Question

What would you assess for if there is damage to cranial nerve VII? What is the difference between a stroke and Bell’s Palsy? Is cranial nerve VII affected?

Answer 1

An Asseument of cranial wave D [midos cursponenty Conscious patient * Ask the patient to sefile, show the teeth & close eyes fightles. They to open the lidy to see if euge lid closuo sturgth is eaual. Ast patient to wrinkle forehead * Obseave for Symmetry of facial prosesment Look closely at nasal Labial fold for Subtle di fleresse Araus for symmetry of farehead whined a Shah * CNT disorder can be asosiated with day mouth or choking, duy eyes / corneal in swey or asociated symptors involving the adjacent chovu strubinos e de Unconicowy patent Baain stem Reflexer involving envu should be present in Conslaus & sunconsciory postart *It can be evaluated by stimulating an appropriate Sersary newe & observing to be an automatic (Nou motor Respones. *The Reflex matar Response tested is typically euge closure.

& Although we can voluntally choose to close oneeye at a time when eye closure in triggred involuntarily through a Reflex arc CN vil 9x stimulated bilaterally to cause the simultaneoly protection (dosure) of both eyes * Reflex testing in done by stimulating the Sensany hemex Live Opfic Rellex - Rapidly moving an object to ward face should cause both eye to blink. & carneal Reflex - touching edge of the lower eyelid or cornea should cause both eyes to blink. This is Called Carneal Reflex * Naual fickle's A Rolled up time can be used tomitate the nasal cowity which should came bilateral blink Ga fa Cral movement 6) tearing of eyeeu opub * Auditory Reflex's Asudden loud noire should Tause a stattle Responee El Bilateal blink, a Defference between a stroke &e Bell's plasy & sort The Biggent difference between Bells palsy & stroke has to do with in the Involvement of brain. since Bell'x palsy is not affecting actual brain dirme or brain function, There is nothing beyond the facial neue that can be affected

* If there ex anything beyond the facut newe envolved it's not Bell's palsy. * while Bell's pally does not involue bran Sunction it is totally pouble for a stroke to only involve facial neve function. * Since stroke has the potential to involve the area of brain where the facial have arginater, the only way to tell far Sure what is causing the facial drop is to geet. the Emerencey Roomat hospital to be diagnosed - Cranial neue un haye affected. The neue that controly. The muscley of facial SXpeuion. * If it becomest inflamed at may dustunden causing mateneu a recalux on the side of face, while the appeary similar to stroke , there Similarities Largely End there as Bells palsy or not a Souany health condition Ee usuall Resolicy fulley with in mothy, sometime without any need for treatment and beloo & please Rate The Answer *