Bells Palsy

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What is Bell's palsy?

Bell's palsy is an unexplained episode of facial muscle weakness or paralysis. It begins


suddenly and worsens over 48 hours. This condition results from damage to the facial
nerve (the 7th cranial nerve). Pain and discomfort usually occur on one side of the face
or head.

Bell’s palsy can strike anyone at any age. It occurs most often in pregnant women, and
people who have diabetes, influenza, a cold, or another upper respiratory ailment. Bell's
palsy affects men and woman equally. It is less common before age 15 or after age 60.

Bell's palsy is not considered permanent, but in rare cases, it does not disappear.
Currently, there is no known cure for Bell's palsy; however, recovery usually begins 2
weeks to 6 months from the onset of the symptoms. Most people with Bell's palsy
recover full facial strength and expression.

What causes Bell's palsy?


The cause of Bell's palsy is not known. It is thought that it may be due to inflammation
that is directed by the body's immune system against the nerve controlling movement of
the face. Bell's palsy is sometimes associated with the following:

 Diabetes
 High blood pressure
 Injury
 Toxins
 Lyme disease
 Guillain-Barré syndrome
 Sarcoidosis
 Myasthenia gravis
 Multiple sclerosis
 Infection, especially following a viral infection with Herpes simplex virus (a virus that is
related to the cause of the common "cold sores" of the mouth)

What are the symptoms of Bell's palsy?


 Disordered movement of the muscles that control facial expressions, such as
smiling, squinting, blinking, or closing the eyelid
 Loss of feeling in the face
 Headache
 Tearing
 Drooling
 Loss of the sense of taste on the front two-thirds of the tongue
 Hypersensitivity to sound in the affected ear (hyperacusis)
 Inability to close the eye on the affected side of the face
How is Bell's palsy diagnosed?
 Electromyography (EMG) to determine the extent of the nerve involvement
 Blood tests to determine if another condition such as diabetes or Lyme disease is
present
 Magnetic resonance imaging (MRI) or computed tomography (CT) to determine if
there is a structural cause for your symptoms.

How is Bell's palsy treated?


Your healthcare provider will prescribe other treatment for your condition based on the
severity of your symptoms and your health history. Other treatment options include:

 Steroids to reduce inflammation


 Antiviral medicine, such as acyclovir
 Analgesics or moist heat to relieve pain
 Physical therapy to stimulate the facial nerve

Key points about Bell's palsy


 Bell's palsy is an unexplained episode of facial muscle weakness or paralysis
that usually resolves on its own and causes no complications.
 The cause of Bell’s palsy is unknown but is thought to be caused by inflammation
affecting the body’s immune system. It is associated with other conditions such
as diabetes.
 Symptoms of facial weakness or paralysis get worse over the first few days and
start to improve in about 2 weeks.
 It can take 3 to 6 months to fully resolve.
 Medicine and eye care are important in treating Bell’s palsy.

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