Prednisolone and valaciclovir in Bell’s palsy: a randomized, double‐blind, placebo‐controlled, multicentre trial

Engström, Mats; Berg, Thomas; Stjernquist-Desatnik, Anna; Axelsson, Stefán; Pitkäranta, Anne; Hultcrantz, Malou; Kanerva, Mari; Hanner, Per; Jönsson, Lars

doi:10.1111/j.1749-4486.2008.01873.x

Cited by 19 publications

(24 citation statements)

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“…The majority of the publications report on adult or mixed populations (adults and children combined). Several studies, including a large double blind, placebo-controlled, randomized trial from 2007 along with systematic reviews support the use of steroids in BP [9,33,34]. Few studies report exclusively on pediatric cases.…”

Section: Discussionmentioning

confidence: 90%

Do children with Bell's palsy benefit from steroid treatment? A systematic review

Pitaro¹,

Waissbluth²,

Daniel³

2012

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 90%

Do children with Bell's palsy benefit from steroid treatment? A systematic review

Pitaro¹,

Waissbluth²,

Daniel³

2012

International Journal of Pediatric Otorhinolaryngology

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“…14 Response of Bell's palsy to steroid treatment also suggested that inflammation and edema of facial nerve play a part in the pathogenesis of Bell's palsy. 15 When facial nerve inflames, pressure builds up in the facial canal, 1 especially in the narrow labyrinth segment where vascularity is poor. 16 Compression of the facial nerve, with attending axonal changes and myelin breakdown is believed to contribute to Bell's palsy.…”

Section: Introductionmentioning

confidence: 99%

“…15,[18][19][20] Some studies showed better results with addition of antiviral agents to steroid 18 and others showed addition of antiviral agents had little effects. 15,20 Chiropractic treatment, 21,22 acupuncture 23 and physiotherapy treatments 24 have also been used to treat Bell's palsy, with varying degree of success. Recently, a case of Bell's palsy was reported to be treated successfully by low level infrared laser with improvement of facial weakness.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Bell's Palsy Using Monochromatic Infrared Energy: A Report of 2 Cases

Chu

2014

Journal of Chiropractic Medicine

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Objective: The purpose of the study is to describe the use of monochromatic infrared energy (MIRE) therapy in the management of 2 patients with Bell's palsy. Clinical features: Two patients presented to a chiropractic clinic with Bell's palsy that was diagnosed by a medical physician. Both patients were treated using MIRE. The acute patient was a 32-year-old male. He presented with left facial palsy 1 day before the consultation. He was unable to puff the left cheek and close the left eyelid. He had difficulty raising the left eyebrow. The chronic case was a 46-year-old lady. Prior to the first consultation, she was treated with corticosteroid and electro-acupuncture for one and a half years, with incomplete recovery. When first seen, the left corner of mouth drooped and she had difficulty raising her left eyebrow. Intervention and outcome: Monochromatic infrared energy therapy, emitting 890 nm infrared light, was placed on the post-auricular area, pre-auricular area, the temple and mandibular area of the affected side. Each treatment lasted 30 minutes. Photographs were taken every week to document changes. The acute case received 19 treatments in 6 weeks. He reported an improvement of 95%. The chronic case received a total of 45 treatments in 9 months. She rated an improvement of 50%. At the conclusion of treatment, she was able to close her left eyelid and puff her left cheek but still could not raise her left eyebrow. Conclusion: These 2 patients seemed to respond to a different degree to the MIRE therapy. As 71% of patients with Bell's palsy recover uneventfully without any treatment, the present study describes the course of care but cannot confirm the effectiveness of MIRE therapy in the management of Bell's palsy.

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“…The patient was pleased with the results of treatment. There is also a pruritic variant of TS reported in the literature; presenting with itchy, follicular papules on the limbs of young adults [8]. Trichostasis spinulosa is frequently confused with comedones, patients may report a history of unsuccessful treatment for acne.…”

mentioning

confidence: 99%

“…Early short-term oral glucocorticoid treatment should be initiated, since it is established in randomized controlled trials as effective in Bell's palsy, with a shorter time to recovery and higher rates of complete recovery [7,8]. An immediate referral for neurological assessment is recommended.…”

mentioning

confidence: 99%

Acute peripheral unilateral facial nerve paralysis following minor surgery

Perruchoud

Hunger

Constantinescu

et al. 2014

European Journal of Dermatology

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Prednisolone and valaciclovir in Bell’s palsy: a randomized, double‐blind, placebo‐controlled, multicentre trial

Cited by 19 publications

References 0 publications

Do children with Bell's palsy benefit from steroid treatment? A systematic review

Do children with Bell's palsy benefit from steroid treatment? A systematic review

Treatment of Bell's Palsy Using Monochromatic Infrared Energy: A Report of 2 Cases

Acute peripheral unilateral facial nerve paralysis following minor surgery

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