Bell's Palsy Is A Type of Facial Paralysis That Results in An Inability To
Bell's Palsy Is A Type of Facial Paralysis That Results in An Inability To
Bell's Palsy Is A Type of Facial Paralysis That Results in An Inability To
control the facial muscles on the affected side.Symptoms can vary from
mild to severe. They may include muscle twitching, weakness, or total
loss of the ability to move one or rarely both sides of the face. Other
symptoms include drooping of the eyelid, a change in taste, pain around
the ear, and increased sensitivity to sound. Typically symptoms come on
over 48 hours.
The cause of Bell's palsy is unknown. Risk factors include diabetes and
a recent upper respiratory tract infection. It results from a dysfunction
of cranial nerve VII (the facial nerve). Many believe that this is due to a
viral infection that results in swelling. Diagnosis is based on a person's
appearance and ruling out other possible causes.Other conditions that
can cause facial weakness include brain tumor, stroke, Ramsay Hunt
syndrome, and Lyme disease.
The condition normally gets better by itself with most achieving normal
or near-normal function.Corticosteroids have been found to improve
outcomes, while antiviral medications may be of a small additional
benefit. The eye should be protected from drying up with the use of eye
drops or an eyepatch. Surgery is generally not recommended. Often
signs of improvement begin within 14 days, with complete recovery
within six months. A few may not recover completely or have a
recurrence of symptoms.
Bell's palsy is the most common cause of one sided facial nerve
paralysis (70%). It occurs in 1 to 4 per 10,000 people per year. About
1.5% of people are affected at some point in their life.It most commonly
occurs in people between ages 15 and 60. Males and females are
affected equally. It is named after Scottish surgeon Charles Bell (1774
1842), who first described the connection of the facial nerve to the
condition.