone to enter into the parotid gland. It controls the muscles of the neck, forehead and facial expressions, as well as perceived sound volume. It has a mixed function, primarily motor, but also sensory and parasympathetic.

Pathophysiology

Inflammation of geniculate ganglion, a group of fibres and sensory neurons, leads to compression within this bony canal (Psora/ Sycosis). This can in turn block the transmission of neural signals, resulting in ischemia and demyelination (Psora/ Syphilis), causing facial paralysis or Bell's palsy.

A lesion may involve the facial nerve anywhere along its course, and based upon specific signs and symptoms, the location of the pathology can be deduced. It may cause two types of presentations – central and peripheral facial weakness.

Central facial weakness

Due to bilateral supranuclear innervation of the upper facial musculature, a central palsy spares forehead and brow motion. There may be preservation of emotional or involuntary facial motion.

Peripheral facial weakness

It involves both upper and lower facial muscles. Preservation of emotional or involuntary facial motion is not seen with a peripheral paralysis.

 

Causes

Main causes are-

  • Cold
  • Ear infection
  • Eye infection
  • Herpes simplex
  • HIV
  • Middle ear infection
  • Lyme disease
  • Sarcoidosis
  • Herpes zoster virus, which causes chickenpox and shingles
  • Epstein-Barr virus
  • Cytomegalovirus
  • The symptoms usually appear rapidly, and notice them upon waking or when trying to eat or drink. (Psora)
  • The symptoms commonly develop over hours or days. Men and women are equally affected. (Psora)
  • Bell’s palsy is marked by a droopy appearance on one side of the face and the inability to open or close the eye on the affected side. In rare cases, Bell’s palsy may affect both sides of the face. (Psora/ Syphilis)

Symptoms

Other signs and symptoms of Bell’s palsy include-

  • Weakness or complete paralysis of an entire side of the face (Psora/ Syphilis)
  • Ptosis of eye lid (Psora/ Syphilis)
  • Drooling from the affected side of the mouth (Psora/ Syphilis)
  • Pain around the ear (Psora/ Sycosis / Syphilis)
  • Feeling of fullness or swelling to the affected side of the face (Psora/ Sycosis)
  • Impaired sensation of taste or hearing (Psora)
  • Inability to wrinkle forehead (Psora)
  • Contour of smile affected (Psora)
  • Facial weakness (Psora)
  • Facial muscle twitching (Psora/ Sycosis)
  • Dry eye and mouth (Psora)
  • Headache (Psora/ Sycosis / Syphilis)
  • Sensitivity to sound (Psora)

Bell’s palsy, as the symptoms can mimic other conditions such as stroke, Lyme disease, and cranial tumour.

 

SELECTED ETIOLOGIES ASSOCIATED WITH DISORDERS OF CRANIAL NERVE Vll

Etiological Category

Selected Specific Etiologies

STRUCTURAL DISORDERS

Developmental

Mobius' syndrome, absence of facial musculature

Degenerative and compressive

Osteopetrosis, sclerosteosis, hyperostosis corticalis generalisata, benign intracranial hypertension

HEREDITARY AND DEGENERATIVE DISORDERS

Amino/organic acidopathies, mitochondrial enzyme defects and other metabolic errors

Acute porphyria

Movement disorders

Hemifacial spasm, Parkinson's disease, Gilles de la Tourette's syndrome, facial dystonia

Meige's disease or Brueghel's syndrome, facial contortion, bilateral

Degenerative motor, sensory, and autonomic disorders

Amyotrophic lateral sclerosis

Inherited muscle, neuromuscular, and neuronal disorders

Dystrophia myotonica

ACQUIRED METABOLIC AND NUTRITIONAL

DISORDERS

Endogenous metabolic disorders

Diabetes mellitus, hyperthyroidism

Exogenous acquired metabolic disorders of the nervous system

Toxins and illicit drugs

Thalidomide, carbon monoxide, ethylene glycol, arsenic

Nutritional deficiencies and syndromes associated with alcoholism

INFECTIOUS DISORDERS

Wernicke-Korsakoff syndrome

Viral infections

Herpes zoster, herpes simplex, influenza, coxsackie, enterovirus, polio, mumps, mononucleosis

Nonviral infections

Otitis externa, otitis media, mastoiditis, syphilis, tuberculosis, leprosy, Lyme disease, cat scratch disease, mucormycosis, botulism, malaria

NEUROVASCULAR DISORDERS

Stroke, internal carotid artery aneurysm

NEOPLASTIC DISORDERS

Primary neurological tumors

Pontine glioma, neuroma (acoustic, facial), meningioma, hemangioma, cholesteatoma, glomus tumor

