What are the differential diagnoses for Bell's palsy? | Rounds What are the differential diagnoses for Bell's palsy? | Rounds
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What are the differential diagnoses for Bell's palsy?

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Differential Diagnoses for Bell’s Palsy

Bell’s palsy is an idiopathic facial nerve (cranial nerve VII) palsy. Other causes of acute facial paralysis account for an estimated 25% to 40% of facial palsy presentations, so non-idiopathic etiologies must be considered when evaluating facial weakness. [1]

  • Vestibular schwannoma. [1]
  • Head and neck tumors. [1]
  • Iatrogenic injuries are listed among common non-idiopathic causes of facial paralysis. [1]
  • Herpes zoster involving the facial nerve is a common alternative diagnosis to Bell’s palsy. [1]
  • Trauma is listed among common non-idiopathic causes of facial paralysis. [1]

Non-Idiopathic Facial Palsy Workup Considerations

  • Facial paralysis is described as potentially idiopathic or secondary, with emphasis that an accurate differential diagnosis is essential because many cases are not idiopathic. [1]

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