A Case of Idiopathic Acquired Neonatal Bell’s Palsy

Pierick, Alyson R.; Jenkins, Elan

doi:10.1177/2324709620930161

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…It may occur at any age, although it is more common between 15 and 45 years of age [6]. Regarding idiopathic PFP in children under one year of age, literature is scarce, with two cases in infants [7][8], and four cases in newborns being described worldwide so far [4,[9][10][11]. Khair & Ibrahim reported the youngest patient, a 15-day-old newborn with facial asymmetry, negative infectious screening, a normal brain MRI and rapid and complete recovery from the disease after two weeks of oral prednisolone use [4].…”

Section: Discussionmentioning

confidence: 99%

Bell's palsy in a seven-month-old twin infant: a case report

Melo,

Albuquerque Neto,

Veloso

et al. 2024

BJCR

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Idiopathic peripheral facial paralysis is a rare condition in the pediatric population under one year of age, characterized by paralysis of the structures innervated by the facial nerve. This report describes the first infant in Brazil to be diagnosed with this clinical condition. A 7-months-old twin infant presented with altered left oromotor control and a discrete incomplete closure of the left eyelid when blinking, although with normal tear production. Her primitive reflexes were present and the spontaneous movements of the four limbs were normal. An investigation for infectious etiology and a magnetic resonance imaging of the brain were performed and did not show any alterations. Thus, the diagnosis of Bell's palsy was assumed, and oral prednisone was prescribed for five days. The patient evolved with total resolution of the facial paralysis during the first two weeks after discharge. Most cases of peripheral facial paralysis in children are idiopathic, while the others are associated with infectious and/or traumatic etiologies. There are still no consistent data proving the benefit of the use of corticoid alone or in combination with antiviral drugs for the treatment of children under one year of age.

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Section: Discussionmentioning

confidence: 99%

Bell's palsy in a seven-month-old twin infant: a case report

Melo,

Albuquerque Neto,

Veloso

et al. 2024

BJCR

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“…Idiopathic facial nerve palsy (Bell's palsy) has also been rarely reported in neonates. 6,7 Bell's palsy has been treated in neonates with 4-6 weeks of oral steroids with good outcomes. Rarely it may be associated with syndromes like CHARGE syndrome, Goldenhar syndrome, hemifacial macrosomia, Mobius syndrome, coloboma, heart defects, choanal atresia and ear abnormalities.…”

Section: Discussionmentioning

confidence: 99%

Facial nerve palsy in a neonate secondary to acute otitis media

Saurabh,

Rai,

Singh

2023

Int J Contemp Pediatr

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Neonatal septicemia continues to be a significant cause of neonatal morbidity and mortality. Acute otitis media may be associated with sepsis, though the association is not very common. Facial nerve palsy is a rare complication of otitis media in neonates. Other more common causes of facial nerve palsy are traumatic (birth trauma) and idiopathic (Bell’s palsy). Through this article, we report a rare case of facial nerve palsy secondary to otitis media in a neonate with sepsis.

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“…The use of corticosteroids in adult facial palsy population gives satisfactory results. However, there are still not enough randomized and controlled trials for this condition, which would justify the use of corticosteroids in the neonatal period 12,13 .…”

Section: Discussionmentioning

confidence: 99%

Facial palsy in a newborn: A case report

Jancevska,

Ristovska,

Isjanovski

et al. 2022

Arch Pub Health

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Unilateral congenital facial palsy in the newborn occurs more often as isolated than in the context of syndromes or developmental defects. Recognition of the etiological factor, the severity of the clinical presentation, the dynamics of recovery are a guide for a multidisciplinary approach, a range of investigations and treatment. In a non-therapeutic approach, unsupported by sufficiently reliable data from the literature, there is a dilemma whether and how long one has to wait and observe the improvement of clinical results, before determining the range of examinations in the newborn. In facial paresis of prenatal or perinatal origin, identical to non-congenital Bell's palsy, infectious and anatomical-structural causes should initially be excluded. This paper presents a case of a symmetrical hypotrophic premature infant with a manifestation of acute Bell's palsy at birth, with negative biomarkers for infectious etiology and a normal brain ultrasound. The newborn underwent a special neonatal care with targeted local treatment. Towards the end of the first postnatal week, there was an evident withdrawal of clinical symptomatology.

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A Case of Idiopathic Acquired Neonatal Bell’s Palsy

Cited by 4 publications

References 7 publications

Bell's palsy in a seven-month-old twin infant: a case report

Bell's palsy in a seven-month-old twin infant: a case report

Facial nerve palsy in a neonate secondary to acute otitis media

Facial palsy in a newborn: A case report

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