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Facial nerve and its disorders

Question
24 out of 33
 

True about lower motor neuron palsy of Vllth nerve: [PGI Nov. 09]



A Other motor cranial nerves also involves

B Melkersson's syndrome cause recurrent paralysis

C Eye protection done

D Prognosis can be predicted by serial electrical studies

E Bell's palsy is commonest cause

Ans. A And B C, D and E. Other cranial nerves also involved, Melkersson's syndrome cause recurrent paralysis, Eye protection done, Prognosis can be predicted by serial electrical studies, Bell's palsy is commonest cause

a. Most common cause of lower motor neuron (LMN) type of facial palsy is Bell's palsy.

b. Melkersson's syndrome consists of a triad of: (i) Facial paralysis, (ii) Swelling of lips, (iii) Fissured tongue, Paralysis may be recurrent.

c. As patient is unable to close the eye, eye protection is required to protect cornea and conjunctiva.

d. The prognosis in acute facial palsy can be accurately determined by serial electrical testing. The response to electrical tests have been found to be most useful in the first 5 days after the onset.

e. As far as option 'a'is concerned-other cranial nerves also involved-current otolaryngology 3rd/ed p 876 says -

f. "There may also be subtle but frequent associated dysfunction of cranial nerves V, VIIJ, IX and X in association with Bells palsy." option a is correct.

Facial nerve and its disorders Flashcard List

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