Bell's Palsy and COVID-19 Vaccination: A Systematic Review

Shahsavarinia, Kavous; Mahmoodpoor, Ata; Sadeghi-Ghyassi, Fatemeh; Nedayi, Arezou; Razzaghi, Alireza; Saadat, Mahsa Zehi; Salehi‐Pourmehr, Hanieh

doi:10.47176/mjiri.36.85

Cited by 5 publications

(9 citation statements)

References 40 publications

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“…The average time from vaccination to onset of symptoms amongst the cases in our review was 11.49 (11.064) days. This is consistent with previous studies by Shahsavarinia et al [ 10 ] that mentioned the onset of symptoms of bell’s palsy at around 10 days post-vaccination. On the other hand, our study represented that (62.8%) of the patients had unilateral-side complaints.…”

Section: Discussionsupporting

confidence: 94%

“…Although there was no statistically significant difference concerning the prognosis and most of the comorbidities, patients without hyperuricemia or hypertension had a high rate of full recuperation in comparison with patients with these diseases. Our findings are in the same direction as the former reviews performed by Sriwastava et al [ 50 ] and Shahsavarinia et al [ 10 ] in terms of the association between the type of vaccines and the incidence of facial palsy. Unlikely, Khurshid et al [ 49 ] reported that most of the cases had bell’s palsy after taking the AstraZeneca vaccine.…”

Section: Discussionsupporting

confidence: 93%

“…In previous systematic reviews conducted by Shahsavarinia et al [ 10 ] and Khurshid et al [ 49 ], the most notable comorbidities identified among these studies were hypertension followed by diabetes and dyslipidemia, which is consistent with our study. At the same time, in the current study, we conducted the analytical test to determine the discrepancy between the variables and prognosis.…”

Section: Discussionsupporting

confidence: 93%

“…Recent studies suggested further evaluation of bell’s palsy and COVID-19 vaccination, and till now, there has been no strong evidence that can confidently conclude whether there is an association between bell’s palsy and COVID-19 vaccinations or not [ 10 , 11 ]. Furthermore, a systematic review of 17 studies was published to investigate the existence and development of COVID-19 symptoms after vaccinations [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Bell’s Palsy and COVID-19 Vaccines: A Systematic Review and Meta-Analysis

et al. 2023

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Introduction: Once the COVID-19 pandemic was declared, the world was waiting for the clue that would be able to cut down the progression of the disease. Vaccines play a crucial role in reducing the disease and saving many people worldwide. However, there are several side effects of these vaccines, like pain, fatigue, fever, and neurological defects like Bell’s palsy. In this systematic review, we presented evidence about the occurrence of Bell’s palsy followed by COVID-19 vaccination. Methods: We searched PubMed, SCOPUS, EBSCO, and Web of Science (WOS) from inception till October 2022. The quality assessment was conducted using the Joanna Briggs Institute, National Institute of Health, and Newcastle-Ottawa. The analysis was conducted on SPSS. Results: Thirty-five records were involved in our study. The results of our cases revealed that most of the patients (62.8%) experienced unilateral facial paralysis. Also, the majority of the cases were reported after the first dose, and most cases were after Pfizer, AstraZeneca, and Sputnik V vaccines, respectively. The patients who were treated with corticosteroids, IVIG, and anti-viral drugs, showed marked recovery afterward. Conclusion: The rate ratio of Bell’s palsy after COVID-19 vaccination was 25.3 per 1,000,000. The ratio was higher after the first dose compared to the second dose and was higher among those who took Oxford/AstraZeneca vaccine compared to other vaccines. However, this condition was reported in a small number of cases among a large number of vaccinated people worldwide. It is important to note that the benefits of getting vaccinated far outweigh any potential risks.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

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Bell’s Palsy and COVID-19 Vaccines: A Systematic Review and Meta-Analysis

et al. 2023

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“…PTS is typically characterized by sudden, severe unilateral shoulder pain often with associated weakness and paresthesias. The pain has been described as constant and not positional in nature, and is generally self-limiting, lasting 1 to 2 weeks on average, although weakness may last for several months 1,2 . The patient ref-erenced above presented with a more chronic case of PTS and was symptomatic for roughly 3 months.…”

Section: Discussionmentioning

confidence: 99%

Bell Palsy and Parsonage-Turner Syndrome Following Pneumococcal Vaccination: A Case Report

Maez,

Pierce,

Richter

2024

JBJS Journal of Orthopaedics for Physician Assistants

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Parsonage-Turner syndrome (PTS), also known as brachial neuritis, is a rare self-limiting, idiopathic condition characterized by sudden onset upper extremity pain with associated weakness and muscle atrophy. There exists a growing association between the development of PTS and infection/vaccinations in recent years. No case of PTS has been documented following pneumococcal vaccination to date. Bell palsy (BP) is an idiopathic disease process involving acute-onset unilateral acute facial paralysis resulting from edema and inflammation of the seventh cranial nerve. The etiology of BP is also largely unknown, but infectious processes, including viral reactivation and adverse vaccination reactions, have recently been documented. Although both PTS and BP are uncommon on their own, it is extremely rare for the 2 conditions to occur simultaneously. This case report presents a unique case of PTS and BP developing following the administration of the pneumococcal 20-valent conjugate vaccine.

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Tic-Related Obsessive–Compulsive and Eating Disorders in Dandy–Walker Variant: A Case Report and Systematic Reappraisal of Psychiatric Profiles

Bortoletto,

Candolo,

Nicotra

et al. 2024

Brain Sciences

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Dandy–Walker complex (DWC) consists of a continuum of brain malformations involving the posterior fossa, often leading to psychiatric manifestations during adulthood. We discussed the case of a young woman with Dandy–Walker variant (DWV) and a comorbid complex neuropsychiatric presentation, who was diagnosed with an eating disorder, obsessive–compulsive disorder, and a tic disorder. Afterwards, we conducted a Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020-compliant systematic review reappraising all evidence of psychiatric outcomes in adults with DWC. Overall, 34 studies were eligible for data extraction, comprising 36 patients. Psychiatric profiles were more common among young adult males, with DWC lesions, especially DWV subtype, being often discovered incidentally after admission to mental health inpatient facilities. Most patients were diagnosed with psychosis and bipolar disorder, often comorbid with cognitive impairment. Psychotropic polypharmacy was frequently prescribed, generally leading to complete recovery. Evidence from our case report and systematic review indicates the importance of monitoring long-term psychiatric sequelae among adult patients with DWC malformations.

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Bell's Palsy and COVID-19 Vaccination: A Systematic Review

Abstract: Bell's palsy is a rare complication reported after COVID-19 vaccination. Given the importance of neurological manifestations, the necessity to highlight and scrutinize the incidence of them following vaccination is needed.

Cited by 5 publications

References 40 publications

Bell’s Palsy and COVID-19 Vaccines: A Systematic Review and Meta-Analysis

Bell’s Palsy and COVID-19 Vaccines: A Systematic Review and Meta-Analysis

Bell Palsy and Parsonage-Turner Syndrome Following Pneumococcal Vaccination: A Case Report

Tic-Related Obsessive–Compulsive and Eating Disorders in Dandy–Walker Variant: A Case Report and Systematic Reappraisal of Psychiatric Profiles

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