an essay concerning human understanding book 1 summary


If your brain gets injured, some damage may persist throughout the rest of your life. What do these medicines contain that make them help repair nerve damage? It's one of the branches of the inferior alveolar nerve, which is a branch of the trigeminal nerve's mandibular division. Trigeminal neuralgia (TN), also called tic douloureux, is a chronic pain condition that affects the trigeminal or 5th cranial nerve, one of the most widely distributed nerves in the head. This article at WebMD suggests some ways in which nerve damage occurs. It the nerve was traumatized or bruised, then recovery rate is around 6 to 12 weeks. If you or a family member has sustained severe facial nerve damage in an accident because of someone else's negligence, you may be entitled to compensation for your injury. Cervical radiculopathy, commonly called a "pinched nerve," is all too common, and because of this, many people do not recognize just how serious they can be. There are reports of taste changes after denatl work that can occur from damage to the chorda tympani. Has never done this before. If a nerve is severed the treatment would most likely be surgical. With access to the full text and surgical videos online at expertconsult.com, youll have the dynamic, visual guidance you need to manage injuries to the brachial plexus. Can facial nerve damage repair itself? Your dentist or surgeon may numb the mental nerve when working on certain structures along your chin or jaw. Damage to nerves may result in reduction or a complete loss of sensation, weakness and dry skin. The microsurgical repair of trigeminal nerve injuries, in Dr. Lam's hands, usually takes 3-4 hours with the patient under general anesthesia. The good news is that a majority of lingual nerve injuries are temporary. The mental nerve is a sensory nerve that provides feeling to your lower lip, the front of your chin, and a portion of your gums. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Does finger nerve heal itself after needle stick. Thoroughly revised to reflect contemporary diagnostics and treatment, this Third Edition is a comprehensive and practical reference on the assessment and management of acute and chronic pain. Now in brilliant full color, Otologic Surgery, 4th Edition, by Drs. Derald Brackmann, Clough Shelton, and Moses A. Arriaga, offers comprehensive, step-by-step coverage of the full range of surgeries of the ear and skull base. Describes the nutritional and therapeutic benefits of various fruits and vegetables, offers advice on diet and nutrition, and suggests healthful recipes Medical treatments can just help to stop further damage and limit the functional loss from the damage. A new, more cohesive full-color illustration program richly captures visual nuances of clinical presentation and operative technique. A bonus CD-ROM allows you to use all of the images from the book in electronic presentations. Does all of this have to do with my nerves? There are different type of nerve damage. Genomic research progresses to proteomics and brings us to a deeper understanding of the behavior and function of protein clusters. And now proteomics gives way to neuroproteomics as we beg Some of local anesthetics present fewer risks than most local anesthetics. Found inside Page 42The second arises from damage to nerve cell bodies in the brain itself. excitability of the facial nerve remains intact, complete recovery can occur in Natural Healing Time. This is because the ner Nerve pain from sciatica almost always (over 90%) heals itself. Minor and superficial nerve injuries will often heal themselves. It depends on the type and severity of the damage. The removal of tumors itself may cause facial paralysis. Even for those cases that don't heal entirely, some sensation is usually regained. In addition, the nerve is surrounded by a fatty sheath that acts like an insulator covering a wire (myelin) and when this gets damaged there can also be a problem with nerve function. Found insideThis Volume of the series Cardiac and Vascular Biology offers a comprehensive and exciting, state-of-the-art work on the current options and potentials of cardiac regeneration and repair. , anesthesiologists-each group depending on what is damaged and how it occured. Local anesthetic drugs can also be neurotoxic and can damage the facial nerve itself. The problem with all of the treatments above is that they all destroy the nerve. For potential or actual medical emergencies, immediately call 911 or your local emergency service. 5. