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KMID : 1189420010140020198
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Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology
2001 Volume.14 No. 2 p.198 ~ p.206
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A Case Report of 4th Ipsilateral Recurrent Bell's Palsy
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Kim Nam-Ok
Chae Sang-Jin
Son Sung-Se
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Abstract
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Recurrent Bell's palsy is a very rare case and have been reported that shows the incidence to be approximately 10 per cent in the Bell's palsy patents. It is generally accepted that facial paralysis caused by compression of the facial nerve by tumor develops slowly and has an unremitting course, however, reported cases have described the rare association of recurrent facial paralysis and intracranial tumor, and the same recovery rate. Usual symptoms of Bell's palsy include subacute facial palsy, hyperacusis on the affected side, postauricular pain on the affected side, altered sensation of taste, and partial trigeminal distribution hypesthesias. Complete resolution of symptoms is usually seen in 2-3months in 75-85% of cases, with 25-35% showing varying degrees of residual effects. We report a case of 4th ipsilateral recurrent Bell's palsy in a 14-year-old women, which was occurred in every winters. We treated her with acupuncture, moxibustion, herbal medication, carbon and silver spike point, and used House-Brackmnn grading system(HBGS) and the Fisch Detailed Evaluation of Facial Symmetry(DEFS) to assess the degree of paralysis in each part of face.
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KEYWORD
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recurrent Bell's palsy , residual effect , moxibustion
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