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Idiopathic Non-traumatic Facial Nerve Palsy (Bell’s Palsy) in Neonates; An Atypical Age and Management Dilemma
- Source :
- Oman Medical Journal, Vol 33, Iss 1, Pp 65-68 (2018)
- Publication Year :
- 2018
- Publisher :
- Oman Medical Specialty Board, 2018.
-
Abstract
- Idiopathic (Bell’s) palsy is the commonest cause of unilateral facial paralysis in children. Although being idiopathic by definition, possible infectious, inflammatory, and ischemic triggers have been suggested. Bell’s palsy is thought to be responsible for up to three-fourths of cases of acute unilateral facial paralysis worldwide. The diagnosis has to be reached after other causes of acute peripheral palsy have been excluded. However, it is rarely described in neonates and young infants. Steroids may have some role in treatment, but antiviral therapies have doubtful evidence of benefit. Prognosis is good, though residual dysfunction is occasionally encountered. We report the case of a two-week-old neonate with no prior illnesses who presented with acute left facial palsy. Clinical findings and normal brain imaging were consistent with the diagnosis of Bell’s palsy. The patient had a good response to oral steroids.
- Subjects :
- Bell’s Palsy
Facial Nerve
Neonate
Prednisolone
Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 1999768X and 20705204
- Volume :
- 33
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Oman Medical Journal
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.017b16d21b1e44e1b585b928b3c7dc13
- Document Type :
- article
- Full Text :
- https://doi.org/10.5001/omj.2018.12