Metastatic neoplasms and paraneoplastic syndromes

Leukemia, lymphoma, myeloma, from salivary gland (adenoid cystic), skin (melanoma), breast, lung, kidney, head/neck

DEMYELINATING DISORDERS

Demyelinating disorders of the central nervous system

Multiple sclerosis

Demyelinating disorders of the peripheral nervous system

Guillain-Barre syndrome

AUTOIMMUNE AND INFLAMMATORY DISORDERS

Bell's palsy, sarcoidosis, myasthenia gravis, Sjogren's syndrome, temporal arteritis, systemic lupus erythematosus, periarteritis nodosa

TRAUMATIC DISORDERS

Facial laceration, face/mandible/temporal bone fracture, birth trauma, barotrauma, lightning

EPILEPSY

Focal epilepsy, Ramsay Hunt syndrome

HEADACHE AND FACIAL PAIN

Cerebellopontine angle lesion

DRUG-INDUCED AND IATROGENIC NEUROLOGICAL DISORDERS

Parotid or facial cosmetie surgery, otological or neurotological surgery, local anesthesia, arterial embolization

 

Differential diagnosis

  • Physical examination to see the extent of the weakness in facial muscles.
  • This X-ray to rule out a stroke, tumor, or other serious neurological.
  • MRI or CT scan to rule out any edema, swelling, injury or tumor.

Clinical presentation may be as below-

Temporal presentation

  • Sudden onset suggests an inflammatory or vascular etiology e.g., Bell's palsy or stroke.
  • Slowly progressive palsy suggests a neoplastic process, especially if there are episodes of facial twitching e.g., facial nerve neuroma.
  • Bell's palsy should improve within 6 months, whereas palsy caused by a tumor does not heal away itself.
  • Palsy occurring immediately after trauma or surgery suggests transection of the nerve, whereas a delayed onset usually implies edema of the nerve which usually improves with time.
  • In Bell’s palsy, recurrence may be contralateral while recurrent episodes of palsy on the same side, tumor may be the etiology.
  • It is important to assess the amount of facial palsy present initially, so that changes over time can be known.
  • The exact areas of weakness should be noted, because sparing of forehead motion or emotional facial expression suggests a central etiology, whereas palsy of both the upper and lower face suggests a peripheral lesion.
  • If only one or two distal branches of the facial nerve are affected, possible etiologies include parotid gland tumors, facial surgery, or facial trauma.
  • Bilateral involvement, which are called facial diplegia, can be found in Lyme disease, Mobius' syndrome, Bell's palsy, and Guillain-Barre syndrome.
  • Protecting the eye on the affected side from dryness during sleep.
  • Massage of affected muscles to reduce soreness.
  • Physiotherapy

Extent of involvement

Treatment

Homoeopathic Treatment

Bell’s, palsy - Acon. aethi-m. Agar. All-c. alum. Am-p. Anac. anh. Apis Arn. ars. bac. bapt. Bar-c. BELL. Cadm-s. carb-v. carc. CAUST. Cocc. Colch. con. crot-h. Cupr. Cur. Dulc. form. GELS. Graph. hell. hep. hyos. hyper. IGN. iod. Kali-chl. Kali-i. kali-m. kali-p. lach. lyc. merc-i-f. merc. mur-ac. naja NAT-M. nux-m. Nux-v. ol-an. op. oxyurn-sc. peti. petr. Phos. phys. physal-al. phyt. Plat. plb. puls. ran-b. Rhus-t. ruta sec. seneg. sep. sil. solid. spig. stram. stry. sulph. syph. zinc-p. Zinc-pic. zinc.

Clinical - bell’s, palsy - bathing, from graph.

Clinical - bell’s, palsy - chewing, difficult, with syph.

Clinical - bell’s, palsy - cold, from acon. Cadm-s. Caust. Dulc. ruta

Clinical - bell’s, palsy - distortion, of muscles, with graph.

Clinical - bell’s, palsy - eyes, close, cannot - eyes, closed, with apis

Clinical - bell’s, palsy - eyes, close, cannot cadm-s.

Clinical - bell’s, palsy - goitre, suppression, from iod.

Clinical - bell’s, palsy – left All-c. cadm-s. Cur. form. graph. Nux-v. seneg. spig. sulph.

Clinical - bell’s, palsy - mouth, corners of, drop and saliva runs out agar. op. zinc.

Clinical - bell’s, palsy - mouth, opening, agg. caust.

Clinical - bell’s, palsy - one-sided Bar-c. bell. cadm-s. Caust. Cocc. Graph. Kali-chl. kali-p. puls. sil. syph.

