How to determine if facial neuritis is cured?

Written by Yuan Jun Li
Neurology
Updated on November 22, 2024
00:00
00:00

Patients with facial neuritis, if the paralysis of the facial expression muscles returns to normal, are generally considered cured. After the onset of the disease, patients must receive early and timely treatment. Corticosteroids such as dexamethasone, prednisone, and methylprednisolone can be used, along with B vitamins to nourish the nerves. Commonly used are vitamin B1, vitamin B12, adenosylcobalamin, and methylcobalamin, among others. One week after the onset, acupuncture treatment can be considered, as well as massage, physical therapy, and heat therapy. Most patients begin to recover two weeks after treatment, and basically return to normal within two months, with a minority possibly experiencing certain sequelae, such as facial muscle spasms or remaining facial muscle paralysis. (The use of medications should be under the guidance of a physician.)

Other Voices

doctor image
home-news-image
Written by Zhang Hui
Neurology
56sec home-news-image

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.

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 5sec home-news-image

Causes of facial neuritis

The etiology of facial neuritis is not very clear, but some views suggest that viral infections can cause edema of the facial nerve, leading to compression of the nerve and resulting in inflammation. Additionally, some nonspecific inflammatory responses can also lead to edema of the facial nerve, presenting some clinical manifestations of facial paralysis. Other high-risk factors for facial neuritis include diabetes, autonomic instability, rheumatoid immune diseases, lymphoma, etc. Therefore, it is evident that the mechanisms of facial neuritis onset are unclear, with potential causes including viral infections, diabetes, central nervous system lymphoma, or autonomic instability, all of which can lead to facial neuritis. The primary symptom of facial neuritis is paralysis of the facial muscles. With standard treatment, complete recovery generally occurs within one to two months. Facial neuritis caused by tumors tends to recur and requires heightened vigilance.

doctor image
home-news-image
Written by Tang Li Li
Neurology
1min 27sec home-news-image

How to Treat Facial Neuritis

Bell's palsy, once diagnosed, needs to be treated as early as possible, with better outcomes the earlier treatment is started. If the patient does not have any significant contraindications, corticosteroids should be used in the early stages. Common treatments include oral prednisone, typically for about ten days, or dexamethasone intravenous infusion, typically for about five to seven days. Alongside anti-inflammatory corticosteroids, nerve nourishment can be addressed with muscle injections of vitamin B1 and vitamin B12, and patients with better economic conditions can also use mouse nerve growth factor for muscle injection nerve nourishment. Additionally, if the patient has significant pain behind the ear, indicating a possible viral infection, concurrent treatment with acyclovir antiviral therapy should be administered. Later, if recovery is poor, rehabilitative treatment can be provided, including electro-acupuncture physical therapy, infrared magnetic heating, etc., all of which can promote the recovery of Bell's palsy. The overall treatment course approximately takes about 20 days, with total recovery time ranging from 20 days to two months. (Note: Medication should be used under the guidance of a physician, based on the actual conditions.)

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 11sec home-news-image

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.

doctor image
home-news-image
Written by Zhang Hui
Neurology
51sec home-news-image

Clinical manifestations of facial neuritis

**Point One**: Patients with facial neuritis may exhibit clinical manifestations such as crooked mouth corners and shallower nasolabial folds. They may also experience water leakage while drinking, disappearance of forehead wrinkles, weakness in closing the eyes, and some patients may even sleep with their eyes open. **Point Two**: Patients might also experience taste disturbances, particularly noticeable in the anterior two-thirds of the tongue, and may also have secretion disorders of the salivary and lacrimal glands. **Point Three**: Some patients may experience hypersensitivity to sound, characterized by herpes on the tympanic membrane of the external auditory canal. Facial neuritis is a nonspecific inflammatory response, and treatment with corticosteroids can be effective.