What causes facial neuritis?

Written by Tang Bo
Neurology
Updated on September 02, 2024
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Facial neuritis, also known as idiopathic facial nerve paralysis or Bell's palsy, is caused by nonspecific inflammation of the facial nerve inside the cranial foramen, leading to peripheral facial paralysis. The exact cause is currently unknown, but it is thought to possibly be related to viral infections of the optic nerve, as well as potentially due to exposure to cold or upper respiratory tract infections. The mechanism of onset involves the bony facial nerve canal, which can only accommodate the facial nerve. However, if the facial nerve becomes ischemic and swollen, it will inevitably lead to nerve compression. Viral infections can lead to local autoimmune responses in the nerves and spasms of the nutrient vessels, resulting in ischemic swelling and facial nerve paralysis.

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Written by Zhang Hui
Neurology
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Can people with facial neuritis drink alcohol?

If facial neuritis occurs, one should not drink alcohol, as alcohol itself has a significant damaging effect on nerves. Patients who drink alcohol long-term can experience damage to peripheral nerves, such as numbness and weakness in the limbs. Since facial neuritis is essentially a form of peripheral neuritis, alcohol can damage the facial nerve, hence patients with facial neuritis should not drink alcohol. Patients with facial neuritis need timely treatment, which mainly includes the use of corticosteroids to suppress immune inflammatory responses and reduce facial nerve edema, significantly shortening the course of the disease; in addition, some vitamin B drugs can be used for treatment; physical therapy, rehabilitation training, acupuncture, etc., also play a role in the recovery from facial neuritis. In summary, patients with facial neuritis absolutely should not drink alcohol, as it damages the facial nerve.

doctor image
home-news-image
Written by Tang Bo
Neurology
56sec home-news-image

What causes facial neuritis?

Facial neuritis, also known as idiopathic facial nerve paralysis or Bell's palsy, is caused by nonspecific inflammation of the facial nerve inside the cranial foramen, leading to peripheral facial paralysis. The exact cause is currently unknown, but it is thought to possibly be related to viral infections of the optic nerve, as well as potentially due to exposure to cold or upper respiratory tract infections. The mechanism of onset involves the bony facial nerve canal, which can only accommodate the facial nerve. However, if the facial nerve becomes ischemic and swollen, it will inevitably lead to nerve compression. Viral infections can lead to local autoimmune responses in the nerves and spasms of the nutrient vessels, resulting in ischemic swelling and facial nerve paralysis.

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home-news-image
Written by Tang Bo
Neurology
1min 15sec home-news-image

Facial neuritis should visit which department?

Facial neuritis should be treated by the Department of Neurology, but after the acute phase, physiotherapy can be performed at the Rehabilitation Department. Facial neuritis is caused by non-specific inflammation of the facial nerve within the stylomastoid foramen, leading to peripheral facial paralysis. The exact cause is currently unclear, but it is believed to be related to optic nerve viral infections. It usually occurs after exposure to cold and upper respiratory infections, and can occur at any age, most commonly between 20 and 40 years, with a higher incidence in males than females. It starts acutely, peaking within a few hours or days, mainly presenting as paralysis of the facial expression muscles, disappearance of forehead lines, inability to frown or wrinkle the forehead, and inability to close the eyelids or incomplete closure. Therefore, during the acute phase, treatment in the Department of Neurology is necessary, and rehabilitation treatment can be sought after the acute phase in the Rehabilitation Department.

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Written by Zhang Hui
Neurology
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Does facial neuritis need treatment?

Bell's palsy is a nonspecific inflammatory reaction, primarily caused by impairment of the facial nerve leading to paralysis of the facial muscles. In general, if the symptoms of Bell's palsy are mild, such as slight drooping of the corner of the mouth and drooling, there is a possibility for spontaneous recovery. However, if the symptoms of Bell's palsy are severe, and the patient also has risk factors for diabetes, these symptoms mainly include noticeably shallower forehead wrinkles, weakness in opening and closing the eyes, inability to close the eyes while sleeping, and very severe facial paralysis. In such cases, spontaneous recovery is difficult, and active treatment is required. Treatment mainly includes corticosteroid drugs and B vitamins, along with some rehabilitative training. In summary, Bell's palsy can resolve on its own if the symptoms are mild; however, if the symptoms are severe, timely treatment is necessary to avoid lasting effects.

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Written by Zhang Hui
Neurology
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Does facial neuritis need treatment?

Facial neuritis, also known as idiopathic facial paralysis, can self-heal in a minority of patients with very mild symptoms without treatment. However, for most patients, it is still recommended to seek treatment promptly as it involves a non-specific inflammatory response. Treatment mainly involves the use of corticosteroids to reduce inflammation and swelling of the facial nerve. Additionally, treatment with B vitamins such as commonly used B1 and vitamin B12 is necessary, as these can nourish the peripheral nerves. Furthermore, patients also need to undergo some physical therapy and rehabilitation training. (Please use medication under the guidance of a professional physician.)