Sign In



Remember Me

MedlinePlus®

A service of the National Library of Medicine.

Resource Library



Print This Page   Add To My Folder
Powered by:adam.com

This information is provided by an independent source. Merck & Co., Inc. is not responsible for this content. Please discuss any and all treatment options with your healthcare professional. The manufacturer of a product generally has the most complete information about that product.

Bell's palsy

Definition

Bell's palsy is a temporary form of facial paralysis that occurs with damage to the nerve that controls movement of the muscles in the face.

Alternative Names

Facial palsy; Idiopathic peripheral facial palsy

Causes

Bell's palsy is a form of cranial mononeuropathy VII. It is the most common type of this nerve damage. Bell's palsy affects about 2 in 10,000 people.

Bell's palsy involves damage to the seventh cranial (facial) nerve. This nerve controls the movement of the muscles of the face. The cause is often not clear, although herpes infections may be involved.

Bell's palsy is thought to be linked to swelling (inflammation) of the nerve in the area where it travels through the bones of the skull. Other conditions related to Bell's palsy include:

Symptoms

Symptoms usually start suddenly, and range from mild to severe. They may include:

  • Change in facial expression (for example, grimacing)
  • Difficulty with eating and drinking
  • Drooling due to lack of control over muscles of the face
  • Droopy eyelid or corner of mouth
  • Dry eye or mouth
  • Face feels stiff or pulled to one side
  • Facial paralysis of one side of the face, makes it hard to close one eye
  • Headache
  • Loss of sense of taste
  • Pain behind or in front of the ear
  • Sensitivity to sound (hyperacusis) on the affected side of the face
  • Twitching in face
  • Weakness in face

Exams and Tests

Other causes of cranial mononeuropathy VII, such as head injury and tumor, need to be ruled out.

Treatment

This version of the Encyclopedia has no treatment information. Please discuss any and all treatment options for your condition with your healthcare professional.

Outlook (Prognosis)

About 60 - 80% of cases go away completely within a few weeks to months. Sometimes the condition results in permanent changes. The disorder is not life threatening.

Possible Complications

  • Abnormal movements, such as tears when laughing or salivation at the wrong times (synkinesis)
  • Change in appearance of the face (disfigurement) from loss of movement
  • Chronic problems with taste
  • Chronic spasm of face muscles or eyelids
  • Damage to the eye (corneal ulcers and infections)

When to Contact a Medical Professional

Call your health care provider right away if your face droops or you have other symptoms of Bell's palsy. Your health care provider can rule out other, more serious conditions, such as stroke.

Prevention

Safety measures may reduce the risk of head injury. Many of the other factors that lead to this disorder are not preventable.

References

Tiemstra JD, Khatkhate N. Bell's palsy: diagnosis and management. Am Fam Physician. 2007;76:997-1002.


Review Date: 2/13/2008
Reviewed By: Luc Jasmin, MD, PhD, Departments of Anatomy & Neurological Surgery, University of California, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com
 

 

Print This Page   Add To My Folder