All::Neurology::Diseases::Bell's palsy
Intro
What is Bell's palsy?
an acute, unilateral, idiopathic, facial nerve paralysis of unknown aetiology
When is the peak incidence of Bell's palsy?
20-40 years
Which patient group is Bell's palsy most common?
pregnant women
How can you differentiate between Bell's palsy and an upper motor neuron lesion?
upper motor neuron lesion 'spares' the forehead
What are the symptoms of Bell's palsy?
paralysis, post-auricular pain (may precede paralysis), altered taste, dry eyes, hyperacusis
What is the management of Bell's palsy?
prednisolone, antivirals for severe facial palsy, eye care
When should steroids be given in Bell's palsy?
oral prednisolone within 72 hours of onset of Bell's palsy
When would a Bell's palsy warrent an urgent ENT referral?
After 3 weeks of no improvement
If Bell's palsy is left untreated how many patients have permiant damage?
15%