Bell's Palsy

Question 0

Differential diagnosis of Bell’s palsy

Answer 0

Space occupying Lesion

Stroke

Meningitis

Bell’s palsy usually appears in third trimester or early puerperium

Question 1

Investigations for Bell’s palsy

Answer 1

BP

urinalysis

FBC

thrombophilia screen

CT/MRI

Question 2

Once diagnosed - further management of Bell’s palsy

Answer 2

Reassurance

Monitor BP - sometimes associated with PET or PIH

A short course of steroids 40mg daily
May speed recovery but only if given within 24-72 hours from onset of symptoms