Does facial neuritis cause fever?

Written by Yuan Jun Li
Neurology
Updated on March 27, 2025
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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 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.

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Written by Zhang Hui
Neurology
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Does facial neuritis need treatment?

Bell's palsy is a nonspecific inflammatory reaction, primarily caused by impairment of the facial nerve leading to paralysis of the facial muscles. In general, if the symptoms of Bell's palsy are mild, such as slight drooping of the corner of the mouth and drooling, there is a possibility for spontaneous recovery. However, if the symptoms of Bell's palsy are severe, and the patient also has risk factors for diabetes, these symptoms mainly include noticeably shallower forehead wrinkles, weakness in opening and closing the eyes, inability to close the eyes while sleeping, and very severe facial paralysis. In such cases, spontaneous recovery is difficult, and active treatment is required. Treatment mainly includes corticosteroid drugs and B vitamins, along with some rehabilitative training. In summary, Bell's palsy can resolve on its own if the symptoms are mild; however, if the symptoms are severe, timely treatment is necessary to avoid lasting effects.

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Written by Liu Hong Mei
Neurology
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Can facial neuritis be treated with hot compresses?

Facial neuritis can be treated with heat application, which can promote local blood circulation in the face and accelerate the repair of nerve functions. Patients with facial paralysis can control the water temperature at about 60°C during heat application, applying heat twice a day, each time for 10~15 minutes. It is important to prevent burns and treatments can also be combined with acupuncture and physiotherapy, which can nourish the nerves or use small doses of hormones. A light diet should be maintained, along with plenty of rest and adequate sleep. Avoid spicy, stimulating, excitatory foods, as well as raw, hard, and indigestible foods. Regularly eat fresh vegetables and fruits.

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Written by Tang Bo
Neurology
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What causes facial neuritis?

Facial neuritis, also known as idiopathic facial nerve paralysis or Bell's palsy, is caused by nonspecific inflammation of the facial nerve inside the cranial foramen, leading to peripheral facial paralysis. The exact cause is currently unknown, but it is thought to possibly be related to viral infections of the optic nerve, as well as potentially due to exposure to cold or upper respiratory tract infections. The mechanism of onset involves the bony facial nerve canal, which can only accommodate the facial nerve. However, if the facial nerve becomes ischemic and swollen, it will inevitably lead to nerve compression. Viral infections can lead to local autoimmune responses in the nerves and spasms of the nutrient vessels, resulting in ischemic swelling and facial nerve paralysis.

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Written by Zhang Hui
Neurology
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Causes of facial neuritis

The etiology of facial neuritis is not very clear, but some views suggest that viral infections can cause edema of the facial nerve, leading to compression of the nerve and resulting in inflammation. Additionally, some nonspecific inflammatory responses can also lead to edema of the facial nerve, presenting some clinical manifestations of facial paralysis. Other high-risk factors for facial neuritis include diabetes, autonomic instability, rheumatoid immune diseases, lymphoma, etc. Therefore, it is evident that the mechanisms of facial neuritis onset are unclear, with potential causes including viral infections, diabetes, central nervous system lymphoma, or autonomic instability, all of which can lead to facial neuritis. The primary symptom of facial neuritis is paralysis of the facial muscles. With standard treatment, complete recovery generally occurs within one to two months. Facial neuritis caused by tumors tends to recur and requires heightened vigilance.