Bell’s palsy: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Bell’s palsy: management. Facial nerve imaging, Nerve conduction studies (NCS), Electroneuromyography. Fully referenced neurology checklist.

Investigations

  • Facial nerve imaging
  • Nerve conduction studies (NCS)
  • Electroneuromyography
  • Transcranial magnetic stimulation (TMS)
  • Audiometry
  • Electronystagmography
  • Videonystagmography
  • Videooculoscopy

Tests to exclude differentials

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Antiviral and steroid treatment

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Eye protection

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Facial re-animation

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Treatment of facial and eyelid weakness

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Treatment of synkinesis

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Other treatments

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Synonyms

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References

  1. Ropper AH, Brown RH. Principles of Neurology eigth edition. McGraw Hill New York 2005.p1180-1181.
  2. Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol 2008; 265:743-752. 
  3. Portelinha J, Passarinho MP, Costa JM. Neuro-ophthalmological approach to facial nerve palsy. Saudi J Ophthalmol 2015; 29:39-47.
  4. Nowak DA, Linder S, Topka H. Diagnostic relevance of transcranial magnetic and electric stimulation of the facial nerve in the management of facial palsy. Clin Neurophysiol 2005; 116:2051-2057.
  5. Baugh RF, Basura GJ, Ishii LE, et al. Clinical practice guideline: Bell's palsy. Otolaryngol Head Neck Surg 2013; 149(3 Suppl):S1-27.
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