Bells Palsy
Please do not refer uncomplicated Bells palsy. See NG 127.
Complicated Bells palsy:
For ophthalmological problems refer to Ophthalmology services
For otological complications refer to ENT
Refer to neurology:
- Palsy not recovering by 3 months
- Aberrant re-innervation – e.g. Inappropriate facial movements, tearing
- Complicated cranial nerve, cerebellar, sensory or motor symptoms or signs in the limbs
If already known to Neurology services contact relevant team, including MS Nurses if MS related
Refer on stroke pathway:
If acute onset FAST positive, upper motor neurone pattern (sparing forehead)
Review Date 18/02/2020
Next Review Date 18/02/2021
Author Dr Andrew Sharp
Contributor Dr Brendan McLean Consultant Neurology RCHT
Version No. 2.0