Bells Palsy
Facial nerve (7th cranial nerve) palsy, caused by herpes virus.
SX â unilateral paralysis of facial nerve, pain behind the ear, inability to wrinkle the forehead, blink or grimace.
PE â close eyes, smile.
Next Steps
DX â CSF, MRI (if nec).
Health Tips
TX â Eye drops (refresh tears). Prednisone 80mg QD x 3 days, 60mg QD x 3 days, 40mg QD x 3 days, 20mg QD x 3 days. Acyclovir 400mg 5x/day x 10 days, OR valacyclovir 1 g po tid for 7 to 10 days, OR famciclovir 500 mg po tid for 5 to 10 days.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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