Ardita vata..a brief ppt

ardita vata is ayurvedic text which gives brief information in ppt manner

1. ARDITA VATA By N. Jagadish

2. INDEX : Definition- Ardita vata Introduction Nidanam Samprapti Poorva rupa Rupa Types Treatment

3. DEFINITION : It is a disease in which there is a deviation leading to deformity of one side of face alone or along with half side of the body.

4. INTRODUCTION: Acc to Charaka & Vagbhata ardita vata is included in the group of Vataja Nanatmaja Vyadhis . Acc to Charaka he also included the same ardita vata under Samanya siro rogas .

5. NIDANA : Carrying heavy weights on head Excessive yawning,laughing Pregnant woman Shouting loudly Eating hard foods Old persons Children Fear Grief

6. SAMPRAPTI :

7. POORVA RUPA : Horripulations Tremors Belching Loss of sensation&pain in skin Catching pain in shoulders

8. RUPA : Absence of nasolabial fold on affected side Absence of wrinkles on head Drooping of eyelid Deviation of mouth to healthy side Difficult in chewing Slurred speech Tremors of neck

9. TYPES : According to vagbhata 2 types

10. According to charaka 2 types

11. According to bhavamisra and yogaratnakara 3 types based on dosas 1) vata ardita - pain,excessive salivation,oedema of lips. 2) pitta ardita - trsna,jwara,daha . 3) kapha ardita - oedema in neck&stiffness .

12. ASADYA LAKSHANAS : According to susruta 1) ksheena -weak person 2)Inability to close eyes 3)Disturbed or slurred speech 4)Excessive nasal secretions 5) Excesive tear drops 6)excessive oral secretions

13. TREATMENT : According to charaka & Susrutha . 1) nasya - shadbindu taila or anutaila 2) nadi swedana 3) upanaha - meat of animals of marshy lands( anoopa prani ) 4) moordha taila - application of oil on head as Pichu Sirovasti Sirodhara with ksheera bala or nirgundi taila

14. According to vagbhata 1) nasya 2) karna poorana 3) akshi tarpana 4)emesis 5) venesection According to bhavamishra Ksheera prepared with DMQ or BMQ

15. FACIAL PALSY

16. DEFINITION : Paralysis of any structures innervated by facial nerve is known as facial palsy.

17. SUPRA NUCLEAR &INFRA NUCLEAR LESIONS: The facial motor nucleus have two divisions. 1)dorsal division 2)ventral division Dorsal division contains UMN’S which recieves bilateral input from brain. Ventral division contains LMN’S which receives only contra lateral input.

18. FACIAL NERVE AND ITS SUPPLY TO THE MUSCLES:

19. BRANCHES OF FACIAL NERVE : Temporal branch –supplies to frontalis & orbicularis oculi . Zygomatic branch – supplies to orbicularis oculi . Buccal branch – supplies to upper lip &cheek. Mandibular branch – supplies to lower lip. Cervical branch – supplies to neck muscles.

20. SYMPTOMS : Unilateral facial weakness. Loss of taste. Hyperacusis -A heightened sensitivity to some sounds. Decreased salivation & tear secretion.

21. TYPES OF FACIAL PALSY : Different types of facial palsy according to the point at which the nerve is affected. 1)lesion in pons - taste&hearing not effected 2)Lesion in petrous bone – palsy of facial muscles+loss of taste 3)Lesion in chorda tympani – no salivary secretions 4)Lesion in stonpedius – sense of hearing is loss

22. Difference between UMN&LMN Lesions UMN LESIONS LMN LESIONS Only lower 2/3 rd of the facial muscles are affected. Mid face is paralysed. Eye brow’s can move normally. Totally half side of the is affected. Half of the Mid face is only paralysed. Eye brow’s can’t move normally.

23. BELL’S PALSY : It is the commonest type of facial palsy. It is the major cause of the acute facial nerve paralysis. It affects totally half side of the face due to the LMN Lesion. Here the palsy is due to the inflammation of the facial nerve. The inflammation prevents nerve from sending correct signals to brain &facial muscles.

24. SYMPTOMS :

25. CAUSES : Infection Trauma Tumour Other causes

26. INFECTION : Herpes zoster virus - reactivation of virus within dorsal root ganglion of facial nerve is assosiated with vesicles affecting ear canal. Symptoms -1)ear pain 2)vesicles 3)hearing loss 4)vertigo Treatment –1)anti viral 2)steroids(corticosteroids)

27. Otitis media –inflammation of the middle ear due to infections can spread to facial nerve &inflame it causing compression. Symptoms -1) ottorrhoea (discharge). 2) otalgia (no ear pain). Treatment – myringotomy (incision to tympanic membrane).

28. Facial nerve and its relation with the middle ear

29. TRAUMA : 1)fractures of temporal bone due to injury in accidents. 2)birth injury to the facial nerve at the time of delivery due to application of fore ceps . reason :it remains unprotected after its exit through stylomastoid foramen. investigation –CT Scan

30. CONGENITAL FACIAL PALSY : It is mainly due to application of foreceps during delivery.

31. TUMOUR : The bells palsy may be due to tumour’s which compress the the nerve along its course. investigation -1)Tomography. 2)MRI(to locate tumour) 3)CT Scan

32. BELL’S PALSY DUE TO COMPRESSION :

33. OTHER CAUSES : 1)Diabetes milletes 2) Nervus sarcoidosis 3) Moebius syndrome 4) Guillaine – barre syndrome 5)pregnancy

34. Diabetes milletus –the person with DM is more susceptible for otitis inflammation. Sarcoidosis –abnormal collections of inflammatory cells which transform as nodules is known as sarcoidosis.As it occurs in facial nerve it is known as nervus sarcoidosis . investigations – angiotensin converting enzyme levels. treatment -1) Ibuprofen or aspirin. 2)if it progress- prednisolone .

35. Moebius syndrome –This can be taken as congenital malformity . under development of 7 th &6 th cranial nerves is known as moebius syndrome. symptoms -1)cannot close eye. 2)no facial expression. 3)complete facial palsy. treatment -1) tarsorraphy -(eye). 2)smile surgery-for fascial expressions(grafting of muscles from thigh to corners of mouth).

36. DIFFERENCE BETWEEN FACIAL PALSY&BELL’S PALSY FACIAL PALSY BELL’S PALSY 1)Cause can be known ( infection ,trauma , tumour). 2)Permanent(lasts for years to life). 3)need surgical treatment. 4)Site of affection depends upon UMN&LMN Lesions. 1)It is idiopathic(may de velop suddenly). 2)Temporary(permanent cure with in 3 months in 90% of cases). 3)Without treatment or surgery regains facial function. 4)It is mainly due to LMN Lesions.half side of the face is totally affected.

37. Tests for facial palsy : Ask the patient to show his teeth. Ask the patient to puff his cheeks. Ask the patient to close his eyes against resistance. Ask the patient to lift his eyebrows.

38. TESTS :

39. TREATMENT : Brow ptosis correction – direct brow lift,endoscopic brow lift. Eye lid weight placement – occuloplastic management for lagopthalmus . Static facial suspension – by using facial slings from zygomatic / temporalis arch to nasolabial fold & oral commisure . Extra nasal valve repair – facia lata sling from alar base to temporalis facia to open extra nasal valve. Cross Face Nerve Transplant(CFNT) – It is most advanced. It is making continuity between paralysed&normal facial nerves by means of bridge grafts.

40. BROW PTOSIS CORRECTION :

41. EYE LID WEIGHT PLACEMENT :

42. STATIC FACIAL SUSPENSION :

43. CROSS FACE NERVE TRANSPLANT(CFNT):

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