1, central facial paralysis
The lesions of central facial paralysis are located between the facial nucleus of the brain stem and the cerebral cortex, which are usually caused by cerebral infarction, cerebral hemorrhage, intracranial tumors and craniocerebral trauma.
2. Peripheral facial paralysis
Peripheral facial paralysis is common in clinic, and the lesion is located at or below the facial nucleus, which belongs to flaccid paralysis.
3. Causes of facial paralysis
(1) Trauma or surgical injury
Common trauma or surgical injuries include: skull base and temporal bone fractures, forceps injuries, facial trauma and mastoid and parotid surgery, facial rhytidectomy, mandibular surgery and so on. , will cause facial nerve damage, leading to facial paralysis.
(2) Tumor factors
Tumors or other in-situ lesions can spread to the facial nerve and cause facial paralysis, such as acoustic neuroma, craniofacial aneurysm, parotid gland malignant tumor, middle ear squamous cell carcinoma and cerebrovascular accident, temporal bone canal bleeding, etc. , can cause facial paralysis.
(3) congenital factors
A few patients with facial paralysis may have congenital facial paralysis due to congenital facial nerve hypoplasia.
(4) Infection factors
Infectious diseases are mostly caused by the activation of herpes zoster virus lurking in the sensory ganglion of facial nerve. In addition, meningitis, mumps, epidemic skin, scarlet fever, malaria, multiple cranial neuritis and local infection can all cause facial paralysis.
(5) Etiology and pathogenesis of TCM
Traditional Chinese medicine has a unique understanding of the etiology of facial paralysis, and most of them think that it is due to the emptiness of human veins, and the invasion of wind-cold evil into human meridians, which leads to the obstruction of essence and qi and the loss of nourishment of meridians, thus leading to the onset.
4. Daily prevention of facial paralysis
1, to prevent facial paralysis, you should start from a small place, avoid air conditioners and electric fans blowing directly on your body, and if you feel a little cold, you should adjust the wind direction or turn off the electrical appliances.
2. In case of windy and cold weather, when going out, you should pat and gently press some important acupuncture points on the face, behind the ears and neck to increase your ability to keep out the cold.
3. Face work and life with an optimistic and peaceful mental state, reduce psychological pressure and avoid overwork. If you have numbness and other discomfort on your face, you should seek medical advice as soon as possible.
4. Patients with facial paralysis should not eat spicy and greasy food.