Bell's palsy historical perspective
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
The first comprehensive description of Bell’s palsy was first discovered by AbÅ« Bakr Muhammad ibn ZakariyyÄ al-RÄzÄ«, a Persian polymath, physician, alchemist, philosopher, in 9th century, although Sir Charles Bell, a Scottish surgeon, was the first to provide the anatomic basis for the condition that bears his name in 1821. For the fiest time, Razi provided accurate descriptions of facial muscles disorders. Razi describes a clinical method for distinguishing spasm and paralysis for the first time. In 9th century, the therapy of Bell’s palsy was developed by AbÅ« Bakr Muhammad ibn ZakariyyÄ al-RÄzÄ«. In 1821, Sir Charles Bell described the lesions of the seventh cranial nerve produce facial paralysis. Bell described the Bell’s palsy is caused by problem of 7th cranial nerve(facial nerve).
Historical Perspective
Discovery
- The first comprehensive description of Bell’s palsy was first discovered by AbÅ« Bakr Muhammad ibn ZakariyyÄ al-RÄzÄ«, a Persian polymath, physician, alchemist, philosopher, in 9th century, although Sir Charles Bell, a Scottish surgeon, was the first to provide the anatomic basis for the condition that bears his name in 1821.[1]
- For the first time, Razi provided accurate descriptions of facial muscles disorders.
- Razi describes a clinical method for distinguishing spasm and paralysis for the first time.
- Razi also gave the earliest description of bilateral facial palsy.
Landmark Events in the Development of Treatment Strategies
- In 9th century, the therapy of Bell’s palsy was developed by AbÅ« Bakr Muhammad ibn ZakariyyÄ al-RÄzÄ«.
- The treatment given by Razi was:
- Massage until the āskin turns red,ā
- Warming oils and ointments
- Warm compresses
- Inhaled and intranasal medicines (emphasis on inducing sneezing)
- Oral medications (emphasis on gargling)
- Special diets
- Phlebotomy
- Application of a bandage to the distorted area to counteract the unbridled pull of the muscles
- In 1821, Sir Charles Bell described the lesions of the seventh cranial nerve produce facial paralysis.[2]
- Bell described the Bell’s palsy is caused by problem of 7th cranial nerve(facial nerve).
References
- ā Sajadi MM, Sajadi MR, Tabatabaie SM (2011). “The history of facial palsy and spasm: Hippocrates to Razi”. Neurology. 77 (2): 174ā8. doi:10.1212/WNL.0b013e3182242d23. PMCĀ 3140075. PMIDĀ 21747074.
- ā Grzybowski A, Kaufman MH (2007). “Sir Charles Bell (1774-1842): contributions to neuro-ophthalmology”. Acta Ophthalmol Scand. 85 (8): 897ā901. doi:10.1111/j.1600-0420.2007.00972.x. PMIDĀ 17680840.
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