Clinical Case Database / Category: Case Based Discussion

Assessment, diagnosis and treatment of facial palsy

Publication details

Dr. E. Naomi Smith, Mr. Ian Bottrill
Foundation Years Journal, volume 4, issue 7, p.15 (123Doc Education, London, July 2010)


This case-based discussion focusses on a patient who presented with a leftsided facial palsy. The assessment, differential diagnoses and treatment of the patient's facial palsy will be discussed, together with an overview of the relevant anatomy.

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Dr. E. Naomi Smith

Foundation Year 2 in Cardiology
John Radcliffe Hospital

Mr. Ian Bottrill

ENT Consultant
Stoke Mandeville Hospital
Buckinghamshire Hospitals NHS Trust


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10. Adour KK, Ruboyianes JM, Von Doersten PG, et al. (1996) Bell's palsy treatment with acyclovir and prednisone compared with prednisone alone: a double-blind, randomized, controlled trial. Ann Otol Rhinol Laryngol. 105(5):371-378.
11. Sullivan, FM, Swan, IR, Donnan, PT, et al. (2007) Early treatment with prednisolone or acyclovir in Bell's palsy. N Engl J Med; 357:1598.
12. Engström M, Berg T, Stjernquist-Desatnik A, et al.(2008) Prednisolone and valaciclovir in Bell's palsy: a randomised, double-blind, placebo-controlled, multicentre trial. Lancet Neurol. 7(11):993-1000. Epub 2008 October 10.
13. Ronthal M.(2009) Bell's palsy: Prognosis and treatment. Last accessed December 2009.
14. Crossman, AR, Neary D. (2003) Neuroanatomy, an Illustrated Colour Text. 2nd Edition, Spain: Churchill Livingstone.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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