Korean J Clin Neurophysiol.  2013 Jun;15(1):1-6. 10.14253/kjcn.2013.15.1.1.

Clinical Analysis of Recurrent Bell's Palsy in One University Hospital

Affiliations
  • 1Department of Neurology, Catholic University of Daegu School of Medicine, Daegu, Korea. dklee@cu.ac.kr

Abstract

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.

Keyword

Bell's palsy; Clinical analysis; Recurrence

MeSH Terms

Bell Palsy
Facial Nerve
Facial Paralysis
Humans
Incidence
Paralysis
Prognosis
Recurrence

Reference

1.Adams RD., Victor M. Disease of the peripheral nerve. In: Principle of Neurology. 9th ed. New York: McGraw Hill. 2009. 1326–1340.
2.Kazemi B. A survey of idiopathic facial palsy (Bell’s palsy) in sourthen Iran. Rehab Med. 1977. 7:436–440.
3.Susan E. Expression of emotion and quality of life after facial nerve paralysis. Otol Neurotol. 2004. 25:1014–1019.
4.Yoo JH., Han WH., Lee DK. Neuropsychologic Analysis of Acute Bell’s Palsy. Korean J Clin Neurophysiol. 2009. 11:48–53.
5.Jung HY., Kwon HK., Oh CH. Prognostic evaluation of facial palsy. J Korean Acad Rehab Med. 1990. 14:184–189.
6.Moon DH., Sa EH., Yun YJ., Lee DJ., Hong SU. Prognostic value elactrophysiologic tests in Bell’s palsy. J Clin Neurol. 1996. 14:781–788.
7.Ralli G., Maqliulo G. Bell’s palsy and its recurrences. Arch Otorhinolaryngol. 1988. 244:387–390.
Article
8.Amstel AD., Devriese PP. Clinical experiences with recurrences of Bell’s palsy. Arch Otorhinolaryngol. 1988. 245:302–306.
Article
9.Pitts DB., Adour KK., Hilsinger RL Jr. Recurrent Bell’s palsy: analysis of 140 patients. Laryngoscope. 1988. 98:535–540.
10.Mamoli B., Neumann H., Ehrmann L. Recurrent Bell’s palsy. Etiology, frequency, prognosis. J Neurol. 1977. 216:119–125.
11.Yanagihara N., Mori H., Kozawa T., Nakamura K., Kita M. Bell’s palsy. Nonrecurrent vs recurrent and unilateral vs bilateral. Arch Otolaryngol. 1984. 110:374–347.
12.Hallmo P., Everland HH., Mair IWS. Recurrent facial palsy. Arch Otorhinolaryngol. 1983. 237:97–102.
Article
13.Smith IM., Cull RE. Bell’s palsy-which factors determine final recovery? Clin Otolaryngol Allied Sci. 1994. 19:465–466.
14.Kim KJ., Seok JI., Lee DK. The Clinical Analysis of Recurrent Bell’s Palsy. Korean J Clin Neurophysiol. 2008. 10:38–42.
15.Oh SJ. Nerve conduction studies. Principles of Clinical electromyography. 2nd ed. New York: Williams & Wilkins.;1993. p. 152–153.
16.Kimura J., Giron LT., Young SM. Electrophysiological study of Bell palsy: Electrically elicited blink reflex in assessment of prognosis. Arch Otolaryngol. 1976. 102:140–143.
Article
17.House JW., Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg. 1985. 93:146–147.
Article
18.Yanagihara N., Yumoto E., Shibahara T. Familial Bell’s palsy: Analysis of 25 families. Ann Otol Rhinol Laryngol Suppl. 1988. 137:8–10.
Article
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