Bell’s Palsy
Brief description of the condition
Acute onset paralysis or weakness of muscles only in the face, often first noticed on waking. It is essential to exclude other more serious conditions that have similar symptoms. Most people recover function, but there are some who do not.
Key signs and symptoms
- Paralysis or weakness of muscles only in the face, usually on one side
Initial management
Determine if there are signs of stroke, for example facial weakness or distortion, arm weakness, speech problems; rapid onset of these symptoms (Face, Arms, Speech, Time; FAST).
If there are signs of stroke, send the patient immediately to emergency medical care at the nearest emergency department or call 999.
If there are no signs of stroke:
- Advise the patient about eye care, including keeping the affected eye lubricated and taping the eye closed at night if required.49
- Advise the patient to seek urgent medical care via their general medical practitioner for assessment, treatment and referral as required, which might include prescribing prednisolone if within the first 72 hours of onset.49,50
Subsequent care (medical)
Provide follow-up medical care, with referral to a specialist if required.