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 Yuan Jun Li
Neurology
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Can facial neuritis eat fish?

Patients with facial neuritis who are not allergic to seafood can eat fish. Fish contains a large amount of high-quality protein, which can supplement the essential proteins needed by the human body and improve the patient's physique. Patients can also eat other lean meats and poultry eggs, and consume plenty of fresh vegetables and fruits. If a patient develops facial neuritis, they should avoid spicy and stimulating food, such as hot peppers. Active treatment should also be pursued, including the early use of corticosteroids such as dexamethasone and prednisone, as well as drugs that nourish the nerves, commonly including B vitamins, vitamin B12, vitamin B1, and derivatives of B vitamins such as adenosylcobalamin and methylcobalamin. One week after the onset, acupuncture and physiotherapy can be considered, and many patients can be clinically cured. (Medication should be used under the guidance of a physician.)

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Written by Tang Bo
Neurology
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What should be paid attention to for facial neuritis?

Patients with facial neuritis usually have an acute onset, with facial nerve paralysis peaking within hours or days. It mainly manifests as paralysis of the facial expression muscles, disappearance of forehead lines, inability to frown, and incomplete closure of the eyelids. Therefore, patients with facial neuritis should pay attention to eye protection since the eyelids cannot close fully. Long-term exposure and drying of the cornea make it susceptible to infection. Therefore, it is necessary to wear an eye patch for protection or use some medicinal solutions to prevent infection and protect the cornea. Additionally, since there is a viral infection, patients should also avoid being chilled. In terms of diet, it is advisable to eat light food and avoid greasy, overly rich, or excessively spicy foods.

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Written by Zhang Hui
Neurology
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Can facial neuritis be cured?

Facial neuritis is a relatively common disease in neurology. It is mainly caused by viral infection or other nonspecific inflammatory reactions, leading to local inflammation of the facial nerve, which results in edema of the facial nerve and clinical manifestations caused by compression within the facial nerve canal. The main symptoms include shallower furrows on the affected side of the forehead, weakness in opening and closing the eyes, drooping and skewing of the mouth corner, drooling, weakness in puffing the cheeks, and air leakage when puffing the cheeks. Most patients with facial neuritis have a good prognosis, as long as the diagnosis is clear and appropriate treatment is administered in a timely manner, such as treatment with corticosteroids and B vitamins. If it is caused by a viral infection, appropriate antiviral treatment is given, and most patients can fully recover in about three months. If the condition is severe at the onset, or if the patient has risk factors such as diabetes, the prognosis is not very good. Overall, most people with facial neuritis recover well.

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Written by Tang Bo
Neurology
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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 Li Min
Neurology
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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.