0
ARTICLE |

DIAGNOSIS AND TREATMENT OF IDIOPATHIC FACIAL PARALYSIS (BELL'S PALSY)

Fred B. Moor, M.D.
JAMA. 1955;157(18):1599-1601. doi:10.1001/jama.1955.02950350013006.
Text Size: A A A
Published online

Idiopathic facial paralysis was first described by Sir Charles Bell in 1821.1 Bell's original series of cases, however, was not made up exclusively of the idiopathic type of paralysis. Bell's palsy, or idiopathic facial paralysis, is understood to be a paralysis of sudden, usually unexplained, onset with or without pain. The involved side of the face is immobile, smooth, and expressionless. The duration of the disease varies from two weeks to six months, depending on the extent of damage that has occurred in the seventh nerve. The prospect for complete recovery is good in 80 to 90% of cases.

ETIOLOGY AND PATHOLOGY  Park and Watkins2 in a study of 517 cases of facial paralysis from all causes at the Massachusetts General Hospital found that 87.2% were of the idiopathic type. The condition was more frequent in women than in men by a ratio of 9 to 7. The

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();