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Medicine

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Neurology

Question
9 out of 25
 

Bell’s palsy patient on Day 3, best treatment at this stage is? (AIIMS May 2010)



A Steroid + acyclovir
B Steroid + Vit B

C Vit B + vasodilation
D Surgical decompression

Ans. B

Steroid + Vit B

Treatment (Ref. Hari-18th ed., pg- 3363)

1). Artificial tears (osmoles drops)

2). Recovery spontaneous in 70 – 80% pt within 2 – 12 weeks

3). A course of glucocorticoids, given as prednisone 60–80 mg daily during the first 5 days and then tapered over the next 5 days, appears to shorten the recovery period and modestly improve the functional outcome.

4). Physiotherapy

Extra Edge: Bell's Palsy : (AIIMS May 2010)

No added benefit of acyclovir (400 mg five times daily for 10 days) compared to prednisolone alone for treatment of acute Bell's palsy. (Ref. Hari 18th ed., pg 3363)

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