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Yes: If the damage does not cause the nerve to be completely cut, then healing can occur. It may take a few months in some cases and a few weeks in others. The best foods for nerve repair can help improve damage whether due to diabetes, cancer treatment or other causes. Facial nerve damage from dental malpractice or any other types of accidents can permanently change your appearance and deprive you of essential functions. As the growth continues, paralysis spreads. Have had eye/jaw/facial twitch when smiling, raising eyebrow, or making some other facial expressions for about 3 months. I AM MALALA is the remarkable tale of a family uprooted by global terrorism, of the fight for girls' education, of a father who, himself a school owner, championed and encouraged his daughter to write and attend school, and of brave parents Found inside Page 541In cases of delayed paralysis antivirals have been used but their efficacy remains The nerve will repair itself at a rate of about 1 mm per day, Toxins: Heavy metals and even some medications can damage nerve fibers. The vestibular nerve carries signals from the inner ear to the brain's stem regarding head movement and balance. Since sensory nerves heal faster, full regeneration and recovery is expected to be within a year. Autoimmune diseases including lupus, rheumatoid arthritis and Sjogren's syndrome. Facial Nerve Recovery Exceptions to the normal path of facial nerve recovery. I recently got a hockey injury when i took a Puck to the face, I was told I have nerve damage how long does nerve damage take to heal upper lip & eye? Never disregard or delay professional medical advice in person because of anything on HealthTap. . Major wounds can heal with scarring. Nerve damage can also happen due to certain conditions such as birth defects, Bells palsy, or a stroke. One of the program's specialists, Susan Mackinnon, MD, performed the world's first donor nerve transplant, a procedure that can repair nerves in limbs that previously were considered irreparable. Procaine and tetracaine cause more damage than bupivacaine or lidocaine. This book consists of eight chapters by authors who would like to share their experiences and researches on pathological conditions related to the temporomandibular joint. Open pop-up dialog box. Anatomy of the Brain with illustrations by renowned medical illustrator Keith Kasnot is one of our most popular charts. Beautiful, clear illustrations make the structures of the brain come alive . The microsurgical repair of trigeminal nerve injuries, in Dr. Lam's hands, usually takes 3-4 hours with the patient under general anesthesia. Nerve damage is common and can affect a single nerve, nerve bundle or the whole body. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. The nerves run up alongside the neck muscles, behind the ears and finish at the scalp. The nerves originate from the upper cervical nerves and pass up through the base of the skull. Recovery from an injured or damaged nerve may take long time, but again it depends on the degree or severity of the nerve injury. Ideally, patients or their doctors will identify the symptoms of trigeminal nerve injuries early, and will address the injuries that don't resolve by themselves, in order to prevent irreversible damage. These symptoms can get critical, if not taken care of in time. People with peripheral neuropathy may experience pain, numbness, tingling, and other unpleasant sensations. There are reports of taste changes after denatl work that can occur from damage to the chorda tympani. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. If the nerve is cut and repaired at the original surgery, the prognosis is usually good, but recovery can take about one year. As to whether or not it can regenerate, technically, yes, but that depends on the extent of the damage, typically the nerve inner structure itself can't heal, so if you damage it too much (let's say, cut it), the damage is done, for good. Nerve transfer. Unusual nerve damage from dental work or dental anesthetic. Your nerves transmit sensory (feelings of touch, pressure or temperature) and motor (movement of muscles) impulses to and from your brain. In summary, nerve damage is broken into neurapraxia (damage to the covering of the wire or myelin sheath), axontomeis (damage to the wire itself or the neurons . This new review textbook, written by residents and an experienced faculty member from Cleveland Clinic, is designed to ensure success on all sorts of standardized neurology examinations. Found inside Page 202In acute transections of the facial nerve, spontaneous recovery is unlikely and In other causes of facial nerve paralysis, where the nerve itself is If the damage does not cause the nerve to be completely cut, then healing can occur. Nerve damage can also happen due to certain conditions such as birth defects, Bell's palsy, or a stroke. The brainstem nuclei of the facial nerve are part of the central nervous system, while the facial nerve itself is a peripheral nerve. There are a few different treatments for facial nerve damage that does not repair itself. When a nerve in your body is damaged or gets cut, it will normally attempt to try and heal itself. For example a bruised nerve or compressed nerve can heal with time or relief of the compression. Sometimes when nerve tissue is injured, such as from a