Clinical - bell’s, palsy - pain, after kali-chl. kali-m.

Clinical - bell’s, palsy - riding, in the wind, from acon. bell. Cadm-s. Caust. ign.

Clinical - bell’s, palsy – right apis Arn. bell. Caust. hep. kali-chl. kali-p. Phos. plb. sil.

Clinical - bell’s, palsy - swallowing, difficult cadm-s.

Clinical - bell’s, palsy - talking, difficult cadm-s. syph.

Clinical - bell’s, palsy - twitching, of muscles, with - eyelids, of, with syph.

Clinical - bell’s, palsy - twitching, of muscles, with agar. kali-m. syph.

Clinical - bell’s, palsy - urine, profuse, with all-c.

Clinical - bell’s, palsy - wet, after getting Caust.

Clinical - bell’s, palsy Acon. Agar. all-c. alum. Am-p. anac. anh. apis Arn. ars. bac. bapt. Bar-c. Bell. Cadm-s. carb-v. carc. Caust. Cocc. colch. con. crot-h. Cupr. Cur. Dulc. form. Gels. Graph. hell. hep. hyos. hyper. Ign. iod. Kali-chl. Kali-i. kali-m. kali-p. lach. lyc. merc-i-f. merc. mur-ac. naja nat-m. nux-m. Nux-v. ol-an. op. oxyurn-sc. peti. petr. phos. phys. physal-al. phyt. plat. plb. puls. ran-b. rhus-t. ruta sec. seneg. sep. sil. solid. spig. stram. stry. sulph. syph. zinc-p. zinc-pic. zinc.

Eyes - PARALYSIS, eyes - optic nerve, amaurosis - transient, complicating motor palsy plb.

Face - BELL'S, palsy - bathing, from graph.

Face - BELL'S, palsy - chewing, difficult, with syph.

Face - BELL'S, palsy - cold, from acon. Cadm-s. CAUST. Dulc. ruta

Face - BELL'S, palsy - distortion, of muscles, with graph.

Face - BELL'S, palsy - eyes, close, cannot - closed, with apis

Face - BELL'S, palsy - eyes, close, cannot cadm-s.

Face - BELL'S, palsy - goitre, suppression, from iod.

Face - BELL'S, palsy – left All-c. cadm-s. Cur. form. graph. Nux-v. seneg. spig. sulph.

Face - BELL'S, palsy - mouth, corners of, drop and saliva runs out agar. op. zinc.

Face - BELL'S, palsy - mouth, opening aggr. caust.

Face - BELL'S, palsy - one-sided Bar-c. cadm-s. CAUST. Cocc. Graph. Kali-chl. kali-p. puls. sil. syph.

Face - BELL'S, palsy - pain, after kali-chl. kali-m.

Face - BELL'S, palsy - riding, in the wind, from acon. bell. Cadm-s. CAUST. ign.

Face - BELL'S, palsy – right apis Arn. bell. Caust. hep. kali-chl. kali-p. Phos. plb. sil.

Face - BELL'S, palsy - swallowing, difficult cadm-s.

Face - BELL'S, palsy - talking, difficult cadm-s. syph.

Face - BELL'S, palsy - twitching, of muscles, with - eyelids, of, with syph.

Face - BELL'S, palsy - twitching, of muscles, with kali-m.

Face - BELL'S, palsy - urine, profuse, with all-c.

Face - BELL'S, palsy - wet, after getting CAUST.

FACE - Muscles; facial – Paralysis Acon. aethi-m. alum. Am-p. bell. cadm-s. Caust. cocc. cur. Dulc. form. Gels. Graph. hyper. Kali-chl. Kali-i. physal-al. Rhus-t. ruta Seneg. zinc-pic.

Face - PARALYSIS, facial, Bell's Palsy - bathing, from graph.

Face - PARALYSIS, facial, Bell's Palsy - chewing, difficult, with syph.

Face - PARALYSIS, facial, Bell's Palsy - cold, from acon. Cadm-s. CAUST. Dulc. ruta

Face - PARALYSIS, facial, Bell's Palsy - corners of mouth, drop and saliva runs out agar. op. zinc.

Face - PARALYSIS, facial, Bell's Palsy - distortion, of muscles, with graph.

Face - PARALYSIS, facial, Bell's Palsy - eyes, close, cannot - eyes, closed, with apis

Face - PARALYSIS, facial, Bell's Palsy - eyes, close, cannot cadm-s.

Face - PARALYSIS, facial, Bell's Palsy - goitre, suppression, from iod.

Face - PARALYSIS, facial, Bell's Palsy – left All-c. cadm-s. Cur. form. graph. Nux-v. seneg. spig. sulph.

