Acyclovir or Steroids as Pharmacologic Treatment of Bell Palsy

摘要

To determine "full" recovery, three independent and blinded specialists (a plastic surgeon, a neurologist, and an otolaryngologist) applied the House-Brackmann grading system for facial nerve function to digital photographs of each patient.2 Acyclovir did not augment the response to prednisolone if given in combination, and was not equivalent to prednisolone if given alone. [...] the authors pulled patients from practices that reflect where our patients come from: 70 percent from family physicians' offices and 7 percent from the emergency department. Bob: [...] if you live in parts of the country where Lyme disease is prevalent, think about Lyme disease as an etiology for a 7th cranial nerve palsy, and consider serology testing before initiating steroid therapy.