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Although the term has historically been associated with paralysis generally, "is now almost always used in connection to the word cerebral—meaning the brain". [1] Specific kinds of palsy include: Bell's palsy, partial facial paralysis; Bulbar palsy, impairment of cranial nerves; Cerebral palsy, a neural disorder caused by intracranial lesions
The facial nerve is the seventh of 12 cranial nerves. This cranial nerve controls the muscles in the face. Facial nerve palsy is more abundant in older adults than in children and is said to affect 15-40 out of 100,000 people per year. This disease comes in many forms which include congenital, infectious, traumatic, neoplastic, or idiopathic.
In contrast, pseudobulbar palsy is a clinical syndrome similar to bulbar palsy but in which the damage is located in upper motor neurons of the corticobulbar tracts in the mid-pons (i.e., in the cranial nerves IX-XII), that is the nerve cells coming down from the cerebral cortex innervating the motor nuclei in the medulla.
Receives the special sense of taste from the epiglottis. A major function: controls muscles for voice and resonance and the soft palate. Symptoms of damage: dysphagia (swallowing problems), velopharyngeal insufficiency. This nerve is involved (together with nerve IX) in the pharyngeal reflex or gag reflex. XI Accessory
Cerebral palsy (CP) is a group of movement disorders that appear in early childhood. [1] Signs and symptoms vary among people and over time, [1] [3] but include poor coordination, stiff muscles, weak muscles, and tremors. [1] There may be problems with sensation, vision, hearing, and speech. [1]
Erb's palsy is a paralysis of the arm caused by injury to the upper group of the arm's main nerves, specifically the severing of the upper trunk C5–C6 nerves. These form part of the brachial plexus , comprising the ventral rami of spinal nerves C5–C8 and thoracic nerve T1.
The cause of congenital fourth nerve palsy is unclear in most cases. It may be neurogenic in origin, due to a dysgenesis of the CN IV nucleus or nerve, but a clinically similar palsy may result from absence or mechanical dysfunction (e.g., abnormal laxity) of the superior oblique tendon.
Bell's palsy is a diagnosis of exclusion, meaning it is diagnosed by the elimination of other reasonable possibilities. By definition, no specific cause can be determined. There are no routine lab or imaging tests required to make the diagnosis. [12] The degree of nerve damage can be assessed using the House-Brackmann score.