![]() | Only 14 pages are availabe for public view |
Abstract Bell’s palsy is an idiopathic peripheral facial paralysis of acute onset (dobie, 1986). Bell’s palsy is universal in its occurrence and affect all ages will no racial or geographic predilection. (dobie, 1986).Prognosis is one of the most challenging problems concerning bell’s palsy . it is the necessary basis for assessing the effect of different therapeutic approaches and allow early intervention to minimize server nerve damage .(ardicet al.,1997)This study included 30parients with bell’s palsy presented within the 1st 4 days onset . the study aimed to find the prognostic significance of variable clinical parameters associated with bell’s palsy and the prognostic value of four electrodiagnostic testing maximal stimulation test , electroneurography , emg and transcranial magnetic stimulation .Results revealed that among clinical parameters studied some showed a significant association with prognosis, some showed weak significant association and the majority of parameters showed no association. Old age d.m. and presence of hyperacusis , facial pain and vestibular symptoms were found to be associated significantly with poor prognosis. Hypertention showed a weak significant association with poor prognosis.Extend of paralysis show a high significantassociation with prognosis and the time taken for voluntary movement to recover in cases of complete paralysis significantly related to poor outcome. |