Prognosis and course of Bell's palsy

Steidl, L

doi:10.1007/bf00355302

Cited by 7 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 7 patients a decompression operation (Table 5) had a distinct paresis (C, mean age 21. 7 and confirms the necessity of an early years). The 2 patients in whom the ear was examination and, if necessary, treatment if explored recovered with motor function C denervation and therefore incomplete (mean age 38.5 years).…”

Section: S U R G I C a L T R E A T M E N Tsupporting

confidence: 60%

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

et al. 1990

View full text Add to dashboard Cite

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.

show abstract

Section: S U R G I C a L T R E A T M E N Tsupporting

confidence: 60%

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

et al. 1990

View full text Add to dashboard Cite

show abstract

Recurrent bell's palsy

1977

View full text Add to dashboard Cite

The etiology, frequency and prognosis of recurrent Bell's palsy were studied in patients with peripheral paresis of n.facialis of various etiology. Fourteen (11.9%) of 117 patients with Bell's palsy had a recurrent paresis of n.facialis. Nine of these were of homolateral and five contralateral type. Seven recurrent facial paralyses in idiopathic Bell's palsy (i.e. 10.4% of the patients with idiopathic facial palsy), 3 facial palsies of viral origin (i.e. 8.8% of the patients with viral facial palsy), one in association with diabetes mellitus, one during pregnancy, one combined with positive rheumatic serological tests, and one in a case of Melkersson-Rosenthal syndrome were found. The frequency and heterogenity of etiology of recurrent facial palsies suggest a predisposing factor or immune mechanisms. In eight patients there was within 6 to 8 weeks a good, in two patients a moderate and in four patients a poor recovery of function. The greater reduction of the compound action potential of the m.orbicularis oris in recurrent homolateral facial palsy in relation to patients with single manifestation point out the greater denervation and therefore the poorer prognosis of recurrent palsies. A prophylactic decompression to prevent a third attack of recurrent facial paresis is considered.

show abstract

Orbicularis oculi-Reflexe und Summenpotentiale des Orbicularis oris bei idiopathischer Facialisl�hmung

Manz

Schenck

1975

J. Neurol.

View full text Add to dashboard Cite

In 84 patients with idiopathic, clinically complete Bell's palsy the electrically induced blink reflexes with their two components (OOR I and II) were electromyographically recorded on both sides using skin electrodes. In 67 of these patients the evoked responses of the orbicularis oris muscle were also studied. The latencies and amplitudes were measured and related to the clinical outcome of the facial paralysis. The patients were divided into two groups, one with good recovery of the palsy (46 patients), the other with significant residual paresis and/or strong associated movements of the facial musculature (38 patients). In the group with good recovery the following results were obtained: 1. the OOR I remained elicitable or reappeated during the first 12 days after the onset of palsy; 2. the OOR II began to rise during the first 10 days of palsy; 3. the amplitude of the orbicularis oris response did not decrease to below 10%. In the group with poor recovery: 1. both components of the OOR were absent or diminished to below 4% for more than 12 days after the onset of palsy; 2. the latency difference of the OOR I exceeded 8 msec; 3. the amplitude of the orbicularis oris responses decreased to below 10%. Using these criteria it appears to be possible in about 85% of patients to make a prognosis between the 3rd to 5th and the 10th to 12th day after the onset of Bell's palsy.

show abstract

Prognosis and course of Bell's palsy

Cited by 7 publications

References 9 publications

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

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

Recurrent bell's palsy

Orbicularis oculi-Reflexe und Summenpotentiale des Orbicularis oris bei idiopathischer Facialisl�hmung

Contact Info

Product

Resources

About