Bell's palsy: Difference between revisions

Jump to navigation Jump to search
No edit summary
m (Bot: Removing from Primary care)
 
(20 intermediate revisions by 7 users not shown)
Line 1: Line 1:
__NOTOC__
{{Infobox_Disease
{{Infobox_Disease
  | Name          = Bell's palsy
  | Name          = Bell's palsy
  | Image          = Gray781.png  
  | Image          = Gray781.png  
  | Caption        =  
  | Caption        =  
| DiseasesDB    = 1303
 
| ICD10          = {{ICD10|G|51|0|g|50}}
| ICD9          = {{ICD9|351.0}}
| ICDO          =
| OMIM          =
| MedlinePlus    = 000773
| eMedicineSubj  =
| eMedicineTopic =
| eMedicine_plus =
| MeshID        = D020330
}}
}}
{{Bell's palsy}}
{{Bell's palsy}}
Line 18: Line 10:
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''


'''Editor-in-Chief:''' Gilbert Abou Dagher, M.D.
{{CMG}}; {{AE}}{{M.B}} ,{{MMJ}} {{NE}}


{{SK}} Idiopathic facial paralysis,Idiopathic facial nerve paresis,Facial nerve disorder
==[[Bell's palsy overview|Overview]]==
==[[Bell's palsy overview|Overview]]==


Line 30: Line 23:
==[[Bell's palsy causes|Causes]]==  
==[[Bell's palsy causes|Causes]]==  


==[[Bell's palsy differential diagnosis|Differentiating Bell's palsy from other Diseases]]==
==[[Bell's palsy differential diagnosis|Differentiating Bell's Palsy from other Diseases]]==


==[[Bell's palsy epidemiology and demographics|Epidemiology and Demographics]]==
==[[Bell's palsy epidemiology and demographics|Epidemiology and Demographics]]==
Line 41: Line 34:


==Treatment==
==Treatment==
[[Bell's palsy medical therapy|Medical Therapy]] | [[Bell's palsy surgery|Surgery]] | [[Bell's palsy primary prevention|Primary Prevention]] | [[Bell's palsy secondary prevention|Secondary Prevention]] | [[Bell's palsy cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Bell's palsy future or investigational therapies|Future or Investigational Therapies]]
== Case Studies ==
[[Bell's palsy case study one|Case #1]]


[[Bell's palsy medical therapy|Medical Therapy]]
==Related Chapters==
 
*[[Central facial palsy]]
== Risk Stratification and Prognosis==  
 
:*The House-Brackmann grading system was devised both as a clinical indicator of severity and also an objective record of progress.
:*Clinically incomplete lesions tend to recover.
:*The natural history without treatment was described in a study of 1011 patients in 1982:
::*67% had incomplete paralysis, with 94% rate of return to normal function
::*33% had complete paralysis, with 60% rate of return to normal function
::*By 3 weeks, 71% had complete recovery, 13% had slight sequelae , and 16% had residual weakness
:*Herpes zoster is associated with more severe paresis and worse prognosis compared with "idiopathic" Bell's palsy.
:*There is a favorable prognosis if some recovery is seen within the first 21 days of onset.
:*In severe lesions that recover, the outgrowth of new axons from the injury site may be disorganized and misdirected.
:*On blinking there is twitching of the angle of the mouth, and on smiling the eye may close or wink.
:*With misdirected autonomic fibers, a salivary stimulus may result in excess lacrimation, the syndrome of "crocodile tears."
:*Recurrent attacks of on either the ipsilateral or contralateral side have been observed in 7 to 15% of patients.
 
==References==
{{reflist|2}}
 
==Additional Resources==
* Sullivan FM, Swan IRC, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell's palsy. N Engl J Med 2007;357:1598-1607.
* "The Merck Manual"
* ''New England Journal of Medicine'', Sept. 2004
*  Lambert, Michael. (2007-03-05) [http://www.emedicine.com/emerg/topic56.htm "Bell's Palsy."] (Website.) ''Emedicine''. Retrieved on 2007-09-27.
 
==External links==
*[http://www.facialparalysisinstitute.com managment and treatment of facial paralysis]
*[http://www.bellspalsy.ws/ Bell's Palsy Information Site], has a FAQ
*[http://pregnancyandbaby.com/read/articles/5398.htm Bell's Palsy and Pregnancy]
*[http://www.neurologychannel.com/bellspalsy/ Bell's Palsy Patient Info - Neurology Channel]
*[http://www.facial-palsy.com/ Living with Facial Palsy], a site for parents of children with Facial Palsy
*[http://www.lib.uiowa.edu/hardin/md/bellspalsy.html Links to pictures of Bells palsy (Hardin MD/Univ of Iowa)]
*[http://www.bellspalsy.org.uk/ Bell's Palsy Association]
 


{{PNS diseases of the nervous system}}
{{PNS diseases of the nervous system}}
[[Category:Neurological disorders]]
[[Category:Otolaryngology]]
[[Category: Neurology]]
[[Category: Mature chapter]]
[[ar:شلل العصب الوجهي]]
[[ca:Paràlisi de Bell]]
[[ca:Paràlisi de Bell]]
[[de:Fazialislähmung]]
[[de:Fazialislähmung]]
Line 95: Line 51:
{{WH}}
{{WH}}
{{WikiDoc Sources}}
{{WikiDoc Sources}}
[[Category:Neurological disorders]]
[[Category:Otolaryngology]]
[[Category:Neurology]]
[[Category:Disease]]

Latest revision as of 20:36, 29 July 2020

Bell's palsy

Bell's palsy Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Bell's palsy from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Bell's palsy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Bell's palsy

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Bell's palsy

CDC on Bell's palsy

Bell's palsy in the news

Blogs on Bell's palsy

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Bell's palsy

For patient information click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohsen Basiri M.D. ,Mohamadmostafa Jahansouz M.D.[2] Niloofarsadaat Eshaghhosseiny, MD[3]

Synonyms and keywords: Idiopathic facial paralysis,Idiopathic facial nerve paresis,Facial nerve disorder

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Bell's Palsy from other Diseases

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | CT | MRI | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters

Template:PNS diseases of the nervous system ca:Paràlisi de Bell de:Fazialislähmung nl:Aangezichtsverlamming van Bell fi:Bellin halvaus Template:WH Template:WikiDoc Sources