Facial neuritis requires the use of steroids.

Written by Li Min
Neurology
Updated on September 13, 2024
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Bell's palsy, or facial neuritis, is caused by stimulation or viral infection of the facial nerves, leading to facial nerve paralysis. This generally refers to peripheral facial neuritis. Early treatment includes antiviral, anti-inflammatory, nerve nourishment, and free radical scavenging. Therefore, early treatment of facial neuritis requires steroid therapy, commonly using oral prednisone. The dosage is determined by body weight, at 1 milligram per kilogram, taken orally for a week, then discontinued. The next step in the treatment plan involves acupuncture and physical therapy. (Use of medications should be under the guidance of a doctor.)

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Written by Yuan Jun Li
Neurology
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Does facial neuritis cause fever?

Bell's palsy can cause fever, usually a low-grade fever. When the body temperature is between 37°C and 38°C, it is generally referred to as low-grade fever. The primary cause of Bell's palsy is viral infection. Patients may also exhibit symptoms such as eye fissures, paralysis of the facial expression muscles of the upper and lower face, disappearance of forehead creases, enlargement of the eye fissures, incomplete eyelid closure, showing white sclera when the eyes are closed, shallowing of the nasolabial folds, deviation of the mouth corners, air leakage when whistling, air escaping when puffing cheeks, loss or reduction of taste in the anterior two-thirds of the tongue, and difficulty in retaining food on the affected side when eating. Patients are prone to developing oral inflammation and conjunctivitis. Early and proper treatment after the onset is crucial, and most patients can achieve clinical cure after treatment.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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How long does facial neuritis require acupuncture treatment?

Facial nerve neuritis, acupuncture is a very important rehabilitation method for it. The duration of acupuncture should be analyzed based on different individuals. Acupuncture mainly helps with the recovery from facial nerve neuritis. The duration of acupuncture is primarily to restore the movement and sensation of the facial expression muscles on the affected side to be almost the same as the healthy side. At that point, acupuncture can be stopped. Based on clinical situations, most people might need about 2-3 courses of acupuncture to see improvement. However, there are a very small number of people who might need a longer duration of acupuncture, such as 4-5 courses, and some even longer. The duration of acupuncture depends on the location of the nerve damage. If the damage is close to the inside of the skull, the duration might be longer, whereas if it's closer to the outside, it might be shorter. Additionally, the constitution of the patient also plays a role; patients with a stronger constitution might require less time, while those who are weaker, older, or have complications such as diabetes might need a longer duration of acupuncture.

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Written by Zhang Hui
Neurology
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What causes facial neuritis?

Facial neuritis is very common in neurology, mainly caused by nonspecific inflammatory responses. For example, some patients with facial neuritis may experience viral infections, leading to inflammatory reactions in the muscles. Some patients develop inflammation of the facial nerve due to exposure to cold winds. Others may have immune dysfunction or rheumatic autoimmune diseases, which lead to inflammation of the facial nerve. Patients with facial neuritis usually experience paralysis of the facial muscles and may also experience significant pain, especially in the mastoid and external auditory canal. It is essential to treat facial neuritis early, using corticosteroids and B vitamins, as many patients have a good prognosis after treatment.

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Written by Tang Li Li
Neurology
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How to Treat Facial Neuritis

Bell's palsy, once diagnosed, needs to be treated as early as possible, with better outcomes the earlier treatment is started. If the patient does not have any significant contraindications, corticosteroids should be used in the early stages. Common treatments include oral prednisone, typically for about ten days, or dexamethasone intravenous infusion, typically for about five to seven days. Alongside anti-inflammatory corticosteroids, nerve nourishment can be addressed with muscle injections of vitamin B1 and vitamin B12, and patients with better economic conditions can also use mouse nerve growth factor for muscle injection nerve nourishment. Additionally, if the patient has significant pain behind the ear, indicating a possible viral infection, concurrent treatment with acyclovir antiviral therapy should be administered. Later, if recovery is poor, rehabilitative treatment can be provided, including electro-acupuncture physical therapy, infrared magnetic heating, etc., all of which can promote the recovery of Bell's palsy. The overall treatment course approximately takes about 20 days, with total recovery time ranging from 20 days to two months. (Note: Medication should be used under the guidance of a physician, based on the actual conditions.)

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Written by Zhang Hui
Neurology
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Can facial neuritis be cured?

Facial neuritis is a relatively common disease in neurology. It is mainly caused by viral infection or other nonspecific inflammatory reactions, leading to local inflammation of the facial nerve, which results in edema of the facial nerve and clinical manifestations caused by compression within the facial nerve canal. The main symptoms include shallower furrows on the affected side of the forehead, weakness in opening and closing the eyes, drooping and skewing of the mouth corner, drooling, weakness in puffing the cheeks, and air leakage when puffing the cheeks. Most patients with facial neuritis have a good prognosis, as long as the diagnosis is clear and appropriate treatment is administered in a timely manner, such as treatment with corticosteroids and B vitamins. If it is caused by a viral infection, appropriate antiviral treatment is given, and most patients can fully recover in about three months. If the condition is severe at the onset, or if the patient has risk factors such as diabetes, the prognosis is not very good. Overall, most people with facial neuritis recover well.