Bell’s Palsy Rx

BELL’S PALSY

< 72 h Prednisone 1 mg/kg PO daily X 7 d

Consider : Antivirals + Steroids X 7 d.

Marginal improvement w Acyclovir  or  Valacyclovir.

Benefits < 7%.

Eye protection for incomplete eye closure.

Recommend against :  EMG / NCV testing, PT, Accupunture, Surgery 

Bell’s PalsyInfra nuclear palsy. Risk factors :diabetes URI & pregnancy. Possible both post Covid vaccination. The causes unknown but tumor head trauma diabetes stroke meningitis sarcoidosis brucellosis. 👉🏿Differential diagnoses include : Lymes, shingles, sarcoidosis and a stroke, tumor. Recurrent attacks with herpes zoster is Ramsay hunt syndrome. 

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