Bell's Palsy in Children

Overview

Bell’s palsy is a condition that causes temporary weakness or paralysis of the muscles on one side of the face. It occurs when the facial nerve, which controls the muscles of the face, becomes inflamed, swollen, or compressed. Bell’s palsy can affect people of any age, including children, and usually resolves on its own within a few weeks to a few months.

Symptoms

The symptoms of Bell’s palsy typically appear suddenly and may include:

  • Facial Weakness or Paralysis: Drooping of the eyelid and corner of the mouth on one side of the face.
  • Difficulty Smiling or Frowning: Inability to make normal facial expressions.
  • Drooling: Due to weakness in the muscles around the mouth.
  • Difficulty Closing the Eye: Which can lead to dryness or irritation of the eye.
  • Altered Taste: Changes in the sense of taste on the affected side of the tongue.
  • Pain or Discomfort: Around the jaw or behind the ear, although this is less common in children.
  • Increased Sensitivity to Sound: On the affected side (hyperacusis).

Causes

The exact cause of Bell’s palsy is not known, but it is believed to be related to a viral infection that causes inflammation and swelling of the facial nerve, the nerve that controls the face. Common viruses that have been linked to Bell’s palsy include:

  • Herpes simplex virus (HSV), which causes cold sores.
  • Herpes zoster virus, which causes chickenpox and shingles.
  • Epstein-Barr virus, which causes mononucleosis.

Diagnosis

Bell’s palsy is typically diagnosed based on a physical examination and the characteristic symptoms. However, additional tests may be ordered to rule out other possible causes of facial paralysis, such as:

  • Blood Tests: To check for signs of infection or other conditions.
  • Imaging Studies: Such as an MRI or CT scan, to examine the facial nerve and rule out other causes of pressure on the nerve.
  • Electromyography (EMG): A test that measures the electrical activity of muscles to assess the extent of nerve damage.

Treatment Options

Most cases of Bell’s palsy resolve on their own within a few weeks to a few months. However, treatments can help reduce symptoms and speed up recovery. Our hospital offers a range of treatment options, including:

  • Medications:
    • Corticosteroids, such as prednisone, to reduce inflammation and swelling of the facial nerve.
    • Antiviral medications, which may be prescribed in combination with corticosteroids if a viral infection is suspected.
  • Eye Care: To protect the eye on the affected side, including:
    • Artificial tears or eye drops to keep the eye moist.
    • Using a humidifier to keep the air moist.
    • Wearing an eye patch or taping the eyelid shut during sleep to prevent the eye from drying out.
  • Physical Therapy: Facial exercises and massage to help improve muscle strength and coordination.
  • Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, to manage any discomfort.

Patient Success Stories

At Gertrude’s Children’s Hospital, we are committed to providing the best possible care for children with Bell’s Palsy. Here’s why families trust us:

“Our daughter woke up one morning with a droopy face, and we were terrified. The team at Gertrude's Children's Hospital quickly diagnosed Bell's palsy and provided reassurance and treatment. Within a few weeks, her symptoms had completely resolved. We are so grateful for their expertise and care.”

Sarahmother of a child with Bell's palsy

Bell's Palsy in Children

Most cases of Bell's palsy resolve on their own within a few weeks to a few months. However, in some cases, it may take up to six months or longer for symptoms to completely disappear.

Yes, Bell's palsy can recur, although it is uncommon. Recurrent episodes may be more likely in people with a family history of the condition.

Bell's palsy itself is not contagious. However, the viral infections that are thought to trigger Bell's palsy, such as cold sores or chickenpox, can be contagious.

Contact Us

If your child is experiencing symptoms of Bell’s palsy, it’s important to seek medical attention promptly. Our team of experienced specialists is here to support you and your child every step of the way.

Contact us today to learn more about our Bell’s Palsy in Children treatment options.

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