The most obvious visible symptom is usually a unilateral paralysis of the facial nerve manifested by a one-sided collapse of the musculature of the face. It may be difficult to open (or close) one eye. There may be tears or drooling accompanied by a loss of taste and loss of sensory perception around the mouth. Patients commonly report a feeling of sunburn around the scalp and face. There may be significant pain. The condition affects 25 – 35 people per 100,000 per year, which is to say roughly one person in 60 during their lifetime (or about 100 people per month in Scotland). There is no significant difference in rates between men and women, though the preferred age range seems to be 30 – 45 years old.<\/p>\n\n\n\n \u200bPlease see Primary Care Management Tab.<\/strong><\/p>\n\n\n\n Idiopathic lower motor neurone CN VII palsy<\/p>\n\n\n\n May or may not be associated with pain<\/p>\n\n\n\n LMN palsy is suggested by absence of forehead wrinkles. <\/p>\n\n\n\n Examination<\/strong><\/p>\n\n\n\n Neurology<\/strong> CN VII palsy <\/p>\n\n\n\n Ears<\/strong> \u2013 Middle Ear infection – Any abnormality, discuss with on call n ENT via St John’s switchboard on 01506523000<\/p>\n\n\n\n Neck + Parotid gland<\/strong> for masses – Any abnormality doscuss with on call ENT via St John’s switchboard on 01506523000<\/p>\n\n\n\n Look for vesicles on TM\/Soft palate<\/strong> = Ramsay Hunt<\/p>\n\n\n\n Bells is confirmed if all other examinations are normal and is managed in primary care with referral only if there is abnormalities as above.<\/p>\n\n\n\n <\/p>\n<\/div><\/div>\n\n\n\n Facial Palsy UK provide a wealth of information in Facial Palsy recovery \/ analysis and local and online support: <\/p>\n\n\n\n https:\/\/www.facialpalsy.org.uk<\/a><\/p>\n\n\n\n https:\/\/www.facialpalsy.org.uk\/support\/support-groups\/scotland-group<\/a><\/p>\n\n\n\n https:\/\/www.facialpalsy.org.uk\/support\/useful-info\/online-support\/<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":" Symptoms The most obvious visible symptom is usually a unilateral paralysis of the facial nerve manifested by a one-sided collapse of the musculature of the face. It may be difficult to open (or close) one eye. There may be tears or drooling accompanied by a loss of taste and loss of sensory perception around the<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3884,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[135],"class_list":["post-3729","page","type-page","status-publish","hentry","category-bellspalsy"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" Bell's Palsy<\/a>","rttpg_excerpt":"Symptoms The most obvious visible symptom is usually a unilateral paralysis of the facial nerve manifested by a one-sided collapse of the musculature of the face. It may be difficult to open (or close) one eye. There may be tears or drooling accompanied by a loss of taste and loss of sensory perception around the","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3729","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3729"}],"version-history":[{"count":8,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3729\/revisions"}],"predecessor-version":[{"id":28035,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3729\/revisions\/28035"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3884"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3729"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3729"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
A common consequence is emotional disturbance because of anxiety or self-consciousness about the disfigurement that the condition may cause. <\/span><\/span><\/p>\n\n\n\nCauses<\/h4>\n\n\n\n
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Prevalence<\/h4>\n\n\n\n
<\/ul>\n
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BELL’S PALSY<\/h3>\n\n\n\n
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If all other Examination is normal, treatment:<\/h4>\n\n\n\n
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