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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Weakness In Entire Body After Suffering A Facial Paralysis?

Sir, My mother got paralysys attack in her face and after that withing one week her whole body got weak fully and now she is undergoing a dosage of IVIG. Sequence of events occured are: 1. Right hand and half right lip became less sensitive. 2. Right portion of face looking dull clearly with respect to left portion. 3. Got pain in back middle section, got checkd there was no BP. 3 Got pain again after some hrs and right half face started to strech. 4. After 1 day left half of face started streching. For all this treatment done at basic level. And docs told that nothing to wry it will b bettr through physio. 5. Then within one week her whole body got weak and she lost her strength to do anything of her own, perhaps she is able to shake her hand and see things ans do some signals. 6. Now she is under IVIG dose. What will b the possible reason for this things as as per MRI report s findings nothing is there that can cause this much seriousness. Please help.. If possible please tell where it can b treated at its best.
Mon, 9 May 2016
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General & Family Physician 's  Response
Hello,
I am Doctor Imad .I am your Medical advisor for your question.I am going to answer your question if in case you find it insufficient than do ask me openly any followup question .I will be happy to help you.Now comming toward your question,

This can be due to Guillain-Barre syndrome,which often begins with tingling and weakness starting in feet and legs and spreading to the upper body and arms. In about 10 percent of people with the disorder, symptoms begin in the arms or face. As Guillain-Barre syndrome progresses, muscle weakness can evolve into paralysis.

you should consult a Neurophysician.He will advise the folllwing investigations.

Spinal tap (lumbar puncture). A small amount of fluid is withdrawn from the spinal canal in your lower back. The fluid is tested for a type of change that commonly occurs in people who have Guillain-Barre syndrome.
Electromyography. Thin-needle electrodes are inserted into the muscles your doctor wants to study. The electrodes measure nerve activity in the muscles.
Nerve conduction studies. Electrodes are taped to the skin above your nerves. A small shock is passed through the nerve to measure the speed of nerve signals.

There's no cure for Guillain-Barre syndrome. But two types of treatments can speed recovery and reduce the severity of the illness:

Plasma exchange (plasmapheresis). The liquid portion of part of your blood (plasma) is removed and separated from your blood cells. The blood cells are then put back into your body, which manufactures more plasma to make up for what was removed. Plasmapheresis may work by ridding plasma of certain antibodies that contribute to the immune system's attack on the peripheral nerves.

Immunoglobulin therapy. Immunoglobulin containing healthy antibodies from blood donors is given through a vein (intravenously). High doses of immunoglobulin can block the damaging antibodies that may contribute to Guillain-Barre syndrome.
These treatments are equally effective. Mixing them or administering one after the other is no more effective than using either method alone.

You also are likely to be given medication to:

Relieve pain, which can be severe
Prevent blood clots, which can develop while you're immobile
People with Guillain-Barre syndrome need physical help and therapy before and during recovery. her care may include:

Movement of her arms and legs by caregivers before recovery, to help keep her muscles flexible and strong
Physical therapy during recovery to help her regain strength and proper movement
Training with adaptive devices, such as a wheelchair or braces, to give her mobility and self-care skills
Exercise therapy, to cope with fatigue
Recovery

Although some people can take months and even years to recover, most people with Guillain-Barre syndrome experience this general timeline:

After the first signs and symptoms, the condition tends to progressively worsen for about two weeks
Symptoms reach a plateau within four weeks
Recovery begins, usually lasting six to 12 months, though for some people it could take as long as three years.

Hope so it will be helpful for you.My aim is to provide best medical assisstance.
Have a nice time,
Regards.

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What Causes Weakness In Entire Body After Suffering A Facial Paralysis?

Hello, I am Doctor Imad .I am your Medical advisor for your question.I am going to answer your question if in case you find it insufficient than do ask me openly any followup question .I will be happy to help you.Now comming toward your question, This can be due to Guillain-Barre syndrome,which often begins with tingling and weakness starting in feet and legs and spreading to the upper body and arms. In about 10 percent of people with the disorder, symptoms begin in the arms or face. As Guillain-Barre syndrome progresses, muscle weakness can evolve into paralysis. you should consult a Neurophysician.He will advise the folllwing investigations. Spinal tap (lumbar puncture). A small amount of fluid is withdrawn from the spinal canal in your lower back. The fluid is tested for a type of change that commonly occurs in people who have Guillain-Barre syndrome. Electromyography. Thin-needle electrodes are inserted into the muscles your doctor wants to study. The electrodes measure nerve activity in the muscles. Nerve conduction studies. Electrodes are taped to the skin above your nerves. A small shock is passed through the nerve to measure the speed of nerve signals. There s no cure for Guillain-Barre syndrome. But two types of treatments can speed recovery and reduce the severity of the illness: Plasma exchange (plasmapheresis). The liquid portion of part of your blood (plasma) is removed and separated from your blood cells. The blood cells are then put back into your body, which manufactures more plasma to make up for what was removed. Plasmapheresis may work by ridding plasma of certain antibodies that contribute to the immune system s attack on the peripheral nerves. Immunoglobulin therapy. Immunoglobulin containing healthy antibodies from blood donors is given through a vein (intravenously). High doses of immunoglobulin can block the damaging antibodies that may contribute to Guillain-Barre syndrome. These treatments are equally effective. Mixing them or administering one after the other is no more effective than using either method alone. You also are likely to be given medication to: Relieve pain, which can be severe Prevent blood clots, which can develop while you re immobile People with Guillain-Barre syndrome need physical help and therapy before and during recovery. her care may include: Movement of her arms and legs by caregivers before recovery, to help keep her muscles flexible and strong Physical therapy during recovery to help her regain strength and proper movement Training with adaptive devices, such as a wheelchair or braces, to give her mobility and self-care skills Exercise therapy, to cope with fatigue Recovery Although some people can take months and even years to recover, most people with Guillain-Barre syndrome experience this general timeline: After the first signs and symptoms, the condition tends to progressively worsen for about two weeks Symptoms reach a plateau within four weeks Recovery begins, usually lasting six to 12 months, though for some people it could take as long as three years. Hope so it will be helpful for you.My aim is to provide best medical assisstance. Have a nice time, Regards.