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afya
Bell'sPalsy
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> Acute unilateral idiopathic facial nerve paralysis Aetiology unknown -??HSV ''Features'' LMN facial palsy - forehead is affected post auricular pain (may precede paralysis), altered taste, dry eye, hyperacusis ''Mx'' Prednisolone 25mg bd for 10 days within 72 hr of onset Acyclovir gives no added benefit eye care is important - artificial tears ''Prognosis'' if untreated 15% have permanent moderate to severe weakness Note .... ''Ramsay Hunt syndrome'' - reactivate Herpes Zoster in geniculate ganglion - deafness, vertigo, pain, facial nerve LMN lesion
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