Effects of physiotherapy in 28-year-old male with Bell’s palsy following vestibular schwannoma

Akshita Tayal; Nidhi Aggarwal; Priyanka Siwach

doi:10.18203/2320-6012.ijrms20232804

Authors

Akshita Tayal College of Physiotherapy, Pt. B. D. Sharma UHS, Rohtak, Haryana, India
Nidhi Aggarwal Maharaja Agrasen College of Physiotherapy, MAMC, Agroha, Haryana, India
Priyanka Siwach Faculty of Physiotherapy, SGT University, Budhera, Gurugram, Haryana, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20232804

Keywords:

VS, Bell’s palsy, Facial PNF, Ultrasound therapy, Facial exercise, Physiotherapy intervention

Abstract

Schwannomas are benign, well-encapsulated, slow growing nerve sheath tumors. Vestibular schwannomas (VS) are one of the commonest intracranial tumors that arise from the Schwann cells at cerebropontine angle. Post-surgical complications are highly prevalent where Bell’s palsy is one of the most reported problems. Bell’s palsy is a lower motor neuron condition characterized by rapid and unilateral paresis of 7^th cranial nerve. A 28-year-old male was diagnosed with vestibular schwannoma followed by Bell’s palsy. Patient presented with facial muscle paresis along with the Bell’s phenomenon. Neurological examination revealed 7^th cranial nerve involvement (house Brackmann scale score-VI). Various physiotherapy interventions including facial PNF, facial exercise, electrical stimulation, biofeedback through mirror exercises, facial soft tissue manipulation and ultrasound therapy were used that reduced the house Brackmann scale score to I/VI.

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