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Forum Name: Neurology Topics

Question: Should a Bells Palsy patient recieve steroids to recover?


 barbsuelikesyou - Wed Feb 27, 2008 12:03 pm

I had the full onset of Bells Palsy on the day I delivered my daughter 8 months ago. I still have limited tension in my lips on my right side. 3 days after onset I was told by a family doctor that I should have been treated within 48 hours with steroids to ensure recovery. However, a neurologist told me that this information has not been proven. If I had been treated within 48 hours would I still have Bells today?
 Debbie Miller, RN - Sat Mar 01, 2008 2:41 am

User avatar Hello,
As with many studies, results have been mixed about the effectiveness of steroids. One study says yes; the next says no. I see nothing that says an early window is required, but complete recovery from this disorder can take anywhere from a few weeks to over a year, depending on the severity. There is no way to predict who will heal quickly and who will need a longer and more intense treatment for recovery. The studies that show a positive effect with steroids did now show a shorter duration anyway; just a greater improvement overall. Again, this must be balanced with the studies that found no improvement.

Antiviral drugs are used when there is suspicion that it is caused by a virus but nerve damage can result in the absence of virus too.

Good luck.

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