No facial weakness palate elevation or
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Metrics details. Melkersson—Rosenthal syndrome MRS is a rare neuro-mucocutaneous disorder of unknown cause, clinically characterized by a triad of recurrent facial palsy, orofacial swelling, and fissured tongue. It is frequently seen in females in their second and third decades of life. MRS is diagnosed based on clinical features and it is rarely possible to observe all the classical triad symptoms at the same time.
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Facial Sensation and Muscles of Mastication (CN V)
hokai.info - Palate Elevation and Gag Reflex (CN IX, X)
History of Weakness Before asking the patient anything, think about Three most important items on history: time of onset subsequent evolution or fluctuation association with sensory or cranial nerve symptoms e. Weakness impairs function. Ask about activities of daily living ADLs : Face: vision diplopia, ptosis , drinking fluids and eating dysphagia , speech dysarthria or dysphonia Arms: proximal lift arms overhead , distal grip power Legs: rising out of a chair, standing, walking, falls Use of assistive devices Respiratory Function The distribution of weakness is useful for diagnosis, and also to determine rehab needs and disposition patients with a new inability to walk must be admitted to hospital! Physical Examination Use the physical examination to differentiate non-neurologic from neurologic weakness Focused neuromuscular examination: Cranial nerves extraocular movements video eyelid position presence of ptosis - example 1 - example 2 facial muscle power video palate elevation and tongue protrusion Motor system Muscle bulk atrophy - good places to look are temporalis , deltoid, hand intrinsics FDI , quadriceps, foot intrinsic muscles EDB Fasciculations - don't worry if you can't see them! Put patient supine, eyes closed; FDI, back, calves are good places to look.
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SOFT PALATE EXERCISES — Vocal Exercises
Metrics details. Myasthenia gravis MG is a rare, autoimmune neuromuscular junction disorder. MG presents with painless, fluctuating, fatigable weakness involving specific muscle groups. Ocular weakness with asymmetric ptosis and binocular diplopia is the most typical initial presentation, while early or isolated oropharyngeal or limb weakness is less common.
She complains of no pain or numbness. You perform a neurologic exam; strength and sensation are normal throughout, with no weakness in the arms or legs and no other neurologic findings. Is this a stroke? Anatomy of Facial Muscle Control Two facial nerves, the right and the left, control all of the muscles in the face.