Face - PARALYSIS, facial, Bell's Palsy - mouth, opening aggr caust.

Face - PARALYSIS, facial, Bell's Palsy - one-sided Bar-c. cadm-s. CAUST. Cocc. Graph. Kali-chl. kali-p. puls. sil. syph.

Face - PARALYSIS, facial, Bell's Palsy - pain, after kali-chl. kali-m.

Face - PARALYSIS, facial, Bell's Palsy - riding, in the wind, from acon. bell. Cadm-s. CAUST. ign.

Face - PARALYSIS, facial, Bell's Palsy – right apis Arn. bell. Caust. hep. kali-chl. kali-p. Phos. plb. sil.

Face - PARALYSIS, facial, Bell's Palsy - swallowing, difficult cadm-s. caust.

Face - PARALYSIS, facial, Bell's Palsy - talking, difficult cadm-s. syph.

Face - PARALYSIS, facial, Bell's Palsy - twitching, of muscles, with agar. kali-m. syph.

Face - PARALYSIS, facial, Bell's Palsy - twitching, of muscles, with - eyelids, of, with syph.

Face - PARALYSIS, facial, Bell's Palsy - urine, profuse, with all-c.

Face - PARALYSIS, facial, Bell's Palsy - wet, after getting CAUST.

Hearing - DEAFNESS, hearing loss of - palsy, complicating motor plb.

MIND - RECOGNIZE - does not - palsy, in ANAC.

Mind - RECOGNIZE, does not - palsy, in Anac.

NERVOUS SYSTEM - Paralysis - In – face acon. Am-p. bar-c. bell. caust. cur. gels. graph. Kali-chl. nat-m. physal-al. rhus-t. Zinc-pic.

Vision - BLINDNESS, loss of vision - sudden - complicating motor palsy plb.

Bibliography

 Trigeminal Neuralgia, Bell’s Palsy, and Other Cranial Nerve Disorders Harrison's Principles of Internal Medicine

 Neurologic Causes of Weakness and Paralysis Harrison's Principles of Internal Medicine

 Trigeminal Neuralgia, Bell's Palsy, and Other Cranial Nerve Disorders Harrison's Manual of Medicine, 18e

 Chapter 233. Bell's Palsy The Color Atlas of Family Medicine, 2e

 Eye Emergencies > BELL'S PALSY AND GENU VII BELL'S PALSY Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e ... Genu VII Bell's palsy is a stroke, masquerading as a peripheral seventh-nerve Bell's palsy...

 Oral and Dental Emergencies > Bell's Palsy (Idiopathic Facial Nerve Palsy) Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e ... Bell's palsy is a peripheral unilateral weakness of the facial nerve of unknown etiology...

 Viral & Rickettsial Infections > 6. Bell palsy Current Medical Diagnosis & Treatment 2016 ... HSV-1 is a cause of Bell palsy. HSV-1 is a cause of Bell palsy. ...

 The Nervous System > Repeated bell palsy—Melkersson syndrome DeGowin’s Diagnostic Examination, 10e ... This is a triad of scrotal tongue (lingua plicata) with repeated attacks of Bell palsy...

 Chapter 224. Postpartum Consultation for Common Complaints > Bell's Palsy Principles and Practice of Hospital Medicine ... Bell's palsy, facial nerve palsy, is caused by compression or ischemia to the nerve. Bell's palsy...

 Chapter 236. Eye Emergencies > Bell’s Palsy Tintinalli's Emergency Medicine ... Bell’s palsy is a dysfunction of peripheral cranial nerve VII commonly of viral origin...

 Chapter 70. Disorders of the Facial Nerve > Bell's Palsy CURRENT Diagnosis & Treatment in Otolaryngology—Head & Neck Surgery, 3e ... Figure 70–1. (A) Prototypic case of Bell's palsy . This 28-year-old woman experienced...

 Acute Peripheral Neurologic Disorders > BELL'S PALSY AND UNILATERAL FACIAL PARALYSIS Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e ... Bell's palsy or idiopathic facial nerve palsy is the most common cause of unilateral facial...

 Chapter 47. Diseases of the Cranial Nerves > Bell's Palsy Adams & Victor's Principles of Neurology, 10e ... The most common disease of the facial nerve is Bell's palsy (incidence rate of 23 per 100,000...

 Face and Jaw Emergencies > BELL'S PALSY Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e ... Laboratory studies are not needed. Symptoms of Bell's palsy include acute onset of unilateral upper...

 Motor Disorders > BELL PALSY Clinical Neurology, 9e ... designated Bell palsy. Its cause is unclear, but it occurs more commonly in pregnant women and diabetics...

