All::Neurology::Diseases::Bell's palsy

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What is Bell's palsy?

an acute, unilateral, idiopathic, facial nerve paralysis of unknown aetiology

Bell's palsy

When is the peak incidence of Bell's palsy?

20-40 years

Bell's palsy

Which patient group is Bell's palsy most common?

pregnant women

Bell's palsy

How can you differentiate between Bell's palsy and an upper motor neuron lesion?

upper motor neuron lesion 'spares' the forehead

Bell's palsy

What are the symptoms of Bell's palsy?

paralysis, post-auricular pain (may precede paralysis), altered taste, dry eyes, hyperacusis

Bell's palsy

What is the management of Bell's palsy?

prednisolone, antivirals for severe facial palsy, eye care

Bell's palsy

When should steroids be given in Bell's palsy?

oral prednisolone within 72 hours of onset of Bell's palsy

Bell's palsy

When would a Bell's palsy warrent an urgent ENT referral?

After 3 weeks of no improvement

Bell's palsy

If Bell's palsy is left untreated how many patients have permiant damage?

15%

Bell's palsy