idiopathic facial nerve paresis
DESCRIPTION
This is a 4-year-old boy presented with a 2-weeks history of pull in the angle of mouth and difficulty in chewing the food. On physical examination flattened naso-labial fold and corner of mouth drooping towards right side were noted with weakness of lower facial muscles. Nerve conduction studies of facial nerve showed decreased conduction in the left facial nerve with prolonged latencies. Diagnosis made by the neurologist was idiopathic left facial nerve paresis. Neurologist prescribed drugs and referred the case to physiotherapy. Physiotherapy management included electrical nerve stimulation of the lower trunk of the left facial nerve with finger, exercises to the lower facial muscles, massage, taping and other activities which will encourage the usage of lower facial muscles. This showed 50% improvement within 15 days and the treatment is being continued.TRANSCRIPT
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IDIOPATHIC FACIAL NERVE PARESIS
Anitha Kumari Abbina
Swatantra Institute of Physiotherapy and Rehabilitation, Rajahmundry, Andhra Pradesh, India.
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This is an Image of 4-year-old boy presentedwith a 2-weeks history of pull in the angle ofmouth and difficulty in chewing the food. Onphysical examination flattened naso-labial foldand corner of mouth drooping towards rightside were noted with weakness of lower facialmuscles. Nerve conduction studies of facialnerve showed decreased conduction in the leftfacial nerve with prolonged latencies. Diagnosismade by the neurologist was idiopathic left facialnerve paresis. Neurologist prescribed drugs andreferred the case to physiotherapy.
Physiotherapy management included electricalnerve stimulation of the lower trunk of the leftfacial nerve with finger, exercises to the lowerfacial muscles, massage, taping and otheractivities which will encourage the usage oflower facial muscles. This showed 50%improvement within 15 days and the treatmentis being continued.
2013, 01:23International Journal of Physiotherapy and Research
How to cite this article: Anitha KumariAbbina , Idiopathic facial nerve paresis. IntJ Physio Res, 2013;01:23.
Address for correspondence: Anitha Kumari Abbina, Swatantra Institute of Physiotherapy and Rehabilitation,Rajahmundry, Andhra Pradesh, India. E-Mail: [email protected]
Received: 15 March 2013
Accepted: 20 March 2013Published: 11 April 2013