Bell’s Palsy: Steroid Therapy in Chosen Cases?
The usefulness of steroids in the treatment of Bell’s palsy remains controversial. We evaluated retrospectively 112 patients who presented with Bell’s palsy, 64 treated with prednisone (800 mg in 20 dayd) and 48 with vitamins. The two groups were homogeneous accordign to age, sex, degree of palsy, and type of nerve lesion as assessed by electroneuromyography. Of the 112 patients, 15% had mostly neurapraxia, 30% mostly axonotmesis, and 55% had both. Altogether, recovery was good in 68%, fair in 24%, and poor in 8%. In the case of neurapraxia and patients with both types of lesions, steroids did not appear to improve recovery (good in 80% with prednisone, 76% with vitamins), while in axonotmesis they do seem to influence the outcome (good in 68% with prednisone, 29% with vitamins).