Dtsch Arztebl Int 2020; 117: 175. DOI: 10.3238/arztebl.2020.0175b
The Diagnosis and Treatment of Idiopathic Facial Paresis (Bell’s Palsy) by Prof. Dr. med. Josef Georg Heckmann, Prof. Dr. med. Peter Paul Urban, Prof. Dr. med. Susanne Pitz, Prof. Dr. med. Orlando Guntinas-Lichius, and Prof. Dr. med. Ildikό Gágyor in issue 41/2019
I have three comments regarding this article (1):
- Cortisone should only be administered once an infection with borrelia bacteria has been ruled out. I remember a young patient who attended a neurology hospital with acute unilateral facial paresis, and he was administered cortisone. On the fourth day he came to me as a medical emergency. The facial paresis had become bilateral, and the patient had a headache and clear meningism. The cortisone had led to an “explosion” of neuroborreliosis, and the patient was admitted to intensive care.
- Electrotherapy is effective and shortens the disease course. It has to be administered early and on working days. Patients will have to perform the necessary facial exercises in front of a mirror three times every day.
- If symptoms are slow to recede or even persist, ultrasound scanning of the parotid region should be undertaken in order to rule out a possible tumor.
Dr. med. Franz-Ulrich Beutner
Heckmann JG, Urban PP, Pitz S, Guntinas-Lichius O, Gágyor I: The diagnosis and treatment of idiopathic facial paresis (Bell´s palsy). Dtsch Arztebl Int 2019; 116: 692–702 VOLLTEXT
|1.||Heckmann JG, Urban PP, Pitz S, Guntinas-Lichius O, Gágyor I: The diagnosis and treatment of idiopathic facial paresis (Bell´s palsy). Dtsch Arztebl Int 2019; 116: 692–702 VOLLTEXT|