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Question
Hello doctor,
My husband fell from a car, suffered a traumatic brain injury, and suffered from paralysis of the 7th nerve. So the doctor asked me if the 7th nerve palsy after a traumatic brain injury can be cured? Thank you doctor.
Anonymous customer
Answer
Answered by Doctor, Doctor Tran Hoang Ngoc Anh - Department of General Surgery, Vinmec Central Park International General Hospital.
Hello,
With the question “Can the 7th nerve paralysis after traumatic brain injury be cured? ", the doctor would like to answer as follows:
VII nerve palsy due to traumatic brain injury is a fairly common injury in patients with ipsilateral temporal bone stone lesions.
There are two types of nerve damage VII:
The first type: When the stony bone is damaged, the broken line will cut off the VII nerve going in the stony bone. Clinical manifestations of this type usually appear immediately after the injury. The second type: Patients with stony bone lesions, but the fissure does not cut off the VII nerve, only edema or hematoma causing compression of the VII nerve. The clinical manifestation of this type of injury is that the patient develops facial paralysis late after the injury, immediately after the injury, there is no facial paralysis, however, after 2-3 days, the facial paralysis gradually appears. For each type, there will be different treatment methods. Usually the second type of injury (due to edema, hematoma) will be used anti-inflammatory and anti-edema drugs and the patient will recover gradually after that, from 2 to 6 months, they can recover completely.
However, with type I injury (broken nerve due to broken stone bone), recovery is very poor, leaving severe sequelae of one-sided facial paralysis. Often after a period of time when the facial dislocation does not recover, you can see a plastic surgeon to perform muscle transfer surgery to restore facial balance to the patient.
So in the case of your husband, the doctor needs to examine carefully to be able to advise.
If you still have questions about 7th nerve palsy after traumatic brain injury, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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