Incidence, prognosis and recovery of Bell's palsy A survey of about 1000 patients (1974?1983)

Abstract

Over a 10-year period the diagnosis Bell's palsy was made in 1293 patients. The files of 1235 patients were studied; the relevant data were stored in a computer and analysed. Factors analysed included the source of referral of the patients as well as their age and sex, the time of onset of the paralysis, recurrence, side of the face, and pregnancy. The incidence of hypertension, diabetes and other diseases was evaluated. The fate of the nerve is determined to a large extent in the first week of the disease. The nerve excitability test is a reliable predictor of the final outcome. The system of classification of recovery we have used for many years is compared to the International Facial Nerve grading system. If denervation and poor recovery are to be prevented as far as possible, early examination and treatment of selected patients with prednisone is mandatory. An important factor in recovery is the age of the patient.

Recurrent Idiopathic Facial Paralysis: A Case Report

“…Therefore, in the present case, as a first step, we investigated and eliminated the possibility of a tumor. In pregnancy, hypertension and diabetes mellitus increase the risk of developing recurrent idiopathic facial paralysis (7). In a study by Devriese et al (7), a significant association was found between recurrent idiopathic facial paralysis and high blood pressure.…”

Valor prognóstico de dados clínicos em paralisia de Bell

“…Devriese et al 4 did not find predominance between genders in their study with 1,293 cases. In the present study, there was no association between gender and grade of functional recovery, suggesting that this factor does not influence the prognosis of the disease.…”

Melkersson-Rosenthal Syndrome in Pediatric Age Group

“…Although diagnosis was certain, imaging techniques were performed in order to exclude the other diseases. Facial paralysis can recur in 3-11% of the cases (13). Causes of recurrent peripheral facial paralysis include Bell's palsy, MRS, infectious mononucleosis, syphilis, herpes zoster, otitis media, multiple sclerosis, diabetes mellitus, leukemia, Myasthenia Gravis, Guillan-Barre syndrome, polyarteritis nodosa and tumors (4).…”