Monday, May 4, 2009

Bell'S Palsy In Children







Bell's palsy is a temporary condition affecting the facial nerves. In children, Bell's palsy can be more upsetting emotionally than with an adult. They are concerned with the appearance of their face, and need reassurance that this state is not permanent. The effects of Bell's palsy appear suddenly, but there are subtle signs or symptoms leading to an occurrence. Once diagnosed, symptoms can be managed, but specific treatment is unlikely, as Bell's palsy goes away without medical intervention.


Identification


Bell's palsy is a condition that causes the facial muscles on one side to weaken, and freeze or droop. The condition is temporary, six months or less, but generally lasts 2 weeks. Bell's palsy affects the facial nerves and usually does not require specific treatment. According to The Children's Hospital, the cause often results from a virus. The most common are: HSV-1 (herpes or cold sores), Epstein-Barr and flu. Trauma to the face or head, Lyme disease, and ear infections can also be a factor in Bell's palsy development in children.


Signs & Symptoms


Bell's palsy comes on rapidly; however, slight signs and symptoms may occur for several days before the onset. Muscle twitching or tightness, inability to taste and a dry eye on one side of the face are common before the appearance of Bell's palsy. Moreover, a lack of saliva, headache, or pain in front or behind one ear is also indicative of the malady. The signs and symptoms are the same in children as they are in adults.


Effects


The paralysis accompanying Bell's palsy in children usually causes a slight disfigurement to one side of the face. Because the facial nerves are affected, only one side of the face will react appropriately to the brains signals. For example, when smiling, one side will remain taunt, or drooped. One eye may be closed while the other is open when sleeping or awake. These signs and symptoms also mimic stroke or other serious conditions; therefore, prompt medical attention is important.


Treatment


Bell's palsy subsides on its own. The possible virus originally causing the Bell's palsy occurrence has usually passed by the time the condition is diagnosed. As a result, no particular treatment is prescribed. Symptom management is often the course of action for children with Bell's palsy. Anti-inflammatory, steroid drugs may be prescribed, such as prednisone, for swelling and pain. Eye drops and facial massage may also be a part of symptom management.


Considerations


Due to the facial impairment caused by Bell's palsy, children can have a hard time coping with the effects. The Children's Hospital recommends reassuring your child that the condition is temporary and their face will appear normal.

Tags: Bell palsy, facial nerves, side face, Bell palsy children, Children Hospital, condition temporary