 Trigeminal Neuralgia, Bell's Palsy, and Other Cranial Nerve Disorders > Bell's Palsy Harrison's Manual of Medicine, 18e ... Bell's Palsy Protect the eye with paper tape to depress the upper eyelid during sleep and prevent...

 Neurological Disorders > Bell Palsy Williams Obstetrics, 24e ... Figure 60-4 Bell facial nerve palsy developing on the day of delivery after a cesarean...

 Nervous System Disorders > BELL PALSY Current Medical Diagnosis & Treatment 2015 ... ESSENTIALS OF DIAGNOSIS Sudden onset of lower motor neuron facial palsy...

 Infections: Bacterial & Spirochetal > C. Bell Palsy CURRENT Diagnosis & Treatment: Pediatrics, 22e

 Chapter 37. Neurologic Emergencies > Bell's Palsy CURRENT Diagnosis & Treatment Emergency Medicine, 7e

 Nervous System Disorders > BELL PALSY Current Medical Diagnosis & Treatment 2016 ... ESSENTIALS OF DIAGNOSIS Sudden onset of lower motor neuron facial palsy...

 Chapter 47. Diseases of the Cranial Nerves > Bilateral Facial Palsy Adams & Victor's Principles of Neurology, 10e ... Bell's palsy may be bilateral, but only rarely is the involvement on the two sides simultaneous...

 Chapter 70. Disorders of the Facial Nerve > Acute Facial Palsies CURRENT Diagnosis & Treatment in Otolaryngology—Head & Neck Surgery, 3e

 Chapter 70. Disorders of the Facial Nerve > Laboratory Findings CURRENT Diagnosis & Treatment in Otolaryngology—Head & Neck Surgery, 3e ... and are largely unwarranted for most cases of Bell's palsy. For atypical cases though, one should consider Lyme...

 Chapter 70. Disorders of the Facial Nerve > Patient Evaluation CURRENT Diagnosis & Treatment in Otolaryngology—Head & Neck Surgery, 3e ... The diagnosis of Bell's palsy is one of exclusion. Facial motor disturbance should...

 Chapter 233. Bell's Palsy > Patient Story The Color Atlas of Family Medicine, 2e ... Figure 233-1 Bell's palsy with loss of brow furrowing and dropped angle of the mouth...

 Chapter 70. Disorders of the Facial Nerve > Incidence & Risk Factors CURRENT Diagnosis & Treatment in Otolaryngology—Head & Neck Surgery, 3e ... of the true incidence of Bell's palsy is therefore complicated by this wide distribution of specialists...

 Chapter 233. Bell's Palsy > Epidemiology The Color Atlas of Family Medicine, 2e ... ratios of 1.34 and 1.31, respectively. 2 Women who develop Bell's palsy in pregnancy have a 5-fold...

 Chapter 70. Disorders of the Facial Nerve > Immunologic Injury CURRENT Diagnosis & Treatment in Otolaryngology—Head & Neck Surgery, 3e ... Several investigations have implicated immunologic injury as a potential cofactor in Bell's palsy...

 Chapter 70. Disorders of the Facial Nerve > Pathogenesis CURRENT Diagnosis & Treatment in Otolaryngology—Head & Neck Surgery, 3e ... of the intratemporal facial nerve suggest that Bell's palsy and herpes zoster oticus most commonly result from...

 Chapter 5. Ear, Nose, and Throat Conditions > Pearls The Atlas of Emergency Medicine, 3e ... be known before a diagnosis can be made. If a provisional diagnosis of Bell palsy is made...

 Chapter 70. Disorders of the Facial Nerve > Prognosis CURRENT Diagnosis & Treatment in Otolaryngology—Head & Neck Surgery, 3e ... Most series that have assessed surgical decompression of the facial nerve in Bell's palsy have...

 Chapter 37. Neurologic Emergencies > General Considerations CURRENT Diagnosis & Treatment Emergency Medicine, 7e ... Bell's palsy is a common condition of unknown cause (although some authorities suggest a link...

 Nervous System Disorders > 9. Facial Neuropathy Current Medical Diagnosis & Treatment 2015 ... (Bell palsy, see later) but may occur in patients with HIV seropositivity, sarcoidosis, Lyme disease...

 Encyclopedia Homoeopathica

Radar 10

 

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Comment by Dr Rajneesh Kumar Sharma MD(Hom) on December 25, 2015 at 10:52pm

Thanks for your precious blessings in form of comments..

Comment by Dr Bajwa on December 25, 2015 at 11:10am
Thanks for great and valuable informations

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