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PARALISIS DE BELL

QuestionAnswer
DEFINICION DE PARALISIS DE BELL Parálisis facial idiopática es una debilidad muscular regional de origen periférico y aparición súbita.
Incidencia (EDAD) - 20 a 29 anos - Embarazadas -Preeclampsia severa - Hipertensión - Obesidad
Factores de riesgo para desarrollar PARALISIS DE BELL - Obesidad -HTA -Infecciones de vías áreas superiores
ESCALA UTILIZADA PARA MEDIR LA GRAVEDAD EN PARALISIS DE BELL House -Brackmann
MANIFESTACIONES CLINICAS DE PARALISIS DE BELL (EXISTE DIFICULTAD PARA) -Ausencia de pliegues frontales -Incremento de la apertura palpebral -Exposición de globo ocular incluso durante el cierre palpebral -Ectropion -Elevar la ceja -Incompetencia oral
Complicaciones oftálmicas en parálisis de Bell Lagoftalmos Queratitis
TEST DE SCHRIMER - Que valora -Como se realiza Nervio petroso superficial mayor Se colocan tiras de papel filtro en los sacos conjuntivales y se compara la lacrimación en ambos ojos
TRATAMIENTO EN PARALISIS DE BELL Iniciar corticoesteroides ANTES de las 72 horas - PREDNISONA 60 mg por día durante 5 días con dosis de reducción de 10 mg por dia hasta llegar a 10 mg
TRATAMIENTO PARA PROTEGER LA CORNEA -Uso de lentes de sol -Gotas ungüentos lubricantes (HIPROMELOSA) -Parchar u ocluir el ojo
Hallazgos que sugieren ORIGEN NEOPLASICO ( REFERIR) -Progresión de la parálisis facial a lo largo de 3 o mas semanas - Falta de recuperación de la función después de 3 a 6 meses -
Created by: karmarodi
 

 



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