Bell's palsy

What causes Bell's palsy?

Bell's palsy occurs when the nerve that controls the facial muscles, the 7th cranial nerve, is swollen, inflamed, or compressed, resulting in facial weakness or paralysis. Exactly what causes this damage is unknown.

Many scientists believe that a viral infection such as viral meningitis or the common cold sore virus -- herpes simplex-- causes the disorder when the facial nerve swells and becomes inflamed in reaction to the infection. The disorder has also been associated with influenza or a flu-like illness, headaches, chronic middle ear infection, high blood pressure, diabetes, sarcoidosis, tumors, Lyme disease, and trauma such as skull fracture or facial injury. There may also be an inherited tendency toward developing Bell's palsy.

Last updated on 05-01-20

What is the prognosis for individuals with Bell's palsy?

The prognosis for individuals with Bell's palsy is generally very good. The extent of nerve damage determines the extent of recovery. With or without treatment, most individuals begin to get better within 2 weeks after the initial onset of symptoms and recover completely within 3 to 6 months. For some, however, the symptoms may last longer. In a few cases, the symptoms may never completely disappear. In rare cases, the disorder may recur, either on the same or the opposite side of the face.

Last updated on 05-01-20

How might Bell's palsy be treated?

Some cases of Bell's palsy are mild and do not require treatment. In these cases, symptoms may subside on their own within 2 weeks. For those cases that do require treatment, steroids such as prednisone have been used with success to reduce inflammation and swelling. Other medications such as acyclovir --used to fight viral infections -- may shorten the course of the disease. Analgesics such as aspirin, acetaminophen, or ibuprofen may relieve pain. Because of possible drug interactions, patients should always talk to their doctors before taking any over-the-counter medicines. Keeping the eye moist and protected from debris and injury is important. Other therapies such as physical therapy, facial massage or acupuncture may also be used. In general, decompression surgery for Bell's palsy is controversial and is seldom recommended.

Last updated on 05-01-20

Where To Start

Bell's palsy

The Jack Miller Center for Peripheral Neuropathy provides information about Bell's palsy. Click on the above link to access this information

Last updated on 04-27-20

Name: The Center for Peripheral Neuropathy Department of Neurology University of Chicago
5841 S. Maryland Ave MC 2030
Chicago, IL, 60637, United States
Url: http://peripheralneuropathycenter.uchicago.edu/

Connect with other users with Bell's palsy on the RareGuru app

Do you have information about a disease, disorder, or syndrome? Want to suggest a symptom?
Please send suggestions to RareGuru!

The RareGuru disease database is regularly updated using data generously provided by GARD, the United States Genetic and Rare Disease Information Center.

People Using the App

Join the RareGuru Community

To connect, share, empower and heal today.

People Using the App