Bell's palsy

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Definition

By Mayo Clinic staff

Bell's palsy causes sudden weakness in your facial muscles. This makes half of your face appear to droop. Your smile is one-sided, and your eye on that side resists closing.

Bell's palsy, also known as facial palsy, can occur at any age. The exact cause is unknown, but it's believed to be the result of swelling and inflammation of the nerve that controls the muscles on one side of your face. It may be a reaction that occurs after a viral infection.

For most people, Bell's palsy is temporary. Symptoms usually start to improve within a few weeks, with complete recovery in about six months. A small number of people continue to have some Bell's palsy symptoms for life. Rarely, Bell's palsy can recur.

References
  1. Ronthal M. Bell's palsy: Pathogenesis, clinical features, and diagnosis in adults. http://www.uptodate.com/home/index.html. Accessed Jan. 10, 2012.
  2. Bell's palsy fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/bells/detail_bells.htm. Accessed Jan. 10, 2012.
  3. Ronthal M. Bell's palsy: Prognosis and treatment in adults. http://www.uptodate.com/home/index.html. Accessed Jan. 10, 2012.
  4. Bell's palsy. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/neurologic_disorders/neuro-ophthalmologic_and_cranial_nerve_disorders/bells_palsy.html?qt=&sc=&alt= . Accessed Jan. 10, 2012.
  5. Numthavaj P, et al. Corticosteroid and antiviral therapy for Bell's palsy: A network meta-analysis. BMC Neurology. 2011;11:1
  6. Van der Veen EL, et al. A small effect of adding antiviral agents in treating patients with severe bell palsy. Otolaryngology — Head and Neck Surgery. In press. Accessed Jan. 10, 2012.
  7. McAllister K, et al. Surgical interventions for the early management of Bell's palsy. Cochrane Database of Systematic Reviews. 2011;(2):CD007468. http://www2.cochrane.org/reviews. Accessed Jan. 10, 2012.
DS00168 March 27, 2012

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