Bell’s Palsy

Publication Date: November 4, 2013

Key Points

Key Points

  • Bell’s palsy is the most common cause of acute facial nerve paresis/paralysis, and the most common acute mononeuropathy.
  • Patients may have impaired eye closure which may lead to eye injury.
  • Not all patients with facial paresis/paralysis have Bell’s palsy. Alternative underlying etiologies must be considered.

Figure 1. Bell's Palsy


Diagnosis

Diagnosi...

...g a patient with facial paresis/paralysis for...


Table 1. Abbreviations and Definitions of Common Terms

...viations and Definitions of Common T...

Table 2. House-Brackmann Facial Nerve Grading System

.... House-Brackmann Facial Nerve Grad...

Table 3. Etiologies and Clinical Features of Facial Paralysis

...logies and Clinical Features of Facial...

Treatment

...atment

...Summary of Guideline Action Statements...

...iagnostic...

Patient history and physical examinationClinician...

...ngClinicians should NOT obtain routine l...

...gingClinicians should NOT routinely pe...

Electrodiagnostic...

...te paresis/paralysisClinicians shoul...

...e paresis/paralysisClinicians may offer el...

...atment...

Steroid...

...oid useClinicians should prescribe...

...iral Therapy...

...yClinicians should NOT prescribe oral antiviral th...

...mbinationClinicians may offer oral antivir...

Othe...

...nicians should implement eye protection for...

...decompressionNo recommendation can be made regard...

...ureNo recommendation can be made regarding the...

...ysical therapyNo recommendation can be m...

...upClinicians should reassess or refer t...


Figure 2. Bell’s Palsy Management Algorithm

...Bell’s Palsy Management Algorithm