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Hemifacial spasm (HFS) is a rare neuromuscular disease characterized by irregular, involuntary muscle contractions on one side (hemi-) of the face (-facial). [1] The facial muscles are controlled by the facial nerve (seventh cranial nerve), which originates at the brainstem and exits the skull below the ear where it separates into five main branches.
Signs that are found in people with Horner's syndrome on the affected side of the face include the following: ptosis (drooping of the upper eyelid) [3] anhidrosis (decreased sweating) [4] miosis (constriction of the pupil) [4] Enophthalmos (sinking of the eyeball into the face) [4] inability to completely close or open the eyelid [4] facial ...
Secondary ear pain is a type of referred pain, meaning that the source of the pain differs from the location where the pain is felt. Primary ear pain is more common in children, whereas secondary (referred) pain is more common in adults. [13] Primary ear pain is most commonly caused by infection or injury to one of the parts of the ear. [3]
In addition to facial paralysis, symptoms may include ear pain and vesicles, sensorineural hearing loss, and vertigo. Management includes antiviral drugs and oral steroids. Otitis media is an infection in the middle ear, which can spread to the facial nerve and inflame it, causing compression of the nerve in its canal.
The typical form results in episodes of severe, sudden, shock-like pain in one side of the face that lasts for seconds to a few minutes. [1] Groups of these episodes can occur over a few hours. [1] The atypical form results in a constant burning pain that is less severe. [1] Episodes may be triggered by any touch to the face. [1]
Early symptoms include intense pain in one ear, the jaw on one side or the neck on one side which may precede the acute facial paralysis by a week or more. Acute symptoms include: acute facial nerve paralysis; pain in the ear, jaw and/or neck; taste loss in the front two-thirds of the tongue; dry mouth and eyes
Parotitis presents as swelling at the angle of the jaw. Bacterial parotitis presents as a unilateral swelling, where the gland is swollen and tender and usually produces pus at the Stensen's duct. This pus is usually sampled and the bacteria within are identified. Common causative bacteria are Staphylococcus aureus, Streptococcus pyogenes and E ...
The pain is usually constant, described as aching or burning, and often affects both sides of the face (this is almost never the case in patients with trigeminal neuralgia). The pain frequently involves areas of the head, face, and neck that are outside the sensory territories that are supplied by the trigeminal nerve.
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