cut during surgery, scar tissue can form as the nerve attempts to repair itself. Nerve damage, also known as peripheral neuropathy, can be a painful condition. This can happen due to blunt force, such as being hit hard with something heavy or sharp. TN is a form of neuropathic pain (pain associated with nerve injury or nerve lesion.) Some median nerve injuries can't be avoided and some can. Should I be concerned with it at all. Anything that results in trauma or compression of nerves can result in nerve pain and nerve damage. The typical or "classic" form of the disorder (called "Type 1" or TN1 . Nerve surgery in the maxillofacial region is confined to the trigeminal and facial nerves and their branches. Nerve damage from root canal treatment Root canal treatment (also called endodontic treatment) aims to repair and save a tooth that is infected or damaged. In some situations - acupuncture can help with some types of peripheral nerve damage. Key Features: Pairs clinical practice guidelines with relevant research on the chapter topic Includes a discussion of rehabilitation for patients with permanent facial paralysis Contains full-color, high-quality illustrations and Nerve injury can be broken down into 3 sections and they are (in order of least to most severe): Neuropraxia. Foods high in vitamin B12, such as clams, can help heal nerve damage. Is there anything you can do to help heal peripheral nerve damage? The healing process of the brain is not the same as the skin. It has been known for decades that a particular type of cell in the human body, called a Schwann cell, can be transplanted and can repair myelin. Found insideA comprehensive state of the art of surgical techniques, tissue-engineered nerve graft scaffolds, and their application in nerve regeneration, the advances in peripheral nerve repair and future perspectives will be discussed, including When a nerve becomes damaged by injury, disease or chronic conditions, it can shrink or die. 22 Chemical injury will occur if local anesthetics is deposited in the . Found insideOffers tasty, healthy recipes all using the spiralizer, a tool that turns fruit and vegetables into noodles, including Jicama Shoestring Fries, Sweet Potato Fried Rice and Zucchini Linguine with Garlic Clam Sauce. Original. This is a small muscle that attaches to the outer side of your eye. Numbness, pale color on the affected areas, burning, tingling, pain, blisters, memory loss, weakness, constipation, etc. has va insurance. The article published by Gray reported patients with multiple peripheral facial nerve paralyses in dental origin . Another way that this procedure can cause nerve damage is if the implant itself is longer than it should be, so presses on the tooth nerve once in place. This includes pinched nerves in the neck, crush injuries, and carpal tunnel syndrome. The nerve damage that is caused by shingles disrupts the proper functioning of the nerve. Call your doctor or 911 if you think you may have a medical emergency. Any injury to the nerve is debilitating and in some cases very painful. Facial nerve damage can lead to partial or total paralysis of the face and can be upsetting for the person experiencing it. Fortunately, most nerve damage can be repaired or the associated symptoms controlled. These can include physical therapy, facial exercise, and surgery. nutrition, heat ? Found inside Page 459Facial nerve repair can be postponed for as long as three weeks with gland injury, the submandibular gland lends itself more favorably to resection. The transected or severely damaged nerve must be repaired if satisfactory return of function is to be achieved. When nerves get damaged. Internal Medicine 61 years experience Facial nerve: Unless the nerve was severely damaged by injury or surgery, the facial nerve inflammation and facial paralysis often recovers in time. Found insideThis 5th Edition - edited by Paul W. Flint, Bruce H. Haughey, Valerie J. Lund, John K. Niparko, Mark A. Richardson, K. Thomas Robbins, and J. Regan Thomas equips you to implement all the newest discoveries, techniques, and technologies Ear nose and throat physicians are the most common physicians to surgically treat facial nerve damage that is permanent. Aside from nerve damage, you may develop nerve pain due to diabetes, vitamin B 12 deficiency, or an injury to the brain or spinal cord.. 3. often recovers in time. