Bell’s Palsy in Children: Relationship Between Electroneurography Findings and Prognosis in Comparison With Adults

  title={Bell’s Palsy in Children: Relationship Between Electroneurography Findings and Prognosis in Comparison With Adults},
  author={Shintaro Baba and Kenji Kondo and Kaori Kanaya and Munetaka Ushio and Hitoshi Tojima and Tatsuya Yamasoba},
  journal={Otology \& Neurotology},
Objectives To investigate the correlation between electroneurography (ENoG) findings and the prognosis of Bell’s palsy in children compared with adults. Methods Twenty-two children and 92 adults with Bell’s palsy who underwent ENoG between 8 days and 4 weeks from the onset of symptoms were retrospectively enrolled. The time to maximal recovery and rate of favorable recovery (House-Brackmann grade I or II) was assessed. Children (C) and adults (A) were further subdivided into low (<10%) or high… 

Validity of Late-Term Electroneurography in Bell’s Palsy

ENoG and HB grading during first to fourth weeks of BP are useful prognostic indicators and Serial ENoG examinations are recommended to predict the status of neural degeneration and the prognosis of the palsy, however, E noG in late term may not be compatible with clinical facial function.

Bell’s Palsy in Children (BellPIC): protocol for a multicentre, placebo-controlled randomized trial

A randomised, triple-blinded, placebo controlled trial of the use of prednisolone to improve recovery from Bell’s palsy at 1 month, which will allow the definitive assessment of the efficacy of predisonsolone compared with placebo in the treatment of Bell's palsy in children.

Role of Vitamin D Deficiency on The Onset and Prognosis of Bell’s Palsy Vitamin D and Bell’s Palsy

Lower vitamin D levels may have a negative effect on recovery particularly in patients with advanced grades, as demonstrated by a prospective controlled clinical study on patients diagnosed as BP and healthy volun-teers as control group.

Peripheral Facial Palsy in Children

A wide variety of disorders can present with peripheral facial palsy in children, and careful investigation and differential diagnosis is essential.

The diagnosis and treatment of Bell’s palsy

In confirmed Bell’s palsy, unless contraindicated, corticosteroids should be given to all patients with Bell's palsy as early as possible, (ideally within 72 hours) and combined steroid and antiviral treatment are recommended for patients with severe to complete paresis.

Clinical Practice Guideline

  • R. BaughG. Basura William K Vaughan
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2013
This guideline addresses needs by encouraging accurate and efficient diagnosis and treatment and, when applicable, facilitating patient follow-up to address the management of long-term sequelae or evaluation of new or worsening symptoms not indicative of Bell’s palsy.

Predictive Values of Neutrophil-to-Lymphocyte Ratio, Platelet-to-Lymphocyte Ratio, and Other Prognostic Factors in Pediatric Patients With Bell’s Palsy

The NLR and PLR values are readily accessible parameters that may be useful prognostic markers in pediatric patients with BP and their utility in predicting prognosis and treating children with BP is confirmed.

Efficacy of Mirror Biofeedback Rehabilitation on Synkinesis in Acute Stage Facial Palsy in Children

Children who underwent mirror bio feedback rehabilitation had less synkinesis than the infant-and-toddler control group, suggesting that mirror biofeedback rehabilitation is more effective in preventing the exacerbation of synklesis in children.

Late Recovery of Parathyroid Function after Total Thyroidectomy in Children and Adults: Is There a Difference?

Almost half of patients recovered from persistent hypoparathyroidism after 6 months; therefore, the term persistent instead of permanent hypoparateroidism should be used.

Surgery for traumatic facial nerve paralysis: Does intraoperative monitoring have a role?

Intraoperative monitoring affects decision taking during surgery for traumatic FN paralysis and provides prognostication with sufficient accuracy, and absence of responses did not alter surgeon decision when the nerve was found evidently intact.



Electroneurography in the late period of Bell's palsy.

The amount of non-degenerated synchronous fibres can allow us to estimate prognosis of Bell's palsy, especially between the first and third month of onset, if the authors make serial tests.

Clinical advantages of electroneurography in patients with Bell's palsy within two weeks after onset.

It was discovered that ENoG on patients with Bell's palsy makes it possible to reveal the extent of wallerian degeneration by 7 days after the onset of palsy.

Electroneurography in the prognostication of Bell's palsy.

Electroneurography with automatic signal analysis and EMG have been used in repeated examinations of 23 patients with Bell's palsy and can be judged with relatively high accuracy on day 4.

Outcomes of facial palsy in children

In Bell's palsy there was no significant difference in the recovery rate between the groups with or without prednisolone treatment andbetween the groups that received medication within 1 week of syndrome onset or after more than 1 week.

Clinical experience with electroneurography in the pediatric patient.

It is concluded that ENoG can be performed on children, and that the measurements, within bounds of interpretation, can offer objective data not usually available in this age population.

Neurophysiological evaluation of acute facial paralysis in children.

Bell's Palsy: The Spontaneous Course of 2,500 Peripheral Facial Nerve Palsies of Different Etiologies

  • E. Peitersen
  • Medicine
    Acta oto-laryngologica. Supplementum
  • 2002
A survey of the literature showed that no kind of treatment, including prednisone, was able to give a better prognosis and the use ofprednisone raises a big ethical problem because no evidence of its efficacy exists and the euphoric side-effect induces a false feeling of benefit in the patients.

Prognostic Value of Evoked and Standard Electromyography in Acute Facial Paralysis

The findings support previous reports of the prognostic value of EEMG in idiopathic facial paralysis, but suggest that this test may have less predictive value in the evaluation of facial paralysis as a result of trauma.

Facial nerve palsy in children: clinical aspects of diagnosis and treatment.

Steroid administration does not appear to be necessary in children with acute facial palsy, and facial movement scoring was not practical in prognostic diagnosis in cases aged under 4 years, while ENoG was useful in all age-groups.

The epidemiology and treatment of Bell’s palsy in the UK

Lack of household clustering and lack of a tendency of herpes simplex infections to precede Bell’s palsy do not support a viral aetiology.