Treatment for Bell’s Palsy
Best treatment for Bell’s Palsy
Best treatment for Bell’s Palsy?
[A] Steroids
[B] Acyclovir
[C] Physiotherapy
[D] Surgery
- Antivirals – No significant Benefits
- Physiotherapy can be beneficial to some individuals with Bell’s palsy as it helps to maintain muscle tone of the affected facial muscles
- Surgery may be able to improve outcomes in facial nerve palsy that has not recovered.
Most people with Bell’s palsy start to regain normal facial function within 3 weeks—even those who do not receive treatment
Most common cause of facial weakness
Bell palsy – lacrimation and taste are typically affected as well—a fact that can be
Differential diagnosis –
Weakness predominates while lacrimation and taste are intact – Then consider following differential diagnosis
- Facial nerve is affected more distally after its exit from the skull base via the stylomastoid foramen
- Facial nerve is affected proximally within the brainstem – intramedullary fascicle (fascicular lesion) or in the facial nerve nucleus itself (nuclear lesion).
- The most common cause of facial weakness is damage to the facial nerve in the petrous canal:
- Bell palsy
- Caused by a viral infection [ probably ]
- Viral infection Leads to – Inflammatory swelling of the nerve
- Inflammation and swelling of nerve – Leads to pressure on the nerve in the canal which cause ischemia.
- This disorder called as idiopathic or crypto genic facial nerve palsy (Eponym – Bell palsy)