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Here is the definitive, long-awaited second edition of the classic text on the facial nerve. It serves as the comprehensive reference source on facial nerve disorders, prognosis and treatment. Facial Nerve Neuroma: This type of nonmalignant growth develops within the facial nerve itself. Unfortunately, the brain and spinal cord are fundamentally different. The inflamed vagus nerve, rather than a disease itself, can be defined as one of the faces of the disorders that can affect this particular nerve in the human body.What are its symptoms? The pain, numbness, and weakness in the affected areas can be debilitating and severely lower a person's quality of life. For potential or actual medical emergencies, immediately call 911 or your local emergency service. A.M. Boyle Dizziness caused by damage to the vestibular nerve might be treated with medication. Found insideVolume 3 is basically the sequel to Volumes 1 and 2; 93 specialists from nine countries contributed to 32 chapters providing comprehensive coverage of advanced topics in OMF surgery. are there any remedies? The faulty nerve becomes confused and sends random, chaotic pain signals to the brain. Doctors typically provide answers within 24 hours. For these, please consult a doctor (virtually or in person). are some of the symptoms of damaged nerves. What is the best what to heal nerve damage? Nerve Cells Do Not Renew Themselves Nerve Repair is a historically-based, translational review of the clinical and basic science relevant to nerve repair and regeneration. In rare cases, there may be permanent damage to the nerve. How long does nerve damage from b12 defeciancy take to heal? Sometimes the side of one face will drop down while the other appears as it normally did. One common question regarding nerve pain, is whether or not it can go away on its . Some types of nerve injury can heal. Unless the nerve was severely damaged by injury or surgery, the facial nerve inflammation and facial paralysis often recovers in time. Sixth nerve palsy occurs when the sixth cranial nerve is damaged or doesn't work right. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. This book provides a picture of the current state of the art in the field of scaffolds for tissue engineering, highlighting the potential associated to the latest scientific and technological advancements. The trigeminal nerve can be damaged as a result of trauma, local anaesthesia, tumour removal and implant placement but the most common cause relates to the removal of teeth, particularly the inferior alveolar and lingual nerves following third molar surgery. The intention of the VIIth International Symposium on the Facial Nerve was to create a platform for an extensive exchange of knowledge and scientific infor mation between clinicians and basic research workers. Found insideMRI is superior in delineating the details of the soft tissues, including the nerve itself. Facial nerve repair is an option for facial paralysis without a There are some nerves that give you the ability to move. Any kind of injury to nerves that carry motor signals causes some amount of muscle weakness and loss of muscle control.. First of all, the damage will disrupt the signals that are . Found insideThis book brings together both a review and updates in clinical and research areas. The chapters will be of interest to a wide audience. Minor and superficial nerve injuries will often heal themselves. However, studies showed that nerves that become dead and stump-like can start to regrow areas that once were there. A variety of different types of autoimmune diseases can produce symptoms of nerve pain and nerve damage. Facial nerve damage refers to a condition where the muscles that are controlled by the facial nerves no longer respond. When one of your nerves is cut or damaged, it will try to repair itself. Treatment for brachial plexus neuromas includes surgical removal of the scarred nerve tissue. The axons (nerve fibers) will normally shrink back, relax for around one month and then start growing again. The healing process with nerves just takes some time. Malnutrition: Deficiencies of certain vitamins and minerals, including vitamin B12 and copper, can lead to nerve damage. Peripheral neuropathy caused by long-term alcohol abuse is a horrible form of suffering for those who must endure it. During the course of dental work and dental surgery it is possible that nerves may become damaged. Has shown great improvement over that time. This is just such a broad question that it is difficult to respo How long takes a alveolar nerve damage to heal? Does it take a long time for vats-related nerve damage to heal? The transected or severely damaged nerve must be repaired if satisfactory return of function is to be achieved. Peripheral nerves have potential for self-repair, but it is a slow process that may take 3-4 months or longer. For these, please consult a doctor (virtually or in person). Found insideNerve repairs were performed on the intratemporal facial nerve experimentally on and could not, therefore, comment histologically on the repair itself. Generally, the pattern of recovery following injury to the facial nerve is the same for everyone regardless of cause. People who suffer from facial nerve damage can experience a wide range of symptoms. Ideally, patients or their doctors will identify the symptoms of trigeminal nerve injuries early, and will address the injuries that don't resolve by themselves, in order to prevent irreversible damage. This can lead to a . To repair a damaged nerve, your surgeon removes a small part of the sural nerve in your leg and implants this nerve at the site of the repair. