Bells Palsy

Question 1

What is Bells Palsy?

Answer 1

Idiopathic facial nerve palsy of Cranial Nerve VII

(Formerly believed to be due to reactivation of Herpes Simplex Virus)

Question 2

Describe the onset, signs, and symptoms of Bells Palsy.

Answer 2

Onset:
- acute
- spontaneous

Signs and symptoms:
- ALWAYS unilateral!!!
- disappearance of nasolabial fold
- decreased tearing on affected side
- inability too wrinkle forehead
- loss of taste sensation
- inability to pucker lips

Question 3

What is the treatment for Bells Palsy?

Answer 3

***Prednisone - ALWAYS!!!

Eye drop lubrication, if needed

Note: antiviral therapy no longer automatically prescribed!!!