Facial neuritis hormone treatment

Written by Zhang Hui
Neurology
Updated on September 04, 2024
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If the diagnosis of facial neuritis is confirmed, and the patient does not have evident history of femoral head necrosis or diabetes, then it is advocated to treat facial neuritis with corticosteroids. Corticosteroids can suppress some of the inflammatory responses of facial neuritis, reduce edema, and facilitate the swift recovery of facial nerve function. The current guidelines recommend the use of corticosteroids for treatment. However, if the patient has conditions like elevated blood sugar, femoral head necrosis, osteoporosis, or gastric ulcers, the use of corticosteroids must be cautious to avoid adverse reactions. During the administration of corticosteroids, it is crucial to ensure the patient receives supplements of calcium and potassium to prevent electrolyte disturbances and osteoporosis. Besides corticosteroids, intake of B vitamins can also aid in promoting the repair of nerve functions.

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Written by Zhang Hui
Neurology
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Nursing measures for facial neuritis

The treatment of facial neuritis, in addition to some pharmacological treatments including corticosteroids, B vitamins, and antiviral medications, also requires some rehabilitative physiotherapy training. On the other hand, nursing measures also play an important role in the recovery from facial neuritis. The nursing measures for facial neuritis mainly include: First, it is essential to soothe the patient's emotions. Patients with facial neuritis often become quite depressed and may experience anxiety and depression. Nursing work must be thorough, including explanation and reassurance. Only when the patient's emotions are stable, can they cooperate with the treatment. The second nursing measure is to advise patients not to consume spicy and irritating foods. Third, it is important to keep the face warm, and patients can wear masks. Fourth, it is crucial to take good care of the eyes, as patients with facial neuritis often have difficulty closing their eyes, which can easily lead to eye infections. Eye drops can be administered to the patient.

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Written by Zhang Hui
Neurology
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Symptoms of facial neuritis

The clinical symptoms of facial neuritis mainly manifest as peripheral facial paralysis, such as the patient's affected side having shallower forehead wrinkles, or disappearing wrinkles, weakened eyelid closure, and in some severe cases, the inability to close the eyes, which can easily lead to corneal damage. There is also noticeable drooping of the mouth corner, a shallower nasolabial fold, and leaking while drinking. The affected individuals are unable to whistle or puff their cheeks. Some patients may also experience disorders in the secretion of salivary and lacrimal glands, taste disturbances at the anterior part of the tongue, and a few may have herpes zoster in the external auditory canal or periosteum with significant pain. The treatment for facial neuritis generally involves the use of corticosteroids.

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Written by Li Min
Neurology
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Symptoms of Post-Facial Nerve Neuritis

Facial nerve inflammation is caused by a viral infection due to a decrease in the body's resistance, leading to inflammation characterized by damage to the facial nerve. Its symptoms mainly include the lightening of the forehead wrinkles on the same side, incomplete closure of the eye, and drooping facial muscles due to lack of nerve support, resulting in facial nerve drooping which can cause symptoms such as skewed mouth corners, spilling while drinking, and drooling. Sequela depends on the symptoms of the disease, the timeliness of treatment, and the timeliness of recovery, but the ratio of symptomatic to asymptomatic cases is typically 50% and 50%. Young people, those with milder symptoms, those treated promptly, those treated appropriately, and those who recover well are less likely to suffer sequelae, and vice versa.

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Written by Tang Bo
Neurology
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What should be paid attention to in daily life with facial neuritis?

If facial neuritis occurs, one should pay attention to eye care. Due to facial neuritis, eyelid closure may be incomplete, potentially allowing foreign objects or infections to enter the eye. Therefore, it is advisable to reduce outdoor activities, keep the eyes clean, and during social interactions, cover the affected eye with an eye patch or apply ophthalmic ointment to prevent conjunctival or corneal infections, while minimizing eye use. Regarding diet, some patients may experience disturbances in taste, so it is important to be mindful of the temperature of food, avoid hard food, and maintain oral hygiene.

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Written by Liu Yan Hao
Neurology
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The causes of facial neuritis are

Facial neuritis, the most common cause, is due to infection by the optic nerve virus. This virus invades the nerves, especially prone to invade the facial nerve, causing damage, inflammation, and edema of the facial nerve, leading to symptoms of facial paralysis, which are manifested as shallower forehead wrinkles, shallower nasolabial folds, widened palpebral fissures, incomplete eyelid closure, and the mouth corner deviating to the opposite side. In the acute phase of treatment, some drugs that reduce nerve edema can be used, along with drugs that nourish the nerves. After the acute phase, when the condition stabilizes, comprehensive treatments such as acupuncture and physiotherapy can be combined. Additionally, the cause of the disease is greatly related to the decrease in the body's immunity. Patients are more likely to become infected and develop symptoms of facial neuritis when their immunity is lowered due to staying up late, exhaustion, and irregular lifestyles. (Medication use should be done under the guidance of a professional doctor.)