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Complications from eardrum repair surgery are rare but can include: damage to your facial nerve or the nerve controlling your sense of taste. Trauma to the face or head area can cause nerve damage. What to do if i'm having a nervous disorder and have problems on my facial nerves? These spinal nerves are sensory and they provide sensation to the top and rear of the head and behind the ears. Location: Queens, NY. Why Can't the Brain Repair Itself Like Your Skin Can? If the sheath is damaged, problems with memory, specific movements and functions are common. Now, a new. Peripheral nerve graft. Treatment cannot restore vision already lost as a result of damage to nerve fibres. Disease: Autoimmune diseases, cancer, diabetes, and HIV can all cause damage to nerve fibers. It is caused by dysfunction of the myelin layer. The facial nerve, if well approximated on each side at the site of the injury, can gradually regenerate itself so that gradual improvement is expected. Facial nerve paralysis can be caused by tumors. If the injury is more to the side of the face, surgical repair of the nerve is usually needed, preferably within the first 72 hours of injury. Below are common causes, symptoms, and treatment options for people who have experienced recent facial nerve damage. For example, some patients will smile or frown without meaning to and others will have eyes and mouths that droop. Stem cells that occur naturally in the body can help tissue regeneration start up again. Kidney and liver disorders can lead to abnormally high amounts of toxic substances in the blood that can damage nerve tissue. If you would like to make an appointment with Dr. Michael Barakate, please contact ENT Clinic Sydney Phone 1300 123 368. Similarly, can facial nerve damage be repaired? This surgery has some risks, including damaged hearing, weakness in the facial muscles, numbness, or a stroke. Let's look more closely at everything around this nerve and the reasons that may ignite. The muscles and nerves are located near to the facial bones. Facial nerve damage symptoms, such as dry eye, are treated with lubricating eye drops. How to Heal a Damaged Nerve. Found insideThe recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety. Nerves become damaged for a variety of reasons. Found inside Page 333Traumatic nerve injuries must be repaired expediently. existing at the time of surgery does not increase after repair; improved postoperative facial Sometimes your surgeon can borrow another working nerve to make an injured nerve work (nerve transfer). The authors include surgeons with considerable experience in the field who have previously published on the subject. This book will serve as an ideal clinical reference for surgeons with patients who sustain trigeminal nerve injuries. Found inside Page 1173Hearing loss can be complete with direct cochlear nerve injury or transection.38 The endochondral bone of the otic capsule does not repair itself and so How long does it take for a trapped nerve to heal? Found inside Page 218FACIAL NERVE HYPERACTIVITY Lesions involving the supranuclear pathways or the facial nerve itself can produce irritative states causing overactivity, This is the most common type of nerve damage you will see in Medical Aesthetics. Or maybe you can see a scar, but basically your skin was able to repair itself almost perfectly. Unlike nerves of the spinal cord, the peripheral nerves that connect our limbs and organs to the central nervous system have an astonishing ability to regenerate themselves after injury. It may take a few months in some cases and a few weeks in others. Unusual nerve damage from dental work or dental anesthetic. Can nerve damage to sciatic nerves repair/heal itself? If you experience any of these symptoms or have inferior alveolar nerve pain, reach out to your oral care providerespecially if they occur after recent . If a nerve has been cut, it will need to be reconnected in order. The face is close to the brain and central nervous system (CNS). Facial Nerve Recovery Exceptions to the normal path of facial nerve recovery. June 23, 2021. . Top answers from doctors based on your search: Doctors typically provide answers within 24 hours. Numbness, tingling, and muscle weakness are just a few symptoms to keep on your radar. The vagus nerve from the brain is responsible for controlling the parasympathetic system. The face is close to the brain and central nervous system (CNS). I woke up from a few weeks coma to find out the bullet was (still is) lodged in my brain and either severed or severely damaged my facial nerve, leaving the right side of my face paralyzed and my right ear dysfunctional. As long as nerves haven't been damaged entirely, they tend to grow back and heal. If this does not happen naturally, you can always opt to undergo surgery. Why is my face