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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms Of A Stroke?

For about two week now my daughters face is pulling down to one side she said she can't keep it from doing this, I was affraid she might have had a stroke so I took her to the emergency room and they did blood work and a cat scan and found nothing and gave her a prescription of Atarax it doesn't seem to be helping
Fri, 24 Nov 2017
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Ayurveda Specialist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

1. As you have visited ER and your blood work with CT-scan came normal, so it could be possibly a case of facial palsy [as prescription drug is not working], thus consult a Neurologist for relevant examination [testing of individual muscles of face] along with taste sensation, plantar response, corneal reflex and examination of respective or affected cranial nerve(s).

PS. Other causes which can mimic bell's palsy and thus have to be excluded are:

- Sarcoidosis
- Parotid tumor
- Herpes zoster infection
- Middle ear disease
- Exposure to cold or chill predisposes to bell's palsy

2. If the causes mentioned are excluded then management to be followed is:

- Eye padding and local antibiotic drop
- Proper mouthwash is advised after each meal
- Gentle massage over the paralyzed muscle is advised
- Facial exercise is advised [one may consult a Physiohterapist]
- Parenteral vitamin B1, B6 and B12 may be given

PS.

i. Bell's palsy usually recovers [70% to 80%] spontaneously within 2 to 12 weeks
ii. Recently, Acyclovir is tried with proven results
iii. If no improvement at all - surgical decompression may be done

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Munish Sood
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What Are The Symptoms Of A Stroke?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. 1. As you have visited ER and your blood work with CT-scan came normal, so it could be possibly a case of facial palsy [as prescription drug is not working], thus consult a Neurologist for relevant examination [testing of individual muscles of face] along with taste sensation, plantar response, corneal reflex and examination of respective or affected cranial nerve(s). PS. Other causes which can mimic bell s palsy and thus have to be excluded are: - Sarcoidosis - Parotid tumor - Herpes zoster infection - Middle ear disease - Exposure to cold or chill predisposes to bell s palsy 2. If the causes mentioned are excluded then management to be followed is: - Eye padding and local antibiotic drop - Proper mouthwash is advised after each meal - Gentle massage over the paralyzed muscle is advised - Facial exercise is advised [one may consult a Physiohterapist] - Parenteral vitamin B1, B6 and B12 may be given PS. i. Bell s palsy usually recovers [70% to 80%] spontaneously within 2 to 12 weeks ii. Recently, Acyclovir is tried with proven results iii. If no improvement at all - surgical decompression may be done Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Munish Sood