Facial neuritis

Facial neuritis (neuropathy) is a disease of the nervous system in which there is a partial or complete violation of the functions of the facial musculature. Depending on the level at which the lesion occurs, there is a central or peripheral lesion. 
The following forms of neuritis are distinguished:
    1. Primary (idiopathic) — considered synonymous with Bell's palsy, occurs due to compression and swelling of the nerve in the bone canal where the nerve passes. Its cause is unknown; it occurs more often as a result of hypothermia or viral infection.
    2. Secondary. Is a consequence of another disease (diabetes mellitus, multiple sclerosis, etc.).

Symptoms: when to see a doctor?

Facial neuritis is most often characterized by a unilateral lesion and manifests as these changes:
    • weakness of mimic muscles on the affected side (nonclosing of eyelids, smoothing of the frontal folds, drooping of the corner of the mouth, cheeks);
    • smoothing of the nasolabial fold;
    • a change of taste in the front ⅔ of the tongue;
    • lacrimal and salivary gland secretion disorders (dry eyes or lacrimation, dry mouth);
    • difficulties while eating.

The doctor conducts diagnostic tests: asks you to raise your eyebrows, frown, close your eyes tightly, pout your cheeks, and show your teeth.

There are also general symptoms: headache, sensitivity to sound, change in taste.
If the inflammatory process is caused by a herpes virus infection, this condition is called Hunt's syndrome. It is clinically distinguished by the fact that the facial nerve is preceded by a painful red rash on the cheek or near the ear.
If any of these symptoms occur, you should make an appointment with a doctor to start treatment in time to avoid serious neurological complications.

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Reasons

The following factors can cause facial neuritis:
    • ENT diseases (inflammatory processes of the ear and appendicular sinuses);
    • diabetes mellitus;
    • lyme disease;
    • skull injuries;
    • infectious diseases caused by the herpes virus;
    • severe hypothermia;
    • circulatory disorders;
    • brain tumors;
    • multiple sclerosis and others.

Diagnostic methods

Initially, the doctor examines the patient's complaints, medical history, and conducts a neurological examination. Then, to confirm the diagnosis and determine the cause, such methods of examination may be prescribed:
    • clinical blood tests to determine the cause;
    • CT scan of the head and temporal bones;
    • MRI of the brain and cerebellopontine corners;
    • herpes-type testing for Hunt's syndrome;
    • electroneuromyography of facial muscles.

The diagnostic program at our clinic is tailored individually depending on the form of the pathology, symptoms, and history. Our physicians always focus on determining the cause of neuritis and selecting etiologic therapy to achieve complete recovery and prevent complications.

All necessary tests, including specific ones, and instrumental examinations can be done in our clinic. You don't need to go to other laboratories, which saves you a lot of time.

Prevention

To minimize the risk of facial neuritis, you should avoid hypothermia, excessive stress, cranial trauma. Also, useful will be hardening, a rational diet with sufficient intake of B vitamins, timely treatment of ENT pathology, and other concomitant diseases.

Facial neuritis treatment

The therapeutic program is prepared personally and is aimed at eliminating the cause of facial nerve inflammation. 
The gold standard is prescribing therapy in the first 72 hours after the onset of symptoms, so the visit to the doctor should not be delayed. Timely initiated therapy is the key to a full recovery and the absence of long-term consequences.

The treatment program may include:
    • glucocorticoids;
    • taking anti-inflammatory, anti-inflammatory drugs;
    • antiviral or antibacterial therapy as indicated;
    • eye care to prevent corneal pathology;
    • LFC, massage, physiotherapy.

The duration of therapy depends on the cause of the inflammation and its intensity. However, with timely medical attention and adequate therapy, it is possible to achieve recovery and fully restore the innervation of facial mimic muscles.

Recommendations

If the symptoms of facial neuritis are ignored and the patient is not treated in time, contractures of the facial muscles and involuntary closing of the eye on the affected side when smiling may occur. There is also a risk of corneal damage, up to blindness. Therefore, if even minor signs of facial asymmetry appear, you should go for a consultation with a doctor.

Cost

The VIVERE CLINIC offers comprehensive examination and treatment for facial neuritis, using unique methods with proven efficacy. We follow international protocols and focus on finding and eliminating the cause of the disease. 
The price of services is listed in the price list. The cost of diagnosis and treatment in each case is determined individually, as it depends on the methods used.

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Доброго дня! Нарешті я написала відгук, вже півроку з вами) Я мама дитини, яка до 18 років мала купу діагнозів, які і близько не мали відношення до нашої хвороби! Уявіть, скільки часу було витрачено... лікування ніяке (звісно) не допомагало, а ставало ще гірше. Доки нам не порекомендували Шейко Макар Васильовича! Сказати, що Він нам допоміг , це нічого не сказати! Макар Васильович врятував мою Софію! Завдяки правильній діагностиці, ми маємо НАШ діагноз (рідке орфанне захворювання) і правильне лікування. Я бачу поліпшення, моя дитина як заново народилася! Макар Васильович - це дбайлива і дуже чутна Людина, якій довіряєш! На прийомі немає оцього бар'єру лікар-пацієнт, ви як прийшли до друга, який вас підбадьорить, вислухає. Дуже рекомендую!

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