HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Mom (she’s A Nurse Herself) Signs Of Bell’s Palsy 9/30

default
Posted on Tue, 29 Oct 2019
Question: Mom (she’s a nurse herself) signs of Bell’s palsy 9/30 (mild) 10/1 facial dropping was severe but went to Dr. the diagnosed Bell’s. Rx her prednisone 60 and vatrex. (Pt. history renal pt. does PD every night, knee surgery in April, high bp especially lately). She took the med. the next day she complained about weird dreams. Went to work they sent her home due to hallucinations, dizziness, unbalanced walking. Went to ER CT was clear. Still said her vision was blurry, speech slurred and in her right mind but saying some funny things. 10/2 woke up couldn’t walk face was more drooped. She was out of it wanted us to hold her face bc it felt funny, keep complaining of feeling like she was on a roller coaster, hallucinations, a lot of talking, grab us and hold extremely tight the XXXXXXX and say “it’s over” could evenly raise arms and legs. 10/3 talking but sound like noises couldn’t understand her, proximal muscle weakness but much strength in hands and feet. Extreme twitching in face. Unstable high bp 200’s/98, low K and MG, UTI, Focal seizures which resulted in a bad seizure. Moved to ICU. 10/2 MRI, MRA was clear 10/3 EEG determined focal seizures. Blood cultures didn’t grow anything within 24 hours. Now she is talking speech is still slurred but talking in her right mind, a little spacy. Has nose tube to take medicines. Doctors 1st decided it was Steroid myopathy, Serotonin Syndrome, UTI. But I don’t understand the speech problem if this is true. She was also taking a over the counter medicine Sam-e for joint pain with Effexor, that’s where they got XXXXXXX disorder. No seizures since 10/4 ( had only 1 that day when she was agitated while giving a bath)
Please tell me what’s wrong with my Mom.
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
These are most likely steroid-related side effects.

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.

I have noted your mom's clinical details. Based on this, her symptoms can be explained by side effects due to steroids (prednisolone). Steroids cause psychosis, including hallucinations and behavioural changes. Proximal muscle weakness is also a common feature of steroid myopathy. The good news is that all these side effects are transient and fully reversible on stopping steroids. As she has multiple comorbid illnesses, it may take a few days extra for her to recover.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in



Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Mom (she’s A Nurse Herself) Signs Of Bell’s Palsy 9/30

Brief Answer: These are most likely steroid-related side effects. Detailed Answer: Thank you for posting your query. I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you. I have noted your mom's clinical details. Based on this, her symptoms can be explained by side effects due to steroids (prednisolone). Steroids cause psychosis, including hallucinations and behavioural changes. Proximal muscle weakness is also a common feature of steroid myopathy. The good news is that all these side effects are transient and fully reversible on stopping steroids. As she has multiple comorbid illnesses, it may take a few days extra for her to recover. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in