Idiopathic Bel's palsy.

Question

A 39y old male patient came with c/o 
Deviation of angle of mouth to left side. 
Unable close the right eye completely .
Folds over the forehead on rt side absent. 
heaviness of head present. 
All these present since 2 days. 
No c/o - fever, throat infection, ear pain in the past 1week. 
No c/o - post auricular pain. 
No c/o - weakness in the rt side of body, or even lt side. 
Not a k/c/o- HTN/DM.

Is the diagnosis suggestive of IDIOPATHIC BEL'S PALSY. 
What is the treatment for this pt.???

Jayesh Kalbhande · Answer

Idiopathic bells palsy - Prednisolone 1mg/kg tapered over 10 days along with T. Acyclovir 800 mg five times a day for 10 days, of viral infection of suspected clinically.

Manorama Rajan · Answer

If you exclude other causes of LMN facial palsy, and the diagnosis is idiopathic Bell's palsy Start prednisone 1mg / kg ,reducing dosage for 2 weeks.
Facial physio with electric stimulation

Balaram Reddy · Answer

Left umn palsy .
Tab.acicyclovir 800mg for every 5 th hourly 
For 5 days 
Tab.wyslone 1mg /kg body weight bd 
And taper it half the dose 
And single dose 
Tab.pantop dsr 
Cap renerve plus
Tab.mvi daily one 
Electrocution physiotherapy exercises regularly 
For 1 week

Anand Kumar · Answer

To say it as idiopathic Bell's paly one must rule out all possible causes of it.
1.Infective 
2.Inflammatory
3.Demyelination
4.Autoimmune disorder
5.Vascular

Idiopathic Bel's palsy.

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Thank you doctor

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