Bell's Palsy Flashcards
1
Q
What is Bell’s palsy?
A
Idiopathic facial nerve palsy
2
Q
What are the features of Bell’s palsy?
A
Unilateral LMN facial nerve palsy
Post-auricular pain
Altered taste
Dry eyes
Hyperacusis
3
Q
What are signs of a LMN facial nerve lesion?
A
Forehead not spared
Drooping eyelid
Loss of nasolabial fold
4
Q
How is Bell’s palsy manaed?
A
Prednisolone if presenting within 72 hours
Lubricating eye drops
5
Q
What is a key differential for LMN facial nerve palsy?
A
Ramsay-Hunt syndrome
6
Q
What are the features of Ramsay-Hunt syndrome?
A
Unilateral LMN facial nerve palsy
Vesicular rash in ear canal + pinna
7
Q
How is Ramsay-Hunt syndrome managed?
A
Treat within 72 hours
Prednisolone
Aciclovir
Lubricating eye drops