Bell's Palsy

Question 1

What are some causes of Bell’s palsy?

Answer 1

Idiopathic
Viral infections (HSV-1 reactivation)

Question 2

What are some clinical features of Bell’s palsy?

Answer 2

Unilateral lower motor neurone facial palsy
Forehead will NOT be spared so the patient cannot move forehead on affected side

Question 3

What is the management of Bell’s palsy?

Answer 3

If patient presents within 72 hours: prednisolone
Antivirals plus steroids can be beneficial but discuss with specialist
Lubricating eyedrops

Question 4

How long can recovery from Bell’s palsy take?

Answer 4

Usually several weeks but up to 12 months