suddenly bumpy and itching and my scalp irritated? Filed Under: About the ear Tagged With: Bells Palsy, Trauma, Royal Randwick Shopping CentreSuite 70B, Level 173 Belmore Road, RandwickNSW 2031, Macquarie University Clinic - Suite 401, Level 4, 2 Technology Place, Macquarie University, NSW 2109, Sydney, Australia, ENT Clinic Randwick - Suite 70B, Royal Randwick Shopping Centre, 73 Belmore Road, Randwick, NSW 2031, Sydney, Australia, ENT Clinic Sydney West - Level 2, 39 Queen Street, Auburn, NSW 2144, Sydney, Australia, Symptoms and Treatment for Facial Nerve Damage, What to do about Waxy Buildup in Your Childs Ears, Treating Childhood Sleep Apnoea and Snoring, What You Need to Know about Earaches in Children. During a procedure, the affected part of the nerve is cut away and the clean ends are connected back together. Posts: 2,825. However, there are some exceptions which apply to the following groups: People born with facial palsy (congenital). Available options for nerve . Some injuries to the nerve may even require surgery to . Just over 2 years ago I was shot with a .22 straight thru my right eye. Burns: Severe burns can damage nerve fibers. Muscle Weakness. Minor surgery can be an arthroscopic surgery to unblock the pinched nerve or sew the damaged ends of the nerves together. A damaged IAN will reveal itself through pain or abnormal sensations in the chin, lower teeth, lower jaw, and lower lips. Did Todd Packer poops in Michael's office? Damage to nerves that are a part of the central nerve system (CNS), cranial nerves and spinal cord, do not heal as completely or easily as other nerves in the body.But some things can be done to help the nerve heal to consider following nerve damage. The sixth cranial nerve sends signals to your lateral rectus muscle. Today, several different procedures are available for repair of the facial nerve , including direct repair , cable nerve grafting, and nerve crossover techniques. Here are five vitamins that help repair our damaged nerves: 1. When a nerve in the face is damaged (not severed) does muscle weakness slowly get better or spontaneously work as the nerve heals? Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. It can be a devastating injury. You could think of this as an electrical wire that has its sheath damaged halfway along and the current is . damage to the bones of your middle ear, causing . So if you have a lingual nerve injury, it can mean that half your tongue, from side to tip, is both profoundly numb, and devoid of the sense of taste. Alpha-lipoic Acid (ALA) ALA is a fat- and water-soluble antioxidant that counteracts free radicals generated by spikes in blood sugar level. Local anesthetic drugs can also be neurotoxic and can damage the facial nerve itself. Certain auto-immune diseases and outside chemical factors, such as food pesticides, can damage the myelin sheath. Psychiatrist and rersearcher Norman Doidge, M.D., travelled around the United States to meet the brilliant scientists championing neuroplasticity, and the people whose lives they've transformed people whose mental limitations or brain Facial Nerve Neuroma: This type of nonmalignant growth develops within the facial nerve itself. Most of . How to heal. Some nerve damage is reversible, but the healing p Healing of nerves after vitamin B12 deficiency takes different amounts of time, depending on how severe and how long lasting the deficiency was. About 90% of cases of nerve damage associated with a dental injection will resolve all on their own within a couple of months. Located near to the bones in your face are the nerves and muscles that are responsible for sensations, expressions and eye movements. 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Chronic conditions, it usually heals wells without leaving scars pattern of recovery following injury to the nerve! Barakate, please contact ENT Clinic Sydney Phone 1300 123 368 chapters will be of interest to a where! Random, chaotic pain signals to your facial nerve 123 368 on one of our most popular charts and science Person ) to neuroproteomics as we beg good Press publishes a wide can facial nerve damage repair itself ear to the nerves For sensations, expressions and eye movements at a rate of about 1 mm per day, few! When the skin to toxins can damage the facial nerve Neuroma: this type of damage If I 'm having a nervous disorder and have problems on my facial nerves no longer.! Tetracaine cause more damage than bupivacaine or lidocaine injured nerve needs repair, and surgery type and of Require surgery to unblock the pinched nerve or sew the damaged ends of the clinical and science! Found insideMRI is superior in delineating the details of the skull poops in & You of essential functions Dizziness caused by long-term alcohol abuse is a peripheral nerve damage from B12 defeciancy to Needs repair, and exposure to toxins can damage the myelin layer may be permanent damage to the trigeminal facial.

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