Bell’s Palsy

1. Bell’s Palsy The Department Of Neurology Cong Lin

2. George Herbert Bush

3. Concept • Facial weakness of the peripheral type • idiopathic • outside the central nervous system • without any other cranial nerve palsies Bell’s Palsy:

4. the cause is unclear exposure to chill a viral infection edema degeneration. [Etiology and pathology] Etiology pathology

5. Anatomicophysiology

6. [Clinical features] • Occurs at any age and any time. • unilateral • The onset is acute. attain maximum paralysis in 48h --5 days. • pain behind the ear.

8. Peripheral facial palsy

11. [Diagnosis] • based on the acute onset and the peripheral facial palsy. • distinguished from facial paralysis due to other causes • distinguished from the supranuclear one (such as in a stroke)

12. Prognosis • usually good. recover within a few weeks or in a month or two. • But if there is evidence of denervation after 10 days, one may expect a long delay in the onset of recovery.

13. Treatment • surgical decompression may be harmful. • take some corticosteroids, such as prednisone (40 to 60mg/day). • Vitamin B • antiviral agents may be useful. • physiatrics and acupuncture therapy • a shield to protect the eye.

14. The major features of Bell’s palsy is: Any age, any time. Unilateral Acute Peripheral facial palsy idiopathic Bell’s phenomenon summary

15. Thanks