Symptoms of facial neuritis

summary

In patients with facial neuritis, the orbicularis oculi muscle on the diseased side will be paralyzed, so that the eye fissure will increase. When the eyes are closed, the eyelids can not be closed or not completely closed, and the eyeball will turn outward and upward to expose the white sclera. It will also make the frontal lines disappear, and can not frown. The symptom of facial neuritis? Let's talk about it

Symptoms of facial neuritis

The disease is usually acute onset. Before the disease, there were local wind, cold or Shanggan history. Some patients have facial paralysis before the onset of pain behind the ear, ear or mastoid area. Most of the patients often found that the sick side of the mouth leakage, facial movement is not effective, mouth angle skew in the morning; Or when eating food found in the side of the buccal space, and often saliva from the mouth. In addition, typical facial paralysis can also have the following clinical manifestations, can not do closed eyes, frown, drum gas, pout and other movements, some patients also have the sick side of facial stiffness and reduced sweating.

When the lesion site is higher than the stylomastoid foramen, other symptoms may appear. If the facial nerve is damaged above the stylomastoid foramen and affects the chorda tympani nerve, there may be 2 / 3 taste disorder in the front of the tongue on the diseased side; If the stapes muscle is damaged above the branch, there may be taste disturbance and hearing hypersensitivity; When the geniculate ganglion is damaged, in addition to the above symptoms, it also has mastoid pain on the affected side. At the same time, herpes can also appear in the external auditory canal or tympanic membrane of most patients, accompanied by severe pain and insensitive sensation of auricle and external auditory canal. This disease is called Hunt syndrome, which is caused by varicella zoster virus; If the greater superficial petrosal nerve passing through the geniculate ganglion is involved, in addition to hunt's syndrome (there is no herpes in the external auditory canal and tympanic membrane), the tear secretion on the affected side is also reduced. Sweating disorder on the affected side.

If facial nerve paralysis is not completely recovered, sequelae can be left. It can often produce twin contraction of paralytic muscle, deepen nasolabial sulcus of the diseased side and reduce fission of eye; Some patients may also have hemifacial spasm; In addition, some of them may also have banded motion. The facial muscles of the affected side were paralyzed, the eyelids could not be closed, the tear secretion decreased, the corneal reflex disappeared, the nasolabial sulcus became shallow or flat, and the angle of mouth drooped. The patients could not wrinkle their forehead, frown, close their eyes, inflate their breath, show their teeth, pout their lips and whistle.

matters needing attention

Acute period should be appropriate rest, pay attention to the continuous facial warmth. You can wear a mask when you go out, and don't get close to the window when you sleep, so as not to be affected by the cold again. Pay attention not to wash your face with cold water, avoid direct blowing cold wind, pay attention to weather changes, add clothes in time to prevent cold.