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
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Symptoms of facial neuritis

Facial neuritis, known as idiopathic facial paralysis, is a common disease in neurology. The main clinical manifestations and symptoms include acute onset, peaking within several hours to days. The primary manifestation is paralysis of the expression muscles on the affected side of the face, such as diminished forehead wrinkles, inability to open the eye, furrow the brow, or weak eyelid closure. Some patients may experience pain behind the ear, and in the tympanic membrane and external ear canal. Additionally, some patients exhibit deviation of the mouth corner, air leakage when puffing or whistling, and difficulty retaining food residues while eating or leaking water while drinking. Other patients may experience loss of taste in the anterior two-thirds of the tongue, along with secretion disorders of the salivary and lacrimal glands. Overall, the diagnosis of facial neuritis is relatively straightforward, and its clinical presentation is not particularly complex. Once the diagnosis is confirmed, timely treatment is essential, and most patients can recover.

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Written by Li Min
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Can you take a bath with facial neuritis?

Bell's palsy is caused by a decrease in the body's resistance, leading to damage in the face following viral infection and the resultant cleaning. This results in a series of clinical symptoms primarily on the affected side of the face. Therefore, regarding the symptoms of Bell's palsy, whether in the acute phase or during recovery, bathing generally poses no major issue. However, in the acute phase, some treatments recommend antiviral and anti-inflammatory therapies, along with diets aimed at eliminating free radicals, and the application of topical plasters, which generally should not be exposed to water. If the plasters become wet, their effectiveness may be minimal or nullified. Therefore, personal circumstances should be considered.

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Written by Feng Ying Shuai
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Which part of the body is moxibustion applied for facial neuritis?

For facial neuritis, moxibustion on specific areas needs dialectical analysis. Apart from moxibusting local acupoints like Quanliao, Dicang, and Qianzheng for facial neuritis caused by exposure to wind, cold, and damp pathogens, one can dialectically choose distant or nearby acupoints, such as Fengchi, for moxibustion. For cases where facial neuritis has persisted for a long time accompanied by symptoms of physical weakness, such as fatigue and a pale complexion, it is effective to also perform moxibustion on acupoints like Zusanli and Guanyuan, in addition to the local points, to enhance the body's resistance. This approach tends to yield better results.

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Can facial neuritis patients eat beef?

Most patients with facial neuritis have a relatively good prognosis, as long as timely drug treatment is provided, along with some acupuncture rehabilitation and therapy training. Many patients will completely recover from their symptoms within one to two months, and most will not suffer from any long-term sequelae. There are no special dietary requirements for patients with facial neuritis, and they can eat beef. Beef contains rich, high-quality proteins that can boost the body's immune system and help prevent complications caused by facial neuritis, so it is permissible to eat beef. In addition, patients with facial neuritis should also consume more cereals because cereals are rich in B vitamins, which are beneficial for recovery. It is also advocated that patients eat plenty of fresh vegetables and fruits. Moreover, patients should avoid smoking, drinking alcohol, and consuming spicy and irritating foods, such as chili peppers.

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Facial neuritis requires the use of steroids.

Bell's palsy, or facial neuritis, is caused by stimulation or viral infection of the facial nerves, leading to facial nerve paralysis. This generally refers to peripheral facial neuritis. Early treatment includes antiviral, anti-inflammatory, nerve nourishment, and free radical scavenging. Therefore, early treatment of facial neuritis requires steroid therapy, commonly using oral prednisone. The dosage is determined by body weight, at 1 milligram per kilogram, taken orally for a week, then discontinued. The next step in the treatment plan involves acupuncture and physical therapy. (Use of medications should be under the guidance of a doctor.)