His past medical history included gastroesophageal reflux disease and osteogenesis imperfecta. Myasthenia gravis can cause weakness in your neck, arms and legs, but this usually happens along with muscle weakness in other parts of your body, such as your eyes, face or throat. In more than half the people who develop myasthenia gravis, their first signs and symptoms involve eye problems, such as:. Particular care is required in making this diagnosis as there are many causes of ptosis such as myasthenia gravis, lax skin in the eyelid and brain diseases. Learn about Ramsay Hunt syndrome, including whether or not it's contagious and what to expect during recovery. Since it is sometimes hard to distinguish between a stroke and other causes of facial paralysis, it is a good idea to get your loved one to a doctor quickly if you notice facial paralysis. Maria describing persisting facial spasm on the right side An attack of left sided facial spasm.
Are there any associated sensory changes? This usually results in better coordination and a wider range of movement. Bell's palsy is most often connected with a viral infection such as HSV-1 the virus that causes cold sores , Epstein-Barr the virus that causes mononucleosis , or influenza the flu. This is known as "ocular myasthenia". Shoulder muscle weakness causes deformities such as pronounced shoulder blades scapular winging and sloping shoulders. Bell's palsy is a sudden weakness or paralysis on one side of the face that makes it hard for a person to move the mouth, nose, or eyelid.
Chapter 5: Facial sensations & movements
Facial weakness Facial weakness is an important clinical sign in several neuromuscular disorders, including congenital myasthenic syndromes,62 congenital myotonic dystrophy,63 congenital myopathies,64 and some metabolic myopathies. In some cases, an antiviral, such as acyclovir may be taken alongside prednisolone; however, evidence that they can help is weak. Glycogenosis type II Pompe. Together, this suggested velopharyngeal incompetence. Similarly, because ineffective swallowing puts patients at risk for the development of aspiration pneumonias and respiratory insufficiency, early and regular swallowing assessments and development of a safe feeding plan are recommended.