Evaluation of prognostic factors in patients with Bell's palsy

Abstract Background Bell's palsy is a common neurological problem that leads to peripheral palsy of the facial nerve. Most patients have a favorable response with or without treatment while some are left with significant facial deformity. Identification of factors which influence the outcome in...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Dilli Ram Kafle, Sanjeev Kumar Thakur
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	Bell's palsy House–Brackmann grade nerve conduction study Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/f972f527684248d4843a2ab11dc47bdb
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f972f527684248d4843a2ab11dc47bdb
record_format	dspace
spelling	oai:doaj.org-article:f972f527684248d4843a2ab11dc47bdb2021-11-25T06:06:36ZEvaluation of prognostic factors in patients with Bell's palsy2162-327910.1002/brb3.2385https://doaj.org/article/f972f527684248d4843a2ab11dc47bdb2021-11-01T00:00:00Zhttps://doi.org/10.1002/brb3.2385https://doaj.org/toc/2162-3279Abstract Background Bell's palsy is a common neurological problem that leads to peripheral palsy of the facial nerve. Most patients have a favorable response with or without treatment while some are left with significant facial deformity. Identification of factors which influence the outcome in patients with Bell's palsy may help clinicians counsel better. Methods A prospective cross‐sectional study was carried out in the Department of Neurology Nobel Medical College, Biratnagar, between February 2020 and February 2021 after obtaining ethical clearance from the institutional review committee. Patients were assessed at the time of presentation to hospital and followed up at 1 week, 1 month, and 3 months after the onset of illness to evaluate for recovery. Results Sixty‐two (61.4%) of 101 patients had a favorable outcome at the follow up on the third month, achieving H‐B grade 2 or lower, while 33 (32.7%) had moderate dysfunction and 6 (5.9%) had severe dysfunction. The following factors were associated with favorable outcome: younger age of onset (p < .001), lower initial H‐B grade of III or IV (p = .001), lesser degree of amplitude reduction on affected side as compared to unaffected side (p = .001) and absence of hypertension and diabetes. The following factors did not influence outcome at three months: duration of Bell's palsy (p = 0.142), side of face affected, and gender (p = .09). Conclusions Most of the patients with Bell's palsy have favorable outcomes. Age, hypertension, initial H‐B grade, and extent of facial nerve degeneration as recorded by nerve conduction studies are important predictors of outcome.Dilli Ram KafleSanjeev Kumar ThakurWileyarticleBell's palsyHouse–Brackmann gradenerve conduction studyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain and Behavior, Vol 11, Iss 11, Pp n/a-n/a (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Bell's palsy House–Brackmann grade nerve conduction study Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	Bell's palsy House–Brackmann grade nerve conduction study Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Dilli Ram Kafle Sanjeev Kumar Thakur Evaluation of prognostic factors in patients with Bell's palsy
description	Abstract Background Bell's palsy is a common neurological problem that leads to peripheral palsy of the facial nerve. Most patients have a favorable response with or without treatment while some are left with significant facial deformity. Identification of factors which influence the outcome in patients with Bell's palsy may help clinicians counsel better. Methods A prospective cross‐sectional study was carried out in the Department of Neurology Nobel Medical College, Biratnagar, between February 2020 and February 2021 after obtaining ethical clearance from the institutional review committee. Patients were assessed at the time of presentation to hospital and followed up at 1 week, 1 month, and 3 months after the onset of illness to evaluate for recovery. Results Sixty‐two (61.4%) of 101 patients had a favorable outcome at the follow up on the third month, achieving H‐B grade 2 or lower, while 33 (32.7%) had moderate dysfunction and 6 (5.9%) had severe dysfunction. The following factors were associated with favorable outcome: younger age of onset (p < .001), lower initial H‐B grade of III or IV (p = .001), lesser degree of amplitude reduction on affected side as compared to unaffected side (p = .001) and absence of hypertension and diabetes. The following factors did not influence outcome at three months: duration of Bell's palsy (p = 0.142), side of face affected, and gender (p = .09). Conclusions Most of the patients with Bell's palsy have favorable outcomes. Age, hypertension, initial H‐B grade, and extent of facial nerve degeneration as recorded by nerve conduction studies are important predictors of outcome.
format	article
author	Dilli Ram Kafle Sanjeev Kumar Thakur
author_facet	Dilli Ram Kafle Sanjeev Kumar Thakur
author_sort	Dilli Ram Kafle
title	Evaluation of prognostic factors in patients with Bell's palsy
title_short	Evaluation of prognostic factors in patients with Bell's palsy
title_full	Evaluation of prognostic factors in patients with Bell's palsy
title_fullStr	Evaluation of prognostic factors in patients with Bell's palsy
title_full_unstemmed	Evaluation of prognostic factors in patients with Bell's palsy
title_sort	evaluation of prognostic factors in patients with bell's palsy
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/f972f527684248d4843a2ab11dc47bdb
work_keys_str_mv	AT dilliramkafle evaluationofprognosticfactorsinpatientswithbellspalsy AT sanjeevkumarthakur evaluationofprognosticfactorsinpatientswithbellspalsy
_version_	1718414200115560448

Evaluation of prognostic factors in patients with Bell's palsy

Ejemplares similares