Bell’s palsy is an acute peripheral facial paralysis with no detectable cause. Although the prognosis of Bell’s palsy is generally good, some patients experience poor recoveries and there is no established treatment for those that do not recover even after receiving the conventional treatment. Here we present two cases of refractory Bell’s palsy with facial nerve enhancement in magnetic resonance imaging who showed symptomatic improvement after the late administration of high-dose intravenous methylprednisolone.
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Development of the Korean Medicine Core Outcome Set for Facial Palsy: herbal medicine treatment of patients with facial palsy in primary clinics Soo-Dam Kim, Sungha Kim, Mi Ju Son, Jiyun Cha, Pyung-Wha Kim, Mi Mi Ko, Soobin Jang, Changsop Yang, Myeong Soo Lee Frontiers in Medicine.2024;[Epub] CrossRef
Background: Bell’s palsy (BP) is the most common cause of unilateral lower motor facial palsy. Recurrent paralysis of the facial nerve is unusual and reported in only 7-8%. Methods: A total of 394 consecutive patients with acute BP patients were enrolled at Daegu Catholic University Hospital from July 2005 to September 2012. We classified the patients into two groups-single BP and recurrent BP-and compared them by patient characteristics, clinical features, MRI findings, electrophysiologic findings and prognosis. The degree of BP was graded according to the House and Brackmann facial nerve grading system. Results: Recurrent BP was observed in 31 (7.9%) patients. The number of recurrence was varied from 2 to 5. The recurrent BP (9.7%) had more incidence of family history and MRI enhancement than those of single BP (2.2%, p=0.047). The single BP (63.4%) had better recovery than recurrent BP (45.2%, p=0.045). Conclusions: The recurrent BP had more incidence of family history, MRI enhancement and poor prognosis than the single BP.
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Characteristics and Treatment Methods of Bell’s Palsy in Patients Visiting Korean Medicine Hospitals From August 2018 to July 2021 Hyeon Kyu Choi, Min Ju Kim, Young Rok Lee, Hyun Ji Cha, Hyun Jin Jang, So Jeong Kim, Ju Hyun Jeon, Young Il Kim Journal of Acupuncture Research.2022; 39(2): 122. CrossRef
Correlation of Internal & External Factors with the Beginning Period of Improvement in Idiopathic Facial Paralysis※ Hee Jin Sung, Su Sie Lim, Hyun Young Choi, Eun Yong Lee, Jung Du Roh, Cham Kyul Lee The Acupuncture.2016; 33(1): 57. CrossRef
A Clinical Study on Children and Adolescents Who Visited the Hospital of Korean Medicine for 284-Peripheral Facial Palsy Ki Yeon Kang, Hye Lim Lee, Jae Kyung Han, Yun Hee Kim The Journal of Korean Oriental Pediatrics.2014; 28(4): 45. CrossRef
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