Bell’s palsy is facial nerve paralysis of unknown cause.
03 Aug 2020 1 The annual incidence is estimated to be 11–40 per 100,000, with a lifetime risk of one in 60.
The palsy recurs in 7% of patients, with equal incidence of ipsilateral and contralateral recurrence.
Clipboard, Search History, and several other advanced features are temporarily unavailable. Read our ©2020 NPS MedicineWise. The palsy may leave the surface of the eye exposed. Atypon Your doctor will look at your face and ask you to move your facial muscles by closing your eyes, lifting your brow, showing your teeth and frowning, among other movements.Other conditions — such as a stroke, infections, Lyme disease and tumors — can also cause facial muscle weakness, mimicking Bell's palsy. Symptoms come on suddenly. A less common cause of Bell's palsy is Lyme disease. A referral is also indicated if there is only partial recovery after 6–9 months. Bell's palsy, also referred to as idiopathic facial nerve palsy or facial nerve palsy of suspected viral etiology, is the most common cause of acute spontaneous peripheral facial paralysis.
Prednisolone should be used with caution in immunosuppression and sepsis.
Antiviral drugs alone had no benefit over placebo. Bell’s palsy is characterised by an acute onset of unilateral, lower motor neuron weakness of the facial nerve in the absence of an identifiable cause. If there is no improvement after a month the patient should be referred. Eye protection is crucial so an eye patch and lubricants are used to prevent drying of the cornea.
It was 81.6% in patients who did not receive prednisolone.A systematic review of trials that used prednisolone showed that at six months 17% of patients had incomplete recovery compared with 28% of patients who received no treatment. If the cause of your symptoms isn't clear, your doctor may recommend other tests, including: 1.
The aim is to provide a reference for physicians treating Bell's palsy in pregnant patients. 2010 Feb;31(2):319-27. doi: 10.1097/MAO.0b013e3181cabd90.Neurology. 2014 May 27;82(21):1927-9. doi: 10.1212/WNL.0000000000000463. Early facial exercise may reduce recovery time, long-term paralysis and number of chronic cases.Surgical treatment to free the facial nerve has been considered. Alcohol and/or drugs: Guideline for Emergency Departments, Minor Injury Units and Receiving Units where a child or young person presents under the influence of; Antibiotic prophylaxis for paediatric surgery; Aspiration of a foreign body; Atopic eczema (management) Atopic eczema, infected (management) Atraumatic painful limb; Bell's Palsy
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