contraindication of glutathione Side Effects: Everything You Need to Know Glutathione Injections: Side Effects &

Lancet Neurol

A.FieldingR

While the precise cause is unknown, onset is often related to viral infection (e.g., flu, adenoviruses, CMV, herpes simplex, herpes zoster) KEY POINTS: Clinical Presentation Unilateral facial nerve paralysis There is loss of facial creases and nasolabial fold Forehead unfurrows Corner of the mouth droops Eyelids cannot close and the lower lid sags Bells phenomenon: When an attempt is made to close the eye, the eye rolls upward NOTE: If the patient can furrow their brow, suspect central lesion because of dual innervation to the 1 st branch of the facial nerve Rapid onset: Usually 72 hours from onset to maximum weakness Common age group: 15 to 45 years (both men and women) Pain: May be associated with ipsilateral pain surrounding the ear and face Differential (facial paralysis) Systemic and infectious diseases: Lyme disease, sarcoidosis, zoster CNS: Tumors, CVA Non-CNS tumors: Parotid gland, infratemporal fossa, cancer involving the facial nerve Risk Factors Pregnancy has been associated with Bells palsy Also associated with severe preeclampsia Obesity Hypertension Diabetes Upper respiratory ailments Testing There is no indication for routine laboratory testing Based on the clinical setting, Lyme disease can account for up to 25% of cases and serologies may be helpful Routine use of brain imaging is not recommended However, if paralysis is inconsistent with Bells palsy, consider imaging to rule out CNS and other potential masses and lesions Treatment Prednisone is recommended if started in 72 hours for patients 16 years 50 to 60 mg daily for total of 10 days | Full dose for the first 5 days then taper over the next 5 days Acyclovir or valacyclovir is optional to start and use together with steroids Eye protection Can use eye patching or taping to prevent corneal abrasions, keratitis, and ulcerations Follow-Up 85% of patients show partial recovery within three weeks of onset Complete recovery occurs in 70% of patients in 6 months Refer to specialist if New or worsening neurologic symptoms appear at any time Incomplete resolution at 3 months Ocular complications Learn More Primary Sources: SPECIALTY AREAS Alerts Allergy And Immunology Cancer Screening Cardiology Cervical Cancer Screening COVID-19 Dermatology Diabetes Endocrine ENT Evidence Matters General Internal Medicine Genetics Geriatrics GI GU Hematology ID Medical Legal Mental Health MSK Nephrology Neurology PcMED Connect PrEP for Patients PrEP for Physicians Preventive Medicine Pulmonary Rheumatology Vaccinations Women's Health Your Practice

B12 injections can help prevent or treat certain types of anemia caused by B12 deficiency, resulting in improved oxygen transport and increased red blood cell production

Image Credit: DG Stock / Shutterstock.com Introduction Ergothioneine (EGT), a unique sulfur-containing amino acid, is emerging as a critical micronutrient that supports healthy aging, mitochondrial respiration, and metabolic function