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Is it acute or gradual onset? If it is acute onset, Bell's palsy, diabetic neuropathy, and cerebral vascular accident must be considered. If it is gradual onset, one must consider an acoustic neuroma, advancing petrositis, or a ... DIAGNOSTIC WORKUP
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Differentiate supranuclear facial palsy from peripheral (nuclear) facial palsy. Supranuclear palsy involves predominantly the lower part of the face. Emotional responses may be intact (e.g., the patient may not be able to show you his teeth but will smile in response... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Although Bell palsy is the most frequent etiology, it is a diagnosis of exclusion; one must thoroughly rule out infections, congenital, developmental, and other causes. Serial electrical testing provides objective monitoring of nerve function and may provide some prognostic... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... A facial palsy is usually considered to be Bell palsy and it frequently is. Nevertheless, the clinician who begins treatment without ruling out other possibilities will eventually get burned. Anatomy is the key to recalling these possibilities before
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... This symptom, as opposed to generalized weakness and fatigue (see page 541), is almost invariably due to a neurologic disorder. Consequently, a comprehensive list of causes is developed using neuroanatomy. Muscle weakness or paralysis may be due to disease
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... Paralysis, the total loss of voluntary motor function, results from severe cortical or pyramidal tract damage. It can occur with a cerebrovascular disorder, degenerative neuromuscular disease, trauma, tumor, or central nervous system infection. Acute... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Primary Motor, Acute (May Have Sensory Involvement)
Guillain-Barré syndrome
Infectious mononucleosis
Viral hepatitis
Porphyria
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... Acute (Developing in Hours)
Spinal cord injury
Spinal cord hemorrhage (secondary to vascular malformation, coagulopathy, anticoagulant therapy, trauma)
Spinal cord infarct (secondary to spinal artery thrombosis
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... Guillain-Barré syndrome is an acute, rapidly progressive, and potentially fatal form of polyneuritis that causes muscle weakness and mild distal sensory loss. Recovery is spontaneous and complete in about 95% of patients, although mild motor or reflex... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Vocal cord paralysis results from disease of or injury to the superior or, most commonly, the recurrent laryngeal nerve. It may also be congenital.
Causes
Vocal cord paralysis commonly results from the accidental severing of the... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Paralysis, the total loss of voluntary motor function, results from severe cortical or pyramidal tract damage. It can occur with a cerebrovascular disorder, degenerative neuromuscular disease, trauma, tumor, or central nervous system infection. Acute paralysis may be an early indicator... Emergency Interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Differential Overview
❑ Diabetes
❑ Alcohol
❑ Vitamin B12 deficiency
❑ Drugs
❑... Diagnostic Approach ... Clinical Findings ... Pictures
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... Also known as infectious polyneuritis, Landry-Guillain-Barré syndrome, and acute idiopathic polyneuritis, Guillain-Barré syndrome is an acute, rapidly progressive, and potentially fatal form of polyneuritis that causes muscle weakness and mild distal... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Paralysis of the vocal cords results from disease of or injury to the superior or, most often, the recurrent laryngeal nerve.
Causes
Vocal cord paralysis commonly results from the accidental severing of the... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Paralysis, the total loss of voluntary motor function, results from severe cortical or pyramidal tract damage. It can occur with a cerebrovascular disorder, degenerative neuromuscular disease, trauma, tumor, or central nervous system infection. ... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Paralysis, the total loss of voluntary motor function, results from severe cortical or pyramidal tract damage. It can occur with a cerebrovascular disorder, degenerative neuromuscular disease, trauma, tumor, or central nervous system infection... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Paralysis, the total loss of voluntary motor function, results from severe cortical or pyramidal tract damage. It can occur with a cerebrovascular disorder, degenerative neuromuscular disease, trauma, tumor, or central nervous system infection. Acute... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
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A facial palsy is usually considered to be Bell palsy and it frequently
is. Nevertheless, the clinician who begins treatment without ruling out
other possibilities will eventually get burned. Anatomy is the key to
recalling these possibilities before... Pictures
... READ EXCERPTS »
...
This symptom, as opposed to generalized weakness and fatigue , is almost invariably due to a
neurologic disorder. Consequently, a comprehensive list of causes is
developed using neuroanatomy. Muscle weakness or paralysis may be
due to disease of... Pictures
... READ EXCERPTS »
... James Boyd, MD Guillain Barré Syndrome - BASICS Guillain Barré Syndrome - description Guillain-Barré syndrome (GBS) is an acute disorder of the peripheral nerves–an inflammatory polyradiculoneuropathy. It causes progressive... Guillain Barré Syndrome - DIAGNOSIS ... Guillain Barré Syndrome - TREATMENT ... Guillain Barré Syndrome - FOLLOW UP ... Guillain Barré Syndrome - bibliography ... Guillain Barré Syndrome - CODES ... Guillain Barré Syndrome - FAQ
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Almost half of all people with diabetes experience some form of nerve damage, which can develop into a complication known as peripheral neuropathy....
Treating nerve damage from diabetes requires a two-pronged approach: controlling blood sugar and alleviating the pain caused by peripheral...
Stress takes its toll by making us anxious, depressed and not able to function as fully as we'd like. What many don't know is that stress can...
Sleep is necessary to feel refreshed, but now we know sleep actually impacts the way the body functions. Sleeping poorly